title: Accidental ingestion of coins by children: management at the ENT Department of the João XXIII Hospital.
abstract: The ingestion of foreign bodies by children is frequently seen in emergency departments. ENTs can manage those lodged in the esophagus but experience is important for a successful intervention.
  
  
  OBJECTIVE
  Describe seven cases of children that ingested coins, managed at the ENT Department of João XXIII Hospital.
  
  
  METHODS
  Clinical/prospective.
  
  
  METHODS
  We describe seven cases (gender, age, family status, coin size and treatment/evolution).
  
  
  RESULTS
  Age ranged from one to nine years. Two patients were only children and five were the youngest in their families. Coins sizes ranged from 1.9 to 2.5 cm. After eight hours of observation, three cases were treated in the surgery room because the foreign body was lodged in the cricopharynx. Four cases resolved spontaneously.
  
  
  CONCLUSIONS
  The ENT department has good results removing coins lodged in the upper esophagus using forceps and laryngoscopy; and also using rigid esophagoscopy for the lower esophagus. In this study it was not possible to establish the importance of coin size and patient age in attempting to predict spontaneous resolution, nor if the child being an only child or the youngest in the family may have some predisposition in this kind of accident.
authors.affiliation: EPM, UNIFESP, Brazil. chengorl@ig.com.br
authors.forename: Cheng
authors.initials: C
authors.lastname: T-Ping
authors.forename: Cassimiro Afonso
authors.initials: CA
authors.lastname: Nunes
authors.forename: Gabriel Rabelo
authors.initials: GR
authors.lastname: Guimarães
authors.forename: João Penna Martins
authors.initials: JP
authors.lastname: Vieira
authors.forename: Luc Louis Maurice
authors.initials: LL
authors.lastname: Weckx
authors.forename: Tanner José Arantes
authors.initials: TJ
authors.lastname: Borges
mesh_terms: D002648:Child; D002675:Child, Preschool; D004947:Esophagus / Q000000981:diagnostic imaging; D005260:Female; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000628:therapy*; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging; D006801:Humans; D007223:Infant; D007828:Laryngoscopy / Q000379:methods*; D008297:Male; D009717:Numismatics; D011446:Prospective Studies; D011859:Radiography; D012075:Remission, Spontaneous