Double nail in Hypopharynx- A rare presentation

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...

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Main Authors: Pranabashish Banerjee, Rajesh Kumar Kundu, Dhrupad Ray, Gautam Das
Format: Article
Language:English
Published: The Association of Otolaryngologists of India, West Bengal 2016-08-01
Series:Bengal Journal of Otolaryngology and Head Neck Surgery
Subjects:
Online Access:https://bjohns.in/journal3/index.php/bjohns/article/view/86
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author Pranabashish Banerjee
Rajesh Kumar Kundu
Dhrupad Ray
Gautam Das
author_facet Pranabashish Banerjee
Rajesh Kumar Kundu
Dhrupad Ray
Gautam Das
author_sort Pranabashish Banerjee
collection DOAJ
description 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.
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spelling doaj.art-84e9581cdab94963b2bd468007e14f202024-03-03T06:15:00ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-24072016-08-0124210.47210/bjohns.2016.v24i2.86Double nail in Hypopharynx- A rare presentationPranabashish Banerjee0Rajesh Kumar Kundu1Dhrupad Ray2Gautam Das3Dept of ENT North Bengal Medical College Dist.DarjeelingNorth Bengal Medical CollegeNorth Bengal Medical CollegeNorth Bengal Medical CollegeIntroduction 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.https://bjohns.in/journal3/index.php/bjohns/article/view/86Foreign Bodies/surgeryNailsHypopharynxPyriform Sinus
spellingShingle Pranabashish Banerjee
Rajesh Kumar Kundu
Dhrupad Ray
Gautam Das
Double nail in Hypopharynx- A rare presentation
Bengal Journal of Otolaryngology and Head Neck Surgery
Foreign Bodies/surgery
Nails
Hypopharynx
Pyriform Sinus
title Double nail in Hypopharynx- A rare presentation
title_full Double nail in Hypopharynx- A rare presentation
title_fullStr Double nail in Hypopharynx- A rare presentation
title_full_unstemmed Double nail in Hypopharynx- A rare presentation
title_short Double nail in Hypopharynx- A rare presentation
title_sort double nail in hypopharynx a rare presentation
topic Foreign Bodies/surgery
Nails
Hypopharynx
Pyriform Sinus
url https://bjohns.in/journal3/index.php/bjohns/article/view/86
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AT rajeshkumarkundu doublenailinhypopharynxararepresentation
AT dhrupadray doublenailinhypopharynxararepresentation
AT gautamdas doublenailinhypopharynxararepresentation