The extraordinary case of a welder: retrieval of foreign bodies via transcervical neck exploration

Authors

  • Ginni Datta Department of Otorhinolaryngology, Maharishi Markandeshwar Institute of Medical Sciences and Research (MMIMSR), Ambala, India
  • Shefali Sharma Department of Otorhinolaryngology, Maharishi Markandeshwar Institute of Medical Sciences and Research (MMIMSR), Ambala, India
  • Sumit Narang Department of Otorhinolaryngology, Maharishi Markandeshwar Institute of Medical Sciences and Research (MMIMSR), Ambala, India
  • Naiya Rao Department of Otorhinolaryngology, Maharishi Markandeshwar Institute of Medical Sciences and Research (MMIMSR), Ambala, India
  • Ishaan Hriday Darbari Department of Medicine, Maharishi Markandeshwar Institute of Medical Sciences and Research (MMIMSR), Ambala, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20241330

Keywords:

Neck injury, Transcervical neck exploration, Laceration wound

Abstract

Penetrating foreign bodies in the neck can be challenging to locate, especially given the complex anatomy of neck and edematous tissue planes following injury. These foreign entities require prompt surgical exploration for their removal because of risk of migration. Retrieval of foreign bodies relies upon their size and surrounding anatomical tissues. We are reporting an uncommon instance in which an iron chip accidentally penetrated patient's neck, producing acute hoarseness of voice and agony. The foreign body was removed via transcervical neck exploration.

References

Hersman G, Barker P, Bowley DM, Boffard KD. The management of penetrating neck injuries. Int Surg. 2001;86:82-9.

Stround RH, Deskin RW. Foreign bodies in the aero digestive tract. Available at: http://otohns.net/ default.asp?id=14063. Accessed on 20 November 2023.

Reiss M, Reiss G, Pilling E. Gunshot injuries in the head-neck area-basic principles, diagnosis and management. Schweiz Rundsch Med Prax. 1998;87:832-8.

Khan MS, Kirkland PM, Kumar R. Migrating foreign body in the tracheobronchial tree. An unusual case of firework penetrating neck injury. J Laryngol Otol. 2002;116(2):148-9.

Shankar L, Khan A, Cheung G. Head and Neck Imaging. 1st ed. New York: McGraw Hill; 1998: 15-36.

Chung SM, Kim HS, Park EH. Migrating pharyngeal foreign bodies: A series of four cases of saw-toothed fish bones. Eur Arch Otorhinolaryngol. 2008;265(9):1125-9.

Khan MS, Kirkland PM, Kumar R. Migrating foreign body in the tracheobronchial tree: An unusual case of firework penetrating neck injury. J Laryngol Otol. 2002;116:148-9.

Obeid FN, Haddad GS, Horst HM, Bivins BA. A critical reappraisal of a mandatory exploration policy for penetrating wounds of the neck. Surg Gynecol Obstret. 1985;160:517-22.

Landis BN, Giger R. An unusual foreign body migrating through time and tissues. Head Face Med. 2006;2:30.

Martyak MT, Britt LD. Penetrating neck injuries. In: Asensio JA, Meredith JW, eds. Current Therapy of Trauma and Surgical Critical Care. 3rd ed. New York: McGraw Hill; 2024: 174-181.

Rehan M, Anwar S, Wali H, Noor A, Ehsan O, Ansari SS. Shrapnel in carotid sheath: A rare penetrating neck injury. Chin J Traumatol. 2023;23:67.

Silver C, Yin LX, Van Abel KM, Tasche KK. Lateral neck dissection: 3D anatomy. Otolayngol Head Neck Surg. 2022:33(4):232-41.

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Published

2024-05-24

Issue

Section

Case Reports