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[Cervical perforating foreign body: case report].

F R Pinto1, M D Durazzo, A C Cordeiro

  • 1Travalho realizado na Disciplina de Cirurgia de Cabeça e Pescoço do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Brazil.

Revista Da Associacao Medica Brasileira (1992)
|April 19, 2000
PubMed
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A rare neck perforation by wire resulted in laryngeal and hypopharyngeal wounds. Conservative management was successful, highlighting the possibility of non-surgical treatment for such traumatic neck injuries.

Area of Science:

  • Trauma surgery
  • Otolaryngology
  • Medical imaging

Background:

  • Neck perforations by foreign bodies are infrequent, necessitating careful surgical planning.
  • Management decisions are guided by the extent of visceral injuries and infection risk.

Observation:

  • A 28-year-old male sustained a neck perforation from a wire fragment.
  • The wire lodged in the retropharyngeal space, causing laryngeal and hypopharyngeal wounds and extensive cervico-mediastinal emphysema.

Findings:

  • Imaging studies revealed the foreign body's trajectory and associated anatomical damage.
  • Despite the severity, the patient experienced a favorable outcome without surgical intervention.

Implications:

  • This case underscores the complex anatomy of deep neck spaces and cervical fasciae.

Related Experiment Videos

  • It demonstrates that conservative management can be effective for certain traumatic laryngeal and hypopharyngeal injuries.