Landis Basile N, Giger Roland
Service d'ORL et de Chirurgie cervico-faciale, Hôpitaux Universitaires de Genève, Switzerland.
Head Face Med. 2006 Sep 11;2:30. doi: 10.1186/1746-160X-2-30.
Beside infections, foreign body incidences are amongst the most frequently encountered pathologies in pediatric otolaryngology. While inhaled foreign bodies represent an acute emergency, symptoms of ingested foreign bodies sometimes appear with some delay. Typically fishbones tend to go unnoticed in a first examination and become symptomatic by fever, odynodysphagia and torticollis. Exceptionally, foreign bodies migrate and become manifest with a considerable delay.
We present a case of a young girl who presented with an unusual foreign body which migrated through the cervical tissues causing repeated cervical tumescence's before being diagnosed.
Repeated cervical abscesses or tumescence's in children or young patients should alert the treating physician to seek for an underlying pathology such as unnoticed foreign bodies or malformations (e.g. cysts). Further the scarce literature on these migrating foreign bodies is discussed.
除感染外，异物发生率是小儿耳鼻喉科最常见的病症之一。吸入性异物属于急性急症，而摄入性异物的症状有时会延迟出现。通常情况下，鱼骨在初次检查时容易被忽视，随后会因发热、吞咽疼痛和斜颈而出现症状。异物异常迁移并在相当长一段时间后才显现的情况极为罕见。
我们报告一例年轻女孩的病例，她体内有一个异常的异物，该异物在颈部组织中迁移，在被诊断出来之前引起了反复的颈部肿胀。
儿童或年轻患者反复出现颈部脓肿或肿胀应提醒治疗医生寻找潜在病因，如未被发现的异物或畸形（如囊肿）。此外，还讨论了关于这些迁移性异物的稀少文献。
