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the bristle without surgical intervention.1 The Center for Disease Control and Prevention (CDC) described 6 adult patients
(5 males and 1 female) who experienced ingestion of wire
brush bristles causing injuries that ranged from puncture of the
soft tissues of the neck, resulting in severe odynophagia, to
perforation of the gastrointestinal tract, resulting in emergent
surgery. The CDC recommended carefully examining the surface of the grill before cooking on it, as well as considering
alternative grill-cleaning methods.2 Grand et al published the
radiologic findings in the 6 patients from Rhode Island who
had ingested the wire brush bristles. 3 Di Guglielmo et al
described an adolescent patient who accidentally ingested a
wire brush bristle that resulted in a colonic perforation and
required a laparoscopic intervention.4 Baugh et al performed a
cross-sectional analysis of national databases and projected
about 1698 cases of these injuries have occurred between
2002 and 2014, with the most common location of injury
being the oropharynx.5
An online search by Google using the term ''metal grill
brush dangers'' generated numerous hits, including news
reports from American Commercial Broadcast Television Network and Cable News Network (CNN) discussing accidental
ingestions across the country.6,7 A CNN feature in May 2016
reported about 130 people present to the emergency department
each year for swallowing a bristle from a wire brush. 7
Consumer reports from 2016 reported about 1700 Americans
needing emergency room visits from ingestion of wire bristles.8
Consumer reports recommended considering safer cleaning
tools for the grill, taking extra precautions when using wirebristle brushes, and changing the brushes after 100 uses or
every grill season.8
Authors' Note
Dr. Vadihi and Dr. Jeyakumar conceptualized and designed the
study, drafted the initial manuscript, reviewed and revised the
manuscript, and critically reviewed the manuscript. Dr. Keane and
Dr. Whalen reviewed, revised the manuscript, and critically
reviewed the manuscript. All authors approved the final

Ear, Nose & Throat Journal 99(8)
manuscript as submitted and agree to be accountable for all aspects
of the work.

Declaration of Conflicting Interests
The author(s) declared no potential conflicts of interest with respect to
the research, authorship, and/or publication of this article.

Funding
The author(s) received no financial support for the research, authorship, and/or publication of this article.

References
1. Sordo S, Holloway TL, Woodard RL, et al. Small bowel perforations by metallic grill bristles: clinical presentations and opportunity for prevention. Am Surg. 2016;82(5):412-415.
2. Centers for Disease Control and Prevention. Injuries from ingestion
of wire bristles from grill-cleaning brushes-Providence, Rhode
Island, March 2011-June 2012. MMWR Morb Mortal Wkly Rep.
2012:61(26):490-492.
3. Grand DJ, Cloutier DR, Beland MD, Mayo-Smith WW. Inadvertent ingestion of wire bristles from a grill cleaning brush: radiologic
detection of unsuspected foreign bodies. AJR Am J Roentgenol.
2012;198(4):836-839.
4. Di Guglielmo M, Savage J, Gould S, Murphy S. Female adolescent
presenting with abdominal pain: accidental wire bristle ingestion
leading to colonic perforation. Pediatr Emerg Care. 2017;33(5):
356-358.
5. Baugh TP, Hadley JM, Chang D. Epidemiology of wire-bristle grill
brush injury in the United States, 2002-2014. Otolaryngol-Head
Neck Surg. 2016;154(4):645-649.
6. http://www.cbsnews.com/news/grill-barbecue-metal-brush-dangers/ Updated May 6, 2019. Accessed May 6, 2019.
7. http://www.cnn.com/2016/04/05/health/grilling-injury-wire-bristle-brush/ Updated May 6, 2019. Accessed May 6, 2019.
8. http://www.consurmerreports.org/gas-grills/grill-brushes-surprising-risk/ Updated May 6, 2019. Accessed May 6, 2019.


