期刊论文详细信息
BMC Research Notes
A case of pharyngeal injury in a patient with swallowed toothbrush: a case report
Jun-Hee Park1  Nam-Yong Do1  Sung-Il Cho1  Yeon-Hoo Kim1 
[1] Department of Otolaryngology-Head and Neck surgery, Chosun University, 365 Pilmun-daero, Dong-gu, Gwanju 501-717, South Korea
关键词: Hypopharynx perforation;    Foreign body;    Toothbrush;   
Others  :  1125683
DOI  :  10.1186/1756-0500-7-788
 received in 2014-07-17, accepted in 2014-10-22,  发布年份 2014
PDF
【 摘 要 】

Background

Otolaryngologists encounter cases of various foreign bodies in the oral and pharyngeal regions. One commonly found foreign body is a fish bone, ingested in most cases by carelessness or an accident. These foreign materials are removed by endoscopy or through a simple procedure. However, hypopharyngeal damage is rarely caused by a foreign body in the pharynx following the swallowing of a toothbrush.

Case presentation

A 44-year-old Asian male visited the emergency room with chief complaints of intraoral pain and dysphagia that had started on the same day. The patient had paranoid-type schizophrenia that began 10 years ago; he had been hospitalized and was being treated at another clinic, and was transferred to the emergency room by the medical staff after swallowing a toothbrush. We successfully removed a toothbrush located within the pharynx of a patient with a history of a psychologic disorder via surgery and conservative treatment.

Conclusion

The case with this patient, and a rapid diagnosis as well as treatment is imperative. The presence and state of a foreign body must be determined through a careful physical examination and imaging, followed by the immediate removal of the foreign body, all while keeping in mind the possibility of accompanying damage to nearby tissues.

【 授权许可】

   
2014 Kim et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150217023757528.pdf 1392KB PDF download
Figure 7. 84KB Image download
Figure 6. 73KB Image download
Figure 3. 66KB Image download
Figure 2. 93KB Image download
Figure 5. 84KB Image download
Figure 4. 81KB Image download
Figure 1. 104KB Image download
【 图 表 】

Figure 1.

Figure 4.

Figure 5.

Figure 2.

Figure 3.

Figure 6.

Figure 7.

【 参考文献 】
  • [1]Kirk AD, Bowers BA, Moylan JA, Meyers WC: Toothbrush swallowing. Arch Surg 1988, 123(3):382-384.
  • [2]Kim IH, Kim HC, Koh KH, Kim SH, Kim SW, Lee SO, Lee ST: Journey of a swallowed toothbrush to the colon. Korean J Intern Med 2007, 22(2):106-108.
  • [3]Sharma RC, Dogra SS, Mahajan VK: Oro-pharyngo-laryngeal foreign bodies: some interesting cases. Indian J Otolaryngol Head Neck Surg 2012, 64(2):197-200.
  • [4]Murthy PS, Bipin TV, Ranjit R, Murty KD, George V, Mathew KJ: Extraluminal migration of swallowed foreign body into the neck. Am J Otolaryngol 1995, 16(3):213-215.
  • [5]Schoem SR, Choi SS, Zalzal GH, Grundfast KM: Management of oropharyngeal trauma in children. Arch Otolaryngol Head Neck Surg 1997, 123(12):1267-1270.
  • [6]Mishra A, Shukla GK, Naresh B: Oropharyngeal foreign body. J Laryngol Otol 2000, 114(6):469-470.
  • [7]Riddlesberger MM Jr, Cohen HL, Glick PL: The swallowed toothbrush: a radiographic clue of bulimia. Pediatr Radiol 1991, 21(4):262-264.
  • [8]Ertan A, Kedia SM, Agrawal NM, Akdamar K: Endoscopic removal of a toothbrush. Gastrointest Endosc 1983, 29(2):144-145.
  • [9]Chuong R, Boland TJ, Piper MA: Pneumomediastinum and subcutaneous emphysema associated with temporomandibular joint surgery. Oral Surg Oral Med Oral Pathol 1992, 74(1):2-6.
  文献评价指标  
  下载次数:53次 浏览次数:5次