Approach to a sewing needle in the parapharyngeal space: A case report
Philippine Journal of Otolaryngology Head and Neck Surgery
;
: 36-39, 2021.
Article
in English
| WPRIM
| ID: wpr-974015
ABSTRACT
Objective@#To describe a unique situation of a sewing needle lodged in the parapharyngeal space and elucidate the problems encountered in its successful removal.@*Methods@#Design:
Case Report.Setting:
Tertiary Private Hospital. Patient One.@*Result@#A 24-year-old male tailor accidentally swallowed a sewing needle that pierced the oropharyngeal wall and was wedged in the parapharyngeal space. After a thorough physical examination, 70 degree rod endoscopy, radiography and doppler ultrasonography and intraoperative C-arm X-ray for intraoperative localization and as a guide for extraction all yielded less than optimal guidance. Although an intra-oral approach was initially taken, the transcervical approach provided the best access. @*Conclusion@#Removal of a sharp foreign body in the parapharyngeal space should be considered a surgical emergency owing to its close proximity to vital structures and the potential for serious complications. Identifying the exact location may require a variety of imaging modalities, and foreign body extraction may entail multiple surgical approaches.
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Index:
WPRIM (Western Pacific)
Main subject:
Foreign Bodies
/
Parapharyngeal Space
Language:
English
Journal:
Philippine Journal of Otolaryngology Head and Neck Surgery
Year:
2021
Type:
Article
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