Peculiar penetrating oropharyngeal foreign body accident: a case report and review of literatures

Abstract Background Children are curious to learn and always explorative. This exploration is sometimes by keeping things in the oral cavity resulting cases of foreign body aerodigestive tract. Penetrating oropharyngeal bodies can result significant morbidity mortality if not treated promptly. The usual objects implicated children pens, pipes toys which cylindrical. injury commonly occurs when child falls with mouth. Here, we present a case report peculiar penetrating accident. Case presentation A 7-year-old boy was brought emergency room an alleged history insertion into mouth while playing rigid metallic rod bent end. Following forceful hit on head his sibling from behind, got impacted screening X-ray revealed body. Non-contrast computed tomography scan done basis. It hook-shaped oropharynx at tongue base region. effective total length FB 30 cm embedded intraglossal component 2.5 cm. To aid intubation, extraoral part cut short preoperatively. C-MAC video laryngoscope used intubation. backup plan for tracheostomy made failed held using Kocher’s artery forceps removed completely under endoscopic visualisation without any bleeding site entry. Conclusion unusual shape, relatively narrow space patient being vascular structure were challenges removal Due hook it had be withdrawn cephalad removal. should pulled out either primary care or but referred experienced ENT surgeons. Critical teamwork between surgeon anaesthetist well-defined preoperative plans airway management necessary. Awareness ensuring safe play areas will prevent great deal