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表现异常的鼻咽部异物

Nasopharyngeal Foreign Body with Unusual Presentation.

作者信息

Kumar Pratik, Sachdeva Meenakshi, Shruti Nandini

机构信息

Department of Otorhinolaryngology, Maulana Azad Medical College, New Delhi, India.

Department of Dermatology, Deep Chand Bandhu Hospital, Delhi, India.

出版信息

Iran J Otorhinolaryngol. 2024 Jan;36(1):361-363. doi: 10.22038/IJORL.2023.75783.3537.

DOI:10.22038/IJORL.2023.75783.3537
PMID:38259690
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10800141/
Abstract

INTRODUCTION

An unusual nasopharyngeal foreign body in a very young child with no clinical symptoms is a rare case presentation.

CASE REPORT

A nine-month-old child presented with a suspected history of foreign body ingestion without any clue to the parents about the nature of the foreign body. X-ray of the nasopharynx revealed a sharp unusual metallic "Louis Vuitton" shoe logo that the child had accidentally inserted into the nasopharynx via the oral cavity while playing. Foreign body was removed under general anesthesia without complications.

CONCLUSION

X-ray nasopharynx should be included in the examination of a suspected case of foreign body ingestion, as an unusual shape of foreign body can even produce no clinical symptoms but still pose a potential life threat due to its dislodgement into the airway if missed or delayed.

摘要

引言

在非常年幼且无临床症状的儿童中出现不寻常的鼻咽部异物是一种罕见的病例表现。

病例报告

一名9个月大的儿童出现疑似异物摄入史,但父母对异物的性质毫无头绪。鼻咽部X线检查显示一个尖锐的、不寻常的金属“路易威登”鞋标,该儿童在玩耍时经口腔意外将其插入鼻咽部。在全身麻醉下取出异物,未出现并发症。

结论

对于疑似异物摄入病例的检查应包括鼻咽部X线检查,因为异物形状异常即使不产生临床症状,但如果漏诊或延误,其因掉入气道仍可能构成潜在的生命威胁。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a46/10800141/3b7635f9808b/ijo-36-361-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a46/10800141/c29edc2a75aa/ijo-36-361-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a46/10800141/3b7635f9808b/ijo-36-361-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a46/10800141/c29edc2a75aa/ijo-36-361-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a46/10800141/3b7635f9808b/ijo-36-361-g002.jpg

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本文引用的文献

1
Nasopharyngeal foreign body in an young child.幼儿鼻咽部异物
Indian J Otolaryngol Head Neck Surg. 2011 Jul;63(3):285-6. doi: 10.1007/s12070-011-0191-0. Epub 2011 May 8.
2
Foreign body in nasopharynx: an accidental radiological finding.鼻咽部异物:偶然的放射学发现。
Braz J Otorhinolaryngol. 2006 May-Jun;72(3):431. doi: 10.1016/s1808-8694(15)30984-8.
3
An unusual foreign body in nasopharynx.鼻咽部的一个不寻常异物。
J Coll Physicians Surg Pak. 2005 Mar;15(3):178-9.
4
Marble impaction in the nasopharynx following oral ingestion.经口摄入后鼻咽部的大理石嵌塞。
Eur Arch Otorhinolaryngol. 2003 Oct;260(9):522-3. doi: 10.1007/s00405-003-0645-4. Epub 2003 Jul 10.
5
A metal ring that had been lodged in a child's nasopharynx for 4 years.一个卡在儿童鼻咽部达4年之久的金属环。
Ear Nose Throat J. 2001 Aug;80(8):520-2.
6
The swallowed foreign body: is it in the nasopharynx?吞咽的异物:它在鼻咽部吗?
Postgrad Med J. 1988 Mar;64(749):201-3. doi: 10.1136/pgmj.64.749.201.