Haroun Philippe, Simoni Paolo, Mansbach Anne-Laure, Boitsios Grammatina
Medical School, Université libre de Bruxelles (ULB), Brussels, BEL.
Pediatric Radiology, Hôpital Universitaire des Enfants Reine Fabiola, Brussels, BEL.
Cureus. 2022 May 6;14(5):e24775. doi: 10.7759/cureus.24775. eCollection 2022 May.
Foreign body injuries in the head and neck region can be life-threatening. Managing pediatric patients in this context may be increasingly challenging due to several medical and legal reasons. In order to optimize the management of foreign body injuries and to guide treatment procedures, various imaging techniques, with specific assets and liabilities, must be employed. Nevertheless, the "As Low As Reasonably Achievable'' principle must be kept in mind when managing pediatric patients since children are more radiosensitive than adults. Guidelines for imaging pediatric head traumas are provided by the American College of Radiology (ACR), relying on the Pediatric Emergency Care Applied Research Network (PECARN) severity classification. We report the case of a three-year-old child in whom a considerable delay occurred in diagnosing a foreign body impaction, due to an occult clinical presentation. In this case study, we focus on outlining the importance of considering advanced imaging investigations for children in the wake of traumatic events.
头颈部的异物损伤可能危及生命。由于多种医学和法律原因，在此情况下管理儿科患者可能会面临越来越大的挑战。为了优化异物损伤的管理并指导治疗程序，必须采用具有特定优缺点的各种成像技术。然而，在管理儿科患者时必须牢记“合理可行尽量低”原则，因为儿童比成人对辐射更敏感。美国放射学会（ACR）依据儿科急诊护理应用研究网络（PECARN）的严重程度分类，提供了儿科头部创伤的成像指南。我们报告了一例三岁儿童的病例，该患儿因隐匿的临床表现，在诊断异物嵌塞时出现了相当长的延误。在本案例研究中，我们着重强调了在创伤事件后考虑对儿童进行高级成像检查的重要性。
