Transfixing Penetrating Trauma of the Oropharynx Caused by an Unusual Strange Body

N’faly Konaté; Kassim Diarra; Kalifa Coulibaly; Boubacary Guindo; Youssouf Sidibé; Fatogoma Issa Koné; Naouma Cissé; Siaka Soumaoro; Kadiatou Sinkare; Mohamed Keïta

doi:doi:10.11648/j.ijo.20220801.16

Transfixing Penetrating Trauma of the Oropharynx Caused by an Unusual Strange Body

N’faly Konaté, Kassim Diarra, Kalifa Coulibaly, Boubacary Guindo, Youssouf Sidibé, Fatogoma Issa Koné, Naouma Cissé, Siaka Soumaoro, Kadiatou Sinkare, Mohamed Keïta

Published in International Journal of Otorhinolaryngology (Volume 8, Issue 1)

Received: 10 June 2022 Accepted: 23 June 2022 Published: 30 June 2022

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Abstract

Objective: Oropharyngeal trauma is a common emergency in children. Our work aimed to expose a case of transfixing trauma of the oropharynx caused by an unusual foreign body and to review our behavior in the management of these traumas. Observation: The authors report a case of trauma to the oropharynx caused by a long tip of a hair straightener that occurred in a 06-year-old child. the mechanism of occurrence was a fall during play while the child was holding the tip in his mouth. The initial symptomatology was marked by endobuccal bleeding, hypersalivation, limitation of mouth opening and corticollis. The entrance orifice was located on the left anterior pillar and the penetrating end of the tip protruded subcutaneously at the level of the left retroauricular region. Enhanced head and neck computed tomography revealed a metallic, serrated density body transfixing from the oropharynx through the pre- and retrostylian spaces in contact with and below the jugular vein and internal carotid artery and terminates in position subcutaneously in the mastoid region. The preoperative hemoglobin level was 13g/dl, the coagulation assessments were normal. As the child's vaccination schedule was not up to date, we administered a dose of serum and tetanus vaccine concomitantly. The exploratory cervicotomy allowed us to extract a tip approximately 20 cm long which grazed the jugulocarotidian bundle without detectable lesions. The postoperative course was simple, healing of the wound occurred around the 10th day.

Published in	International Journal of Otorhinolaryngology (Volume 8, Issue 1)
DOI	10.11648/j.ijo.20220801.16
Page(s)	29-32
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Penetrating Wound, Oropharynx, Unusual Foreign Body

References

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[2]	SOOSE RJ, SIMONS JP, MANDELL DL. Evaluation and Management of Pediatric Oropharyngeal Trauma. Arch Otolaryngol Head Neck Surg. 2006; 132 (4): 446–451. doi: 10.1001/archotol.132.4.446.
[3]	RATCLIFF DJ, OKADA PJ, MURRAY AD. Evaluation of pediatric lateral oropharyngeal trauma. Otolaryngol Head Neck Surg. 2003 Jun; 128 (6): 783-7. doi: 10.1016/s0194-5998(03)00091-3. PMID: 12825027.
[4]	THIAM A, LOUM B, NDIAYE M, ET AL. Corps étranger insolite de l’oropharynx [Unusual foreign body of the oropharynx]. Méd d’Afr Noire. 2012, 59 (6): 293-96.
[5]	WEALE R, MADSEN A, KONG V, CLARKE D. The management of penetrating neck injury. Trauma. 2019; 21 (2): 85-93. doi: 10.1177/1460408618767703.
[6]	Radkowski D' Penetrating trauma of the oropharynx in children Laryngoscope 103 '991-994, 199.
[7]	J.-F. Quinot, E. Kaiser Urgence devant une plaie cervicale [Emergency in front of a cervical wound]. EMC-Médecine 1 (2004) 157–164.
[8]	Gyebre, Y. M. C., Goueta, A., Ouedraogo, B. P., Sereme, M., Zamtako, O. and Ouoba, K. (2016) Unusual Foreign Body of Oropharynx. International Journal of Otolaryngology and Head & Neck Surgery, 5, 189-194. http://dx.doi.org/10.4236/ijohns.2016.55030
[9]	SOOD S., MEHER R. Intraoral penetrating injury due to an unusual foreign body. International Journal of Pediatric Otorhinolaryngology Extra. 2007; 2: 45-47.
[10]	DOUMBIA-SINGARE K, TIMBO S, KEITA M, TOGOLA-KONIPO F, AG MOHAMED A. Corps étranger du pharynx de découverte fortuite [Incidentally discovered pharyngeal foreign body]. Mali Med. 2014, 24 (3): 66-67.
[11]	Marom T, Russo E, Ben-Yehuda Y, Roth Y. Oropharyngeal injuries in children. Pediatric Emergency Care. 2007 Dec 1; 23 (12): 914918. https://doi.org/10.1097/pec.0b013e31815f6fa8
[12]	Hellmann JR, Shott SR, Gootee MJ. Impalement injuries of the palate in children: review of 131 cases. Int J Pediatr Otorhinolaryngol. 1993; 26: 157-163.

