Bengal Journal of Otolaryngology and Head Neck Surgery (Aug 2016)

Double nail in Hypopharynx- A rare presentation

  • Pranabashish Banerjee,
  • Rajesh Kumar Kundu,
  • Dhrupad Ray,
  • Gautam Das

Journal volume & issue
Vol. 24, no. 2
pp. 106 – 109

Abstract

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Introduction An extremely rare case of a pair of nails impacted in the right pyriform sinus, presenting 72 hours after the incident, is reported. Case Report X-ray soft tissue neck revealed the presence of a pair of nails in the neck at C4-C5 vertebral level. The foreign bodies could not be seen on hypopharyngoscopy due to severe mucosal oedema. Lateral pharyngotomy was done to remove the nails with C-arm guidance. Discussion Retained foreign bodies in the aerodigestive tract are known to produce complications. Delayed presentation makes the management difficult. C-arm guidance during surgical exploration is helpful to locate a radiopaue foreign body in difficult situations.

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