Impaled Nasopharyngeal Foreign Body
Article Sidebar
Main Article Content
Abstract
Introduction
Foreign body cases are common in otolaryngologic practice, usually occurring in children. An impacted penetrating impaling foreign body can be one of the most challenging emergencies Management revolves around safe extraction of impaling object and prevention of complications. Here we share our experience with one such case of unusual foreign body impacted at an unusual site, with an extensive review of literature discussing management & prevention of complications in similar cases.
Case Report
A 3 year old boy presented to us in ENT emergency with a long metallic hook impaled in nasopharynx for the past 8 hours. We were able to dislodge the impacted foreign body under direct endoscopic visualisation under general anaesthesia.
Discussion
Any such injury might be similar but no two injuries are the same. It needs combined expertise of multidisciplinary team usually consisting of ENT surgeon, anaesthesiologist, radiologist and may also need vascular surgeon and interventional radiologist at times. Several complications are reported in literature, knowledge of which would help preparedness and thus a better outcome.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
References
Hussain M (ed). ENT, Head & Neck Emergencies: a Logan Turner companion. 2019; Taylor & Francis Group, LLC. CRC Press
Tanaka T, Sudo M, Iwai K, Fujieda S, Saito H. Penetrating injury to the pharynx by a tooth brush in a paediatric patient: a case report. Auris Nasus Larynx 2002; 29(4):387-9
Diom ES, Diouf R, Diop el HM. Unusual nasopharyngeal foreign body: a hooked iron rod. Ear Nose Throat J. 2012; 91(7): E13-4
Kara İ, Ulutabanca H, Kökoğlu K, Güneş MS, Çağlı S. Pencil in the pharynx: Case report of a penetrating foreign body. Ulus Travma Acil Cerrahi Derg. 2016 ; 22(4):402-4
Kanotra S, Lateef M, Ahmed S. Nasopharyngeal Foreign Bodies. Indian Journal of Clinical Practice. 2012;22(8):392-6
Robert A. Belfer, Daniel W. Ochsenschlager, Sharon M. Tomaski. Penetrating injury to the oral cavity: A case report and review of the literature. The Journal of Emergency Med. 1995;13(3):331-5
Frantz R. Melio, Jonathan L. Jones, William T. Djang. Internal carotid artery thrombosis in a child secondary to intraoral trauma. The Journal of Emergency Med.1996; 14:429-33
Sagar S, Kumar N, Singhal M, Kumar S, Kumar A. A rare case of life-threatening penetrating oropharyngeal trauma caused by toothbrush in a child. J Indian Soc Pedod Prev Dent. 2010; 28:134-6
Steven M. Gottlieb, N. Paul Rosman, Robert A. Stich. Stroke in Children After Blunt Intraoral Trauma: Use of Magnetic Resonance Angiography as a Non-invasive Diagnostic Tool. J Child Neurol. 1996;11(5):419-22
Randall DA, Kang DR. Current management of penetrating injuries of the soft palate. Otolaryngol Head Neck Surg. 2006;135(3):356-60
Singer JI. Management strategy for penetrating oropharyngeal injury. Pediatr Emerg Care 1989;5(4):250-2
Radkowski D, McGill TJ, Healy GB, Jones DT. Penetrating trauma of the oropharynx in children. Laryngoscope 1993;103(9):991-4
Chauhan N, Guillemaud J, El-Hakim H. Two patterns of impalement injury to the oral cavity: Report of four cases and review of literature. Int J Pediatr Otorhinolaryngol. 2006; 70(8):1479-83.