Transoral removal of foreign body in a patient with penetrating neck trauma: a case report

Year 2017, Volume: 27 Issue: 2, 99 - 102, 18.06.2017

Erhan Demirhan Aytekin Uzer Behçet Şahin İbrahim Çukurova

Abstract

Penetrating neck trauma is a rarely seen ear nose and throat emergency, which may also be fatal. In this article, we report a 68-year-old male patient with penetrating trauma to zone II of the neck. The patient had dysphagia and pain with neck movement but had no life-threatening finding. The penetrating foreign body was removed transorally under general anesthesia. Neck exploration was not performed and no complication was observed in follow-up. In this case report, we presented our alternative approach in a patient with penetrating neck injury.

Keywords

Foreign body, hypopharynx, neck trauma, penetrating neck trauma, pharynx, selective management

Penetran boyun travmalı hastada transoral yol ile yabancı cismin çıkarılması: Olgu sunumu

Abstract

Penetran boyun travması nadir görülen ancak ölümcül de olabilen bir kulak burun boğaz acilidir. Bu yazıda, boynun II. bölgesine penetran travması olan 68 yaşında bir erkek hasta sunuldu. Hastada yutma güçlüğü ve boyun hareketleri ile ağrı vardı fakat hayatı tehdit eden bulgu yoktu. Penetre olan yabancı cisim genel anestezi altında transoral yolla çıkarıldı. Boyun eksplorasyonu yapılmadı ve takipte komplikasyon gözlenmedi. Bu olgu sunumunda, penetran boyun yaralanması olan bir hastadaki alternatif yaklaşımımız sunuldu

Keywords

Yabancı cisim, hipofarenks, boyun travması, penetran boyun travması, farenks, selektif yaklaşım

References

• Tunçyürek P, Cabbarpur C, Aksu H. Case report: fore- ign body causing a penetrating neck injury. [Article in Turkish] Ulus Travma Derg 2001;7:204-6.
• Bodanapally UK, Shanmuganathan K, Dreizin D, Stein D, Reddy AK, Mirvis SE, et al. Penetrating aero- digestive injuries in the neck: a proposed CT-aided modified selective management algorithm. Eur Radiol 2016;26:2409-17. 3.
• Prichayudh S, Choadrachata-anun J, Sriussadaporn S, Pak-art R, Sriussadaporn S, Kritayakirana K, et al. Selective management of penet- rating neck injuries using “no zone” approach. Injury 2015;46:1720-5.
• Burgess CA, Dale OT, Almeyda R, Corbridge RJ. An evidence based review of the assessment and mana- gement of penetrating neck trauma. Clin Otolaryngol 2012;37:44-52.
• Hope N, Gray G, Lesay M, Reddy E. Penetrating neck injuries: the point of plain films. Clin Case Rep 2016;4:216-8.