Kanotra Sohit Paul, Kanotra Sonika, Paul Jitendra
Department of Otolaryngology, St. Luke's Roosevelt Hospital Center, New York, New York 10019, USA.
J Emerg Med. 2012 Nov;43(5):e315-7. doi: 10.1016/j.jemermed.2011.09.008. Epub 2012 Jan 14.
Cleft palate has usually been described as a congenital anomaly. Acquired clefting of the palate is rare and is usually due to penetrating trauma.
To report a case of cleft palate developing after ingestion of a coin due to prolonged impaction in the nasopharynx.
A 4 1/2-year-old child presented with nasal regurgitation and nasal twang of voice. The parents reported a history of ingestion of a coin 2 years prior, which was undetectable on neck and chest X-ray study done at that time. Examination revealed a triangular cleft of soft palate. A diagnosis was made of an acquired cleft palate secondary to prolonged impaction of the coin in the nasopharynx. Under general anesthesia, the palatal defect was repaired in three layers.
The case highlights the fact that ingested foreign bodies can get lodged in the nasopharynx and that nasopharynx X-ray study should always be done in cases of a disappearing foreign body in the aerodigestive tract.
腭裂通常被描述为一种先天性异常。后天性腭裂很少见，通常是由于穿透性创伤所致。
报告一例因硬币长时间嵌顿于鼻咽部而导致腭裂的病例。
一名4岁半儿童出现鼻反流和鼻音。家长报告该儿童2年前有吞食硬币史，当时颈部和胸部X线检查未发现硬币。检查发现软腭有一个三角形裂隙。诊断为因硬币长时间嵌顿于鼻咽部继发的后天性腭裂。在全身麻醉下，分三层修复腭部缺损。
该病例凸显了吞食异物可嵌顿于鼻咽部这一事实，并且对于气道消化道内异物消失的病例，应始终进行鼻咽部X线检查。
