Approach to a Sewing Needle in the Parapharyngeal Space: A Case Report

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 ...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Vishaka Bettadahalli, Rahul Bhargava, Sunil Kumar
Formato:	article
Lenguaje:	EN
Publicado:	Philippine Society of Otolaryngology-Head and Neck Surgery, Inc. 2021
Materias:	Foreign body sewing needle parapharyngeal space; surgical emergency Otorhinolaryngology RF1-547
Acceso en línea:	https://doaj.org/article/18e20560ac90447c9ddcae5b8bf05cb1
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:18e20560ac90447c9ddcae5b8bf05cb1
record_format	dspace
spelling	oai:doaj.org-article:18e20560ac90447c9ddcae5b8bf05cb12021-11-15T21:14:40ZApproach to a Sewing Needle in the Parapharyngeal Space: A Case Report1908-48892094-1501https://doaj.org/article/18e20560ac90447c9ddcae5b8bf05cb12021-11-01T00:00:00Zhttps://pjohns.pso-hns.org/index.php/pjohns/article/view/1805https://doaj.org/toc/1908-4889https://doaj.org/toc/2094-1501 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. Vishaka BettadahalliRahul BhargavaSunil KumarPhilippine Society of Otolaryngology-Head and Neck Surgery, Inc.articleForeign bodysewing needleparapharyngeal space;surgical emergencyOtorhinolaryngologyRF1-547ENPhilippine Journal of Otolaryngology Head and Neck Surgery, Vol 36, Iss 2 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Foreign body sewing needle parapharyngeal space; surgical emergency Otorhinolaryngology RF1-547
spellingShingle	Foreign body sewing needle parapharyngeal space; surgical emergency Otorhinolaryngology RF1-547 Vishaka Bettadahalli Rahul Bhargava Sunil Kumar Approach to a Sewing Needle in the Parapharyngeal Space: A Case Report
description	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.
format	article
author	Vishaka Bettadahalli Rahul Bhargava Sunil Kumar
author_facet	Vishaka Bettadahalli Rahul Bhargava Sunil Kumar
author_sort	Vishaka Bettadahalli
title	Approach to a Sewing Needle in the Parapharyngeal Space: A Case Report
title_short	Approach to a Sewing Needle in the Parapharyngeal Space: A Case Report
title_full	Approach to a Sewing Needle in the Parapharyngeal Space: A Case Report
title_fullStr	Approach to a Sewing Needle in the Parapharyngeal Space: A Case Report
title_full_unstemmed	Approach to a Sewing Needle in the Parapharyngeal Space: A Case Report
title_sort	approach to a sewing needle in the parapharyngeal space: a case report
publisher	Philippine Society of Otolaryngology-Head and Neck Surgery, Inc.
publishDate	2021
url	https://doaj.org/article/18e20560ac90447c9ddcae5b8bf05cb1
work_keys_str_mv	AT vishakabettadahalli approachtoasewingneedleintheparapharyngealspaceacasereport AT rahulbhargava approachtoasewingneedleintheparapharyngealspaceacasereport AT sunilkumar approachtoasewingneedleintheparapharyngealspaceacasereport
_version_	1718426830583627776

Approach to a Sewing Needle in the Parapharyngeal Space: A Case Report

Ejemplares similares