Pyriform Sinus Perforation in a Child after Falling with a Spoon Handle in the Mouth / 대한구급학회지
The Korean Journal of Critical Care Medicine
; : 214-217, 2013.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-655480
Responsible library:
WPRO
ABSTRACT
Pyriform sinus perforation is uncommon in children and most cases are secondary to iatrogenic causes such as endotracheal intubations. Due to this rarity, the management of these injuries is controversial. We report a case of pyriform sinus perforation in a 14-month-old boy who fell down with a spoon handle in the mouth and was successfully treated by transoral laryngomicrosurgery. Two hours after falling down, the patient had breathing difficulties and started vomiting. A chest X-ray showed subcutaneous emphysema and pneumomediastium. Esophagogram revealed leakage of contrast media at the hypopharynx. Although air leakage was reduced the next day, his fever became frequent even with conservative management of antibiotics. On the 4th hospital day, closure of pyriform sinus perforation was done by transoral laryngomicrosurgery. The patient became apyrexial by the 2nd post-operative day. On the 21th hospital day, the child was able to consume food orally without problems and was allowed to go home.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Respiration
/
Subcutaneous Emphysema
/
Thorax
/
Vomiting
/
Contrast Media
/
Pyriform Sinus
/
Fever
/
Hypopharynx
/
Intubation, Intratracheal
/
Anti-Bacterial Agents
Limits:
Child
/
Humans
Language:
Korean
Journal:
The Korean Journal of Critical Care Medicine
Year:
2013
Document type:
Article