Neck trauma: migrate foreign body

Year 2019, , 342 - 344, 01.09.2019

Burak Mustafa Taş , Gökçe Şimşek , Çağatay Erden Daphan , Mustafa Öğden , Yıldırım Gültekin , Rahmi Kılıç

https://doi.org/10.21601/ortadogutipdergisi.405521

Abstract

The cases of foreign bodies in the neck can be iatrogenic or traumatic. Cases of gunshot wounds, incisors and penetrating tool injuries are some of the examples. Large arteries and veins, trachea and neural structures can be damaged. The fact that the foreign body migrate in the neck structures and fascia is a rare but expected condition. Therefore, foreign bodies can be found in unexpected places. In our case, a 37-year-old male patient was consulted to our clinic with multiple cuts and foreign body. A foreign body was observed anterior to the cervical vertebra in the patient’s radiological imaging and underwent surgery emergently. After the migration, the foreign body was found and removed in the nasopharynx of the patient. In the practice of ear-nose-throat medicine. During the practice of Ear Nose and Throat specialty, attention should be paid to the foreign bodies of the neck because of their close relation with vital structures.

Keywords

computerized tomography, foreign body in the neck, trauma

Boyun travması: migrate yabancı cisim

Abstract

Boyunda yabancı cisim olguları iyatrojenik veya travmatik olabilirler. Ateşli silah yaralanmaları, kesici-delici alet yaralanmaları ile oluşan olgular bunlara örnek gösterilebilir. Büyük arter ve venler, trakea ve nöral yapılar hasara uğrayabilir. Yabancı cismin boyun yapıları ve fasiyaları içerisinde migrate olması nadir ancak beklenen bir durumdur. Bu yüzden yabancı cisimler beklenmedik yerlerde bulunabilir. Bizim olgumuzda 37 yaşında erkek hasta boyunda birçok kesi ve yabancı cisim nedeniyle tarafımıza danışıldı. Hastanın radyolojik görüntülemesinde servikal vertebra anteriorunda yabancı cisim izlendi ve acil ameliyata alındı. Migrate olan yabancı cisim operasyon sonrasında hastanın nazofarenksinde bulundu ve çıkarıldı. Kulak-Burun-Boğaz hekimliği pratiğinde karşımıza çıkabilecek olan boyunda yabancı cisimlere vital yapılara yakınlığı nedeniyle dikkat edilmelidir.

Keywords

bilgisayarlı tomografi, boyunda yabancı cisim, travma

References

• Sorimachi K, Ono Y, Kobayashi H, Watanabe K, ve ark. Airway management in a patient with nuchal, interspinous, and flavum ligament rupture by a sickle: a case report. J Med Case Rep 2016; 10: 172.
• Islam S, Esmil T, Umapathy N, Hoffman GR. Foreign body (metal key) impacted in the upper neck. Injury Extra 2007; 37: 109-12.
• Johari HH, Khaw BL, Yusof Z, Mohamad I. Migrating fish bone piercing the common carotid artery, thyroid gland and causing deep neck abscess. World J Clin Cases 2016; 4: 375-9.
• Lue AJ, Fang WD, Manolidis S. Use of plain radiography and computed tomography to identify fish bone foreign bodies. Otolaryngol Head Neck Surg 2000; 123:435-8.
• Parajuli R, Thapa S. Penetrating neck injury by a sickle. Clin Case Rep 2017; 5: 363-5.
• Singh RK, Bhandary S, Karki P. Managing a wooden foreign body in the neck. J Emerg Trauma Shock 2009; 2: 191-5.