Double nail in Hypopharynx- A rare presentation

Main Article Content

Pranabashish Banerjee
Rajesh Kumar Kundu
Dhrupad Ray
Gautam Das

Abstract

Introduction


An extremely rare case of a pair of nails impacted in the right pyriform sinus, presenting 72 hours after the incident, is reported.


Case Report


X-ray soft tissue neck revealed the presence of a pair of nails in the neck at C4-C5 vertebral level. The foreign bodies could not be seen on hypopharyngoscopy due to severe mucosal oedema. Lateral pharyngotomy was done to remove the nails with C-arm guidance.


Discussion


Retained foreign bodies in the aerodigestive tract are known to produce complications. Delayed presentation makes the management difficult. C-arm guidance during surgical exploration is helpful to locate a radiopaue foreign body in difficult situations.

Article Details

How to Cite
1.
Banerjee P, Kundu RK, Ray D, Das G. Double nail in Hypopharynx- A rare presentation. BJOHNS [Internet]. 2016Aug.26 [cited 2024May19];24(2):106-9. Available from: https://bjohns.in/journal3/index.php/bjohns/article/view/86
Section
Case report
Author Biographies

Pranabashish Banerjee, Dept of ENT North Bengal Medical College Dist.Darjeeling

Assistant Prof

Dept of ENT

NBMC

Rajesh Kumar Kundu, North Bengal Medical College

Senior Resident

Dept. of ENT

Dhrupad Ray, North Bengal Medical College

Junior Resident

Dept. of ENT

Gautam Das, North Bengal Medical College

RMO cum Clinical Tutor

Dept. of ENT

References

Arora S, Sharma JK, Pippal SK, Sethi Y et ai. An unusual foreign body (sewing needle tip) in the tonsils. Braz J Otorhinolaryngol. (Impr.) 2009; 75(6):908

Al-Qudah A, Daradkeh S, Abu-Khalaf M. Esophageal foreign bodies. Eur J Cardio-Thoracic Surg. 1998; 13:494-9

Cangir AK, Tug T, Okten I. An unusual foreign body in the esophagus: Report of a case. Surg Today 2002; 32:523-4

Passali D, Morra B. Upper aerodigestive tract foreign body injury prevention: an ENT evidence-based perspective. Acta Otorhinolaryngol Ital. 2005; 25(Suppl):78

Ong NP. Foreign body in Oesophagus: Review of 2394 cases. Br J Surg. 1978; 65:5-9

Hachimi-Idrissi S, Corne L, Vandenplas Y. Management of ingested foreign bodies in childhood: our experience and review of the literature. Eur J Emerg Med.1998; 5:319–23

De Lucas EM, Ruiz-Delgado ML, Garcia-Baron PL, Sadaba P, Pagola MA. Foreign esophageal body impaction: multimodality imaging diagnosis. Emerg Radiol. 2004; 10:216-7

Furihata M, Tagaya N, Furihata T, Kubota K. Laparoscopic removal of an intragastric foreign body with endoscopic assistance. Surg Laparosc Endosc Percutan Tech. 2004; 14:234-7

Athanassiadi K, Gerazounis M, Metaxas E, Kalantzi N. Management of esophageal foreign bodies: a retrospective review of 400 cases. Eur J Cardio-Thoracic Surg. 2002; 21:653-6

Shinde KJ, Gupta A. An Unusual foreign body in Oesophagus. Indian J Otolaryngol Head Neck Surg 1999; 7B:62-4