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Amongst 149 adolescents and adults presenting to two Jamaican hospitals between 2018 and 2020, FB's were found at 31% of telescopic laryngoscopies and 60% of rigid oesophagoscopies. Commonest sites of impaction were the tonsils at laryngoscopy (15\/46) and proximal oesophagus at oesophagoscopy (17\/22). Odds of pharyngeal impaction were higher with fish bone ingestion, persistent discomfort, perceived location of discomfort above the cricoid cartilage and symptoms noted during a meal. Persistent discomfort and FB shadow on X-ray imaging produced higher odds of oesophageal impaction. Simple clinical and radiological assessments are useful in predicting FB impaction in resource-limited settings.<\/jats:p>","DOI":"10.1177\/00494755221147355","type":"journal-article","created":{"date-parts":[[2023,1,4]],"date-time":"2023-01-04T02:51:44Z","timestamp":1672800704000},"page":"210-217","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The clinical assessment of foreign body ingestions: Experience in a developing country"],"prefix":"10.1177","volume":"53","author":[{"given":"Francis","family":"Barnett","sequence":"first","affiliation":[{"name":"Otolaryngology Head and Neck Surgery Department, Kingston Public Hospital, Kingston, Jamaica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0134-967X","authenticated-orcid":false,"given":"Alfred","family":"Duncan","sequence":"additional","affiliation":[{"name":"The Department of Otolaryngology Head and Neck Surgery University Hospital of the West Indies Mona, Kingston, Jamaica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zachary","family":"Ramsay","sequence":"additional","affiliation":[{"name":"Caribbean Institute for Health Research \u2013 Sickle Cell Unit, The"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taralee","family":"Ramsay","sequence":"additional","affiliation":[{"name":"Otolaryngology Head and Neck Surgery Department, Kingston Public Hospital, Kingston, Jamaica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Quincy","family":"Simmons","sequence":"additional","affiliation":[{"name":"Otolaryngology Head and Neck Surgery Department, Kingston Public Hospital, Kingston, Jamaica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tracey-Ann","family":"Brooks","sequence":"additional","affiliation":[{"name":"Otolaryngology Head and Neck Surgery Department, Kingston Public Hospital, Kingston, Jamaica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guyan","family":"Channer","sequence":"additional","affiliation":[{"name":"Otolaryngology Head and Neck Surgery Department, Kingston Public Hospital, Kingston, Jamaica"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,1,3]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(02)70407-0"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-7125(16)30212-7"},{"key":"e_1_3_3_4_2","first-page":"943090","article-title":"Ingestion and pharyngeal trauma causing secondary retropharyngeal abscess in five adult patients","volume":"2012","author":"Sharma SB","year":"2012","unstructured":"Sharma SB, Hong P. 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