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误将嵌顿于食管的正畸钢丝当作鸡骨头误食。

Inadvertent Ingestion of Orthodontic Wire Impacted in the Esophagus, Mistaken for a Chicken Bone.

作者信息

Mayer Alasdair W, Shayah Assem

机构信息

ENT, York Teaching Hospital, York, GBR.

出版信息

Cureus. 2024 Dec 9;16(12):e75396. doi: 10.7759/cureus.75396. eCollection 2024 Dec.

Abstract

Accidental ingestion of foreign bodies frequently necessitates emergency department visits, with many cases requiring surgical consultation. Although most ingested items pass through the gastrointestinal tract uneventfully, orthodontic components, such as wires, present a specific risk due to their shape and material properties. This report describes a rare case of a 13-year-old male adolescent whose initial presentation suggested ingestion of a chicken bone. He was later found to have an orthodontic archwire impacted in the esophagus, which was successfully removed via rigid esophagoscopy. This case highlights the need to consider orthodontic devices as potential foreign bodies in adolescents, emphasizing that such objects may be ingested inadvertently. Prompt imaging and intervention are critical to prevent complications, such as obstruction or perforation, ensuring patient safety and optimal clinical outcomes.

摘要

意外摄入异物常常需要前往急诊科就诊,许多病例还需要外科会诊。尽管大多数摄入的物品可顺利通过胃肠道,但正畸部件,如金属丝,因其形状和材料特性而存在特殊风险。本报告描述了一例罕见病例,一名13岁男性青少年最初表现提示吞食了一根鸡骨头。后来发现他的一根正畸弓丝卡在食管中,通过硬质食管镜检查成功取出。该病例强调了需要将正畸装置视为青少年潜在的异物,强调此类物体可能会被无意中摄入。及时的影像学检查和干预对于预防诸如梗阻或穿孔等并发症至关重要,可确保患者安全并获得最佳临床结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f953/11710859/ead044db2521/cureus-0016-00000075396-i01.jpg

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