Sedhai Milan, Tripathi Prashant
Department of ENT Head and Neck Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Oxf Med Case Reports. 2022 May 23;2022(5):omac044. doi: 10.1093/omcr/omac044. eCollection 2022 May.
Foreign body aspiration in children, specifically sharp and metallic type, imposes a serious morbidity and mortality risk if intervention is delayed. The bronchoscopic removal of sharp metallic foreign bodies is technically challenging for the operating surgeon. We present a case of an 8-year-old girl who presented with an alleged history of aspiration of metallic, sharp and open safety pin 8 hours prior to presentation following which she developed throat pain and painful swallowing. X-ray of soft tissue neck showed a radio-opaque foreign body being lodged in the supraglottic area. She underwent emergency direct laryngoscopy-guided foreign body removal under general anesthesia. There was an open metallic sharp safety pin hinged over the inter-arytenoid region with its one end reaching sub-glottis and other end toward the hypopharynx. No post-operative complications occurred and patient was discharged on the third post-operative day.
儿童异物吸入，特别是尖锐和金属类异物，如果干预延迟会带来严重的发病和死亡风险。对于手术医生来说，通过支气管镜取出尖锐的金属异物在技术上具有挑战性。我们报告一例8岁女孩的病例，她在就诊前8小时据称有金属尖锐开口安全别针吸入史，随后出现咽痛和吞咽疼痛。颈部软组织X线显示一个不透射线的异物嵌顿在声门上区。她在全身麻醉下接受了紧急直接喉镜引导下的异物取出术。有一个开口的金属尖锐安全别针铰接在杓间区，一端到达声门下，另一端朝向咽下。术后未发生并发症，患者在术后第三天出院。
