Impaled Nasopharyngeal Foreign Body

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...

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Main Authors: Pritam Chatterjee, V D Prasanna Kumar Vasamsetty, Chiranjib Das, Sudip Kumar Das
Format: Article
Language:English
Published: The Association of Otolaryngologists of India, West Bengal 2021-02-01
Series:Bengal Journal of Otolaryngology and Head Neck Surgery
Subjects:
Online Access:https://bjohns.in/journal3/index.php/bjohns/article/view/289
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author Pritam Chatterjee
V D Prasanna Kumar Vasamsetty
Chiranjib Das
Sudip Kumar Das
author_facet Pritam Chatterjee
V D Prasanna Kumar Vasamsetty
Chiranjib Das
Sudip Kumar Das
author_sort Pritam Chatterjee
collection DOAJ
description 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.
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spelling doaj.art-2e7446d2739940ea926b6f6236d3e8562024-03-02T15:09:47ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-24072021-02-0128310.47210/bjohns.2020.v28i3.289Impaled Nasopharyngeal Foreign BodyPritam Chatterjee0V D Prasanna Kumar Vasamsetty1Chiranjib Das2Sudip Kumar Das3Department of ENT, Bankura Sammilani Medical College & HospitalDepartment of ENT, Bankura Sammilani Medical College & HospitalDepartment of ENT, Coochbehar Government Medical College & HospitalProfessor, Department of ENT, Bankura Sammilani Medical College & HospitalIntroduction 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.https://bjohns.in/journal3/index.php/bjohns/article/view/289impalementForeign BodiesNasopharynxOropharynx
spellingShingle Pritam Chatterjee
V D Prasanna Kumar Vasamsetty
Chiranjib Das
Sudip Kumar Das
Impaled Nasopharyngeal Foreign Body
Bengal Journal of Otolaryngology and Head Neck Surgery
impalement
Foreign Bodies
Nasopharynx
Oropharynx
title Impaled Nasopharyngeal Foreign Body
title_full Impaled Nasopharyngeal Foreign Body
title_fullStr Impaled Nasopharyngeal Foreign Body
title_full_unstemmed Impaled Nasopharyngeal Foreign Body
title_short Impaled Nasopharyngeal Foreign Body
title_sort impaled nasopharyngeal foreign body
topic impalement
Foreign Bodies
Nasopharynx
Oropharynx
url https://bjohns.in/journal3/index.php/bjohns/article/view/289
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