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APA Style

N’faly Konaté, Kassim Diarra, Kalifa Coulibaly, Boubacary Guindo, Youssouf Sidibé, et al. (2022). Transfixing Penetrating Trauma of the Oropharynx Caused by an Unusual Strange Body. International Journal of Otorhinolaryngology, 8(1), 29-32. https://doi.org/10.11648/j.ijo.20220801.16

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ACS Style

N’faly Konaté; Kassim Diarra; Kalifa Coulibaly; Boubacary Guindo; Youssouf Sidibé, et al. Transfixing Penetrating Trauma of the Oropharynx Caused by an Unusual Strange Body. Int. J. Otorhinolaryngol. 2022, 8(1), 29-32. doi: 10.11648/j.ijo.20220801.16

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AMA Style

N’faly Konaté, Kassim Diarra, Kalifa Coulibaly, Boubacary Guindo, Youssouf Sidibé, et al. Transfixing Penetrating Trauma of the Oropharynx Caused by an Unusual Strange Body. Int J Otorhinolaryngol. 2022;8(1):29-32. doi: 10.11648/j.ijo.20220801.16

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@article{10.11648/j.ijo.20220801.16,
  author = {N’faly Konaté and Kassim Diarra and Kalifa Coulibaly and Boubacary Guindo and Youssouf Sidibé and Fatogoma Issa Koné and Naouma Cissé and Siaka Soumaoro and Kadiatou Sinkare and Mohamed Keïta},
  title = {Transfixing Penetrating Trauma of the Oropharynx Caused by an Unusual Strange Body},
  journal = {International Journal of Otorhinolaryngology},
  volume = {8},
  number = {1},
  pages = {29-32},
  doi = {10.11648/j.ijo.20220801.16},
  url = {https://doi.org/10.11648/j.ijo.20220801.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20220801.16},
  abstract = {Objective: Oropharyngeal trauma is a common emergency in children. Our work aimed to expose a case of transfixing trauma of the oropharynx caused by an unusual foreign body and to review our behavior in the management of these traumas. Observation: The authors report a case of trauma to the oropharynx caused by a long tip of a hair straightener that occurred in a 06-year-old child. the mechanism of occurrence was a fall during play while the child was holding the tip in his mouth. The initial symptomatology was marked by endobuccal bleeding, hypersalivation, limitation of mouth opening and corticollis. The entrance orifice was located on the left anterior pillar and the penetrating end of the tip protruded subcutaneously at the level of the left retroauricular region. Enhanced head and neck computed tomography revealed a metallic, serrated density body transfixing from the oropharynx through the pre- and retrostylian spaces in contact with and below the jugular vein and internal carotid artery and terminates in position subcutaneously in the mastoid region. The preoperative hemoglobin level was 13g/dl, the coagulation assessments were normal. As the child's vaccination schedule was not up to date, we administered a dose of serum and tetanus vaccine concomitantly. The exploratory cervicotomy allowed us to extract a tip approximately 20 cm long which grazed the jugulocarotidian bundle without detectable lesions. The postoperative course was simple, healing of the wound occurred around the 10th day.},
 year = {2022}
}

