Migrating foreign body in the tracheobronchial tree: an unusual case of firework penetrating neck injury

Objective. The presence of an upper airway foreign body is an emergent, potentially life-threatening situation that requires careful but rapid evaluation and management. Organic or nonorganic material may typically be found in the pyriform sinuses or tongue base or may be aspirated directly into the tracheobronchial tree. We present here an unusual case report of a patient who accidentally ingested a plastic bread clip that was lodged in his subglottis for 15 months and report successful removal in the office under local anesthesia.Methods. Mucosal anesthesia was achieved with inhaled 4% lidocaine spray. Flexible laryngoscopic removal of the foreign body was then successfully accomplished.Results. The patient’s symptoms resolved completely following removal, with no sequelae.Conclusions. Office removal of airway foreign bodies is feasible and can be safely done with adequate topical anesthesia, but great caution and emergency planning must be exercised.

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Airway management of penetrating neck injury by large foreign body impalement: Report of a case

Injury Extra ◽

10.1016/j.injury.2009.10.025 ◽

2010 ◽

Vol 41 (1) ◽

pp. 10-12 ◽

Cited By ~ 3

Author(s):

Supparerk Prichayudh ◽

Rattaplee Pak-art ◽

Suvit Sriussadaporn ◽

Sukanya Sriussadaporn ◽

Kritaya Kritayakirana ◽

...

Keyword(s):

Foreign Body ◽

Airway Management ◽

Neck Injury ◽

Penetrating Neck Injury

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Don't Forget The Fragment! An Unusual Case of Occult Fragment Embolisation Following Penetrating Neck Injury

Journal of the Royal Army Medical Corps ◽

10.1136/jramc-157-04-10 ◽

2011 ◽

Vol 157 (4) ◽

pp. 396-398

Author(s):

E. Davies ◽

M. Boylan ◽

J. Hawker ◽

B. Banerjee

Keyword(s):

Unusual Case ◽

Neck Injury ◽

Penetrating Neck Injury

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Penetrating injury to the neck - Three case reports with review of literatures

Bangladesh Medical Journal ◽

10.3329/bmj.v42i1.18978 ◽

2014 ◽

Vol 42 (1) ◽

pp. 31-33

Author(s):

ML Aich ◽

ABMK Alam ◽

M Abdullah ◽

AR Sardar

Keyword(s):

Case Report ◽

Foreign Body ◽

Facial Nerve ◽

Emergency Management ◽

Foreign Bodies ◽

Case Reports ◽

Neck Injury ◽

Review Of Literature ◽

Penetrating Neck Injury ◽

Management Protocol

Penetrating neck wounds are potentially dangerous and require emergency management because of the presence of vital structures in the neck. Organic foreign bodies further carry a risk of wound infection. Three interesting penetrating neck injury with foreign bodies are presented of which two are metallic, one with bamboo stick penetrating the neck tissue without damaging any vital structures except facial nerve injury. Mod e of entry, the peculiarity of the foreign body, the management protocol and the outcomes of neck injury are evaluated in the three cases of this case report. Review of literature revealed that few such cases have been reported. DOI: http://dx.doi.org/10.3329/bmj.v42i1.18978 Bangladesh Med J. 2013 Jan; 42 (1): 31-33

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