Unusual Route of Impaction, Hypopharyngeal non Penetrating Steel Shrapnel Foreign Body
Journal Title: Archives of Otolaryngology and Rhinology - Year 2017, Vol 3, Issue 2
Abstract
Foreign body injury is one of the most commonly encountered otorhinolaryngologic emergencies. The diagnosis and management of foreign bodies have mainly been based on the type and location of the foreign body. The workplace is a significant contributor to fatal and non-fatal injuries worldwide and an insufficiently appreciated contributor to the total burden of health care costs. Steel workers sustain a higher occupational hazard of penetrating injuries anywhere in the body, including the head and neck. However, we found no reports in the literature about non-penetrating shrapnel foreign body injuries, particularly in the upper aero-digestive tract. This is a case report of a twenty-five years old steelworker who presented to the emergency department in Al Wakra Hospital with a history of non-penetrating steel foreign body impaction in the throat which had been visualized by GlideScope and removed successfully with the assistance of Macintosh laryngoscope without complications. The purpose of this presentation is to highlight the unusual route taken by a shrapnel non-penetrating foreign body, through the open mouth to the hypopharynx. Also, probably this could be the first such case to be reported. A note has, also, been added about its visualization and method of removal, comparing two different techniques.
Authors and Affiliations
Al-Juboori Ahmed, Mirghani Abdalla, Al Hail Amira Nasser
Plexiform Neurofibroma of the Larynx in Children: About an Unusual Case Report
Introduction: The plexiform neurofibroma is a rare benign tumor which is often associated to type 1 neurofibromatosis or Von Recklinghausen’s disease. The laryngeal involvement in neurofibromatosis is extremely rare. The...
Sinus or nasal surgery alleviates headache symptoms: A prospective study
Introduction: The primary aim of this prospective study was to evaluate headache severity before and after surgery in patients with chronic rhinosinusitis without polyps (CRSsNP), chronic rhinosinusitis with polyps (CRSw...
Image Guided Frontal Sinus Mapping: Our Technique
Access to the frontal sinus is challenging and both external and endoscopic approaches are described in the literature. Where an external approach is indicated, a bicoronal osteoplastic flap procedure is generally prefer...
Management of Intra-operative Chyle Leak during Neck Dissection: Recognition and Control
Chyle fistula (CF) is a rare complication of neck dissection. The extravasation of chyle can result in potentially devastating metabolic, nutritional and immunologic sequellae. We report the efficacy a protocol for trea...
Management of Cleft Lip and Palate: A Five Year Review
Introduction: Clefts of the lip may cause cosmetic and social problems. Clefts of the palate may affect feeding, speech and hearing. Objective: To document the clinical and epidemiological features, surgical techniques (...