Al-Abri Azza, Mady Hatem, Lal Jawahir, Al-Ismaili Mohamed
Anesthesia and Critical Care, Sultan Qaboos University Hospital, Muscat, OMN.
Anesthesia and Intensive Care, Sultan Qaboos University Hospital, Muscat, OMN.
Cureus. 2021 Nov 29;13(11):e19998. doi: 10.7759/cureus.19998. eCollection 2021 Nov.
The pharyngeal pack is routinely used in many nasopharyngeal surgeries to reduce the spillage of secretions into the trachea and esophagus. Here we report a case of migration of a pharyngeal pack into the stomach of a patient undergoing functional endoscopic sinus surgery and review risks of delayed recognition and the management of this complication. In this case report, we share our experience to reinforce and highlight the importance of proper documentation of pharyngeal pack insertion and removal to prevent easily avoidable morbidity and mortality. It also highlights the importance of an immediate esophago-gastro-duodenoscopy (OGD) to retrieve the migrated pharyngeal pack as soon as its migration to the gastrointestinal tract is suspected.
咽填塞物在许多鼻咽部手术中常规使用，以减少分泌物溢入气管和食管。在此，我们报告一例在接受功能性鼻内镜鼻窦手术的患者中，咽填塞物移位至胃内的病例，并回顾延迟识别的风险及该并发症的处理。在本病例报告中，我们分享经验，以强化并突出正确记录咽填塞物置入和取出情况的重要性，以预防易于避免的发病和死亡。它还强调了一旦怀疑咽填塞物移位至胃肠道，应立即进行食管-胃-十二指肠镜检查（OGD）以取出移位的咽填塞物的重要性。
