Approach to a sewing needle in the parapharyngeal space: A case report
https://doi.org/10.32412/pjohns.v36i2.1805
- Author:
Vishaka Bettadahalli
1
,
2
;
Rahul Bhargava
1
,
3
;
Sunil Kumar
1
Author Information
1. Lady Hardinge Medical College
2. The Queen Elizabeth Hospital Kings Lynn NHS Foundation Trust
3. SMI Saroj Medical Institute, Delhi
- Publication Type:Case Reports
- Keywords:
Sewing needle;
surgical emergency
- MeSH:
Foreign Bodies;
Parapharyngeal Space
- From:
Philippine Journal of Otolaryngology Head and Neck Surgery
2021;36(2):36-39
- CountryPhilippines
- Language:English
-
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.
- Full text:pjohns32.pdf