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TY  - JOUR
T1  - Transfixing Penetrating Trauma of the Oropharynx Caused by an Unusual Strange Body
AU  - N’faly Konaté
AU  - Kassim Diarra
AU  - Kalifa Coulibaly
AU  - Boubacary Guindo
AU  - Youssouf Sidibé
AU  - Fatogoma Issa Koné
AU  - Naouma Cissé
AU  - Siaka Soumaoro
AU  - Kadiatou Sinkare
AU  - Mohamed Keïta
Y1  - 2022/06/30
PY  - 2022
N1  - https://doi.org/10.11648/j.ijo.20220801.16
DO  - 10.11648/j.ijo.20220801.16
T2  - International Journal of Otorhinolaryngology
JF  - International Journal of Otorhinolaryngology
JO  - International Journal of Otorhinolaryngology
SP  - 29
EP  - 32
PB  - Science Publishing Group
SN  - 2472-2413
UR  - https://doi.org/10.11648/j.ijo.20220801.16
AB  - Objective: Oropharyngeal trauma is a common emergency in children. Our work aimed to expose a case of transfixing trauma of the oropharynx caused by an unusual foreign body and to review our behavior in the management of these traumas. Observation: The authors report a case of trauma to the oropharynx caused by a long tip of a hair straightener that occurred in a 06-year-old child. the mechanism of occurrence was a fall during play while the child was holding the tip in his mouth. The initial symptomatology was marked by endobuccal bleeding, hypersalivation, limitation of mouth opening and corticollis. The entrance orifice was located on the left anterior pillar and the penetrating end of the tip protruded subcutaneously at the level of the left retroauricular region. Enhanced head and neck computed tomography revealed a metallic, serrated density body transfixing from the oropharynx through the pre- and retrostylian spaces in contact with and below the jugular vein and internal carotid artery and terminates in position subcutaneously in the mastoid region. The preoperative hemoglobin level was 13g/dl, the coagulation assessments were normal. As the child's vaccination schedule was not up to date, we administered a dose of serum and tetanus vaccine concomitantly. The exploratory cervicotomy allowed us to extract a tip approximately 20 cm long which grazed the jugulocarotidian bundle without detectable lesions. The postoperative course was simple, healing of the wound occurred around the 10th day.
VL  - 8
IS  - 1
ER  -

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Author Information

N’faly Konaté

ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Kassim Diarra

ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Kalifa Coulibaly

ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Boubacary Guindo

ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Youssouf Sidibé

ENT and Head and Neck Surgery Department, University Hospital Center “Luxembourg”, Bamako, Mali
Fatogoma Issa Koné

ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Naouma Cissé

ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Siaka Soumaoro

ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Kadiatou Sinkare

ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Mohamed Keïta

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Plain Text BibTeX RIS

APA Style

N’faly Konaté, Kassim Diarra, Kalifa Coulibaly, Boubacary Guindo, Youssouf Sidibé, et al. (2022). Transfixing Penetrating Trauma of the Oropharynx Caused by an Unusual Strange Body. International Journal of Otorhinolaryngology, 8(1), 29-32. https://doi.org/10.11648/j.ijo.20220801.16

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ACS Style

N’faly Konaté; Kassim Diarra; Kalifa Coulibaly; Boubacary Guindo; Youssouf Sidibé, et al. Transfixing Penetrating Trauma of the Oropharynx Caused by an Unusual Strange Body. Int. J. Otorhinolaryngol. 2022, 8(1), 29-32. doi: 10.11648/j.ijo.20220801.16

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AMA Style

N’faly Konaté, Kassim Diarra, Kalifa Coulibaly, Boubacary Guindo, Youssouf Sidibé, et al. Transfixing Penetrating Trauma of the Oropharynx Caused by an Unusual Strange Body. Int J Otorhinolaryngol. 2022;8(1):29-32. doi: 10.11648/j.ijo.20220801.16