http://www.cbsnews.com/news/grill-barbecue-metal-brush-dangers/ http://www.cbsnews.com/news/grill-barbecue-metal-brush-dangers/ http://www.cnn.com/2016/04/05/health/grilling-injury-wire-bristle-brush/ http://www.cnn.com/2016/04/05/health/grilling-injury-wire-bristle-brush/ http://www.consurmerreports.org/gas-grills/grill-brushes-surprising-risk/ http://www.consurmerreports.org/gas-grills/grill-brushes-surprising-risk/

ENT - September 2020

Table of Contents for the Digital Edition of ENT - September 2020

The Creation of a Sustainable Otolaryngology Department in Malawi Nathan Douglas Vandjelovic, Eric Masao Sugihara, Wakisa Mulwafu, and David Nathan Madgy
Hazardous Grilling Due to Wire Brushes Nima A. Vahidi, Brenna A. Keane, Paul J. Whalen, and Anita Jeyakumar
Guns n’ Noses: Endoscopic Removal of an Air-Gun Pellet Retained in the Frontal Sinus Dylan A. Levy, Andrew Y. Lee, Waleed M. Abuzeid, and Nadeem A. Akbar
Vitamin D Status in Egyptian Children With Allergic Rhinitis Khaled Saad, Abobakr Abdelmoghny, Mohamed Diab Aboul-Khair, Yasser Farouk Abdel-Raheem, Eman Fathalla Gad, Ahmed El-Sayed Hammour, Bahaa Hawary, Asmaa M. Zahran, Mohamd A. Alblihed, and Amira Elhoufey
Pediatric Epistaxis and Its Correlation Between Air Pollutants in Beijing From 2014 to 2017 Ying-Xia Lu, Jie-Qiong Liang, Qing-Long Gu, Chong Pang, and Chun-Lei Huang
Otomycosis With Tympanic Membrane Perforation: A Review of the Literature Petros Koltsidopoulos and Charalampos Skoulakis
Simultaneous Bilateral Same-Day Endoscopic Myringoplasty Using Tragal Cartilage From One Ear Baklaci Deniz, Kuzucu Ihsan, Guler Ismail, Kum Rauf Oguzhan, and Ozcan Muge
A Preliminary Report on the Investigation of Prestin as a Biomarker for Idiopathic Sudden Sensorineural Hearing Loss Changling Sun, Xiaolin Xuan, Zhi Zhou, Yuan Yuan, and Fei Xue
A Retrospective Study to Identify the Relationship Between the Dimension of Osseous External Auditory Canal and Chronic Otitis Media Yi-Fang Lee, Pei-Yin Wei, Chia-Huei Chu, Wen-Huei Liao, An-Suey Shiao, and Mao-Che Wang
Investigation of the Effectiveness of Surgical Treatment on Respiratory Functions in Patients With Obstructive Sleep Apnea Syndrome Burak Kersin, Murat Karaman, Engin Aynacı, and Ahmet Keles
Changing Trends of Color of Different Laryngeal Regions in Laryngopharyngeal Reflux Disease Chen Du, Paige Thayer, Yan Yan, Qingsong Liu, Li Wang, and Jack Jiang
ENT - September 2020 - Intro
ENT - September 2020 - Cover1
ENT - September 2020 - Cover2
ENT - September 2020 - 489
ENT - September 2020 - 490
ENT - September 2020 - 491
ENT - September 2020 - 492
ENT - September 2020 - 493
ENT - September 2020 - 494
ENT - September 2020 - 495
ENT - September 2020 - 496
ENT - September 2020 - 497
ENT - September 2020 - 498
ENT - September 2020 - 499
ENT - September 2020 - 500
ENT - September 2020 - The Creation of a Sustainable Otolaryngology Department in Malawi Nathan Douglas Vandjelovic, Eric Masao Sugihara, Wakisa Mulwafu, and David Nathan Madgy
ENT - September 2020 - 502
ENT - September 2020 - Hazardous Grilling Due to Wire Brushes Nima A. Vahidi, Brenna A. Keane, Paul J. Whalen, and Anita Jeyakumar