Copy | Download

@article{10.11648/j.ijo.20220801.16,
  author = {N’faly Konaté and Kassim Diarra and Kalifa Coulibaly and Boubacary Guindo and Youssouf Sidibé and Fatogoma Issa Koné and Naouma Cissé and Siaka Soumaoro and Kadiatou Sinkare and Mohamed Keïta},
  title = {Transfixing Penetrating Trauma of the Oropharynx Caused by an Unusual Strange Body},
  journal = {International Journal of Otorhinolaryngology},
  volume = {8},
  number = {1},
  pages = {29-32},
  doi = {10.11648/j.ijo.20220801.16},
  url = {https://doi.org/10.11648/j.ijo.20220801.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20220801.16},
  abstract = {Objective: Oropharyngeal trauma is a common emergency in children. Our work aimed to expose a case of transfixing trauma of the oropharynx caused by an unusual foreign body and to review our behavior in the management of these traumas. Observation: The authors report a case of trauma to the oropharynx caused by a long tip of a hair straightener that occurred in a 06-year-old child. the mechanism of occurrence was a fall during play while the child was holding the tip in his mouth. The initial symptomatology was marked by endobuccal bleeding, hypersalivation, limitation of mouth opening and corticollis. The entrance orifice was located on the left anterior pillar and the penetrating end of the tip protruded subcutaneously at the level of the left retroauricular region. Enhanced head and neck computed tomography revealed a metallic, serrated density body transfixing from the oropharynx through the pre- and retrostylian spaces in contact with and below the jugular vein and internal carotid artery and terminates in position subcutaneously in the mastoid region. The preoperative hemoglobin level was 13g/dl, the coagulation assessments were normal. As the child's vaccination schedule was not up to date, we administered a dose of serum and tetanus vaccine concomitantly. The exploratory cervicotomy allowed us to extract a tip approximately 20 cm long which grazed the jugulocarotidian bundle without detectable lesions. The postoperative course was simple, healing of the wound occurred around the 10th day.},
 year = {2022}
}

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TY  - JOUR
T1  - Transfixing Penetrating Trauma of the Oropharynx Caused by an Unusual Strange Body
AU  - N’faly Konaté
AU  - Kassim Diarra
AU  - Kalifa Coulibaly
AU  - Boubacary Guindo
AU  - Youssouf Sidibé
AU  - Fatogoma Issa Koné
AU  - Naouma Cissé
AU  - Siaka Soumaoro
AU  - Kadiatou Sinkare
AU  - Mohamed Keïta
Y1  - 2022/06/30
PY  - 2022
N1  - https://doi.org/10.11648/j.ijo.20220801.16
DO  - 10.11648/j.ijo.20220801.16
T2  - International Journal of Otorhinolaryngology
JF  - International Journal of Otorhinolaryngology
JO  - International Journal of Otorhinolaryngology
SP  - 29
EP  - 32
PB  - Science Publishing Group
SN  - 2472-2413
UR  - https://doi.org/10.11648/j.ijo.20220801.16
AB  - Objective: Oropharyngeal trauma is a common emergency in children. Our work aimed to expose a case of transfixing trauma of the oropharynx caused by an unusual foreign body and to review our behavior in the management of these traumas. Observation: The authors report a case of trauma to the oropharynx caused by a long tip of a hair straightener that occurred in a 06-year-old child. the mechanism of occurrence was a fall during play while the child was holding the tip in his mouth. The initial symptomatology was marked by endobuccal bleeding, hypersalivation, limitation of mouth opening and corticollis. The entrance orifice was located on the left anterior pillar and the penetrating end of the tip protruded subcutaneously at the level of the left retroauricular region. Enhanced head and neck computed tomography revealed a metallic, serrated density body transfixing from the oropharynx through the pre- and retrostylian spaces in contact with and below the jugular vein and internal carotid artery and terminates in position subcutaneously in the mastoid region. The preoperative hemoglobin level was 13g/dl, the coagulation assessments were normal. As the child's vaccination schedule was not up to date, we administered a dose of serum and tetanus vaccine concomitantly. The exploratory cervicotomy allowed us to extract a tip approximately 20 cm long which grazed the jugulocarotidian bundle without detectable lesions. The postoperative course was simple, healing of the wound occurred around the 10th day.
VL  - 8
IS  - 1
ER  -

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