ENT - September 2020 - 504
ENT - September 2020 - Guns n’ Noses: Endoscopic Removal of an Air-Gun Pellet Retained in the Frontal Sinus Dylan A. Levy, Andrew Y. Lee, Waleed M. Abuzeid, and Nadeem A. Akbar
ENT - September 2020 - 506
ENT - September 2020 - 507
ENT - September 2020 - Vitamin D Status in Egyptian Children With Allergic Rhinitis Khaled Saad, Abobakr Abdelmoghny, Mohamed Diab Aboul-Khair, Yasser Farouk Abdel-Raheem, Eman Fathalla Gad, Ahmed El-Sayed Hammour, Bahaa Hawary, Asmaa M. Zahran, Mohamd A. Alblihed, and Amira Elhoufey
ENT - September 2020 - 509
ENT - September 2020 - 510
ENT - September 2020 - 511
ENT - September 2020 - 512
ENT - September 2020 - Pediatric Epistaxis and Its Correlation Between Air Pollutants in Beijing From 2014 to 2017 Ying-Xia Lu, Jie-Qiong Liang, Qing-Long Gu, Chong Pang, and Chun-Lei Huang
ENT - September 2020 - 514
ENT - September 2020 - 515
ENT - September 2020 - 516
ENT - September 2020 - 517
ENT - September 2020 - Otomycosis With Tympanic Membrane Perforation: A Review of the Literature Petros Koltsidopoulos and Charalampos Skoulakis
ENT - September 2020 - 519
ENT - September 2020 - 520
ENT - September 2020 - 521
ENT - September 2020 - Simultaneous Bilateral Same-Day Endoscopic Myringoplasty Using Tragal Cartilage From One Ear Baklaci Deniz, Kuzucu Ihsan, Guler Ismail, Kum Rauf Oguzhan, and Ozcan Muge
ENT - September 2020 - 523
ENT - September 2020 - 524
ENT - September 2020 - 525
ENT - September 2020 - 526
ENT - September 2020 - 527
ENT - September 2020 - A Preliminary Report on the Investigation of Prestin as a Biomarker for Idiopathic Sudden Sensorineural Hearing Loss Changling Sun, Xiaolin Xuan, Zhi Zhou, Yuan Yuan, and Fei Xue
ENT - September 2020 - 529
ENT - September 2020 - 530
ENT - September 2020 - 531
ENT - September 2020 - A Retrospective Study to Identify the Relationship Between the Dimension of Osseous External Auditory Canal and Chronic Otitis Media Yi-Fang Lee, Pei-Yin Wei, Chia-Huei Chu, Wen-Huei Liao, An-Suey Shiao, and Mao-Che Wang
ENT - September 2020 - 533
ENT - September 2020 - 534
ENT - September 2020 - 535
ENT - September 2020 - 536
ENT - September 2020 - Investigation of the Effectiveness of Surgical Treatment on Respiratory Functions in Patients With Obstructive Sleep Apnea Syndrome Burak Kersin, Murat Karaman, Engin Aynacı, and Ahmet Keles
ENT - September 2020 - 538
ENT - September 2020 - 539
ENT - September 2020 - 540
ENT - September 2020 - 541
ENT - September 2020 - 542
ENT - September 2020 - Changing Trends of Color of Different Laryngeal Regions in Laryngopharyngeal Reflux Disease Chen Du, Paige Thayer, Yan Yan, Qingsong Liu, Li Wang, and Jack Jiang
ENT - September 2020 - 544
ENT - September 2020 - 545
ENT - September 2020 - 546
ENT - September 2020 - 547
ENT - September 2020 - 548
ENT - September 2020 - 549
ENT - September 2020 - 550
ENT - September 2020 - 551
ENT - September 2020 - 552
ENT - September 2020 - Cover3
ENT - September 2020 - Cover4
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