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Managing a wooden foreign body in the neck
Rakesh Kumar Singh1, Sangita Bhandary, Prahlad Karki
1Department of Otolaryngology Head and Neck Surgery, B P Koirala Institute of Health Sciences, Dharan, Nepal.
Journal of Emergencies, Trauma, and Shock
|December 17, 2009
Summary
A wooden foreign body entered the neck via the mouth, traveling subcutaneously to lodge near the clavicle without harming vital structures. This case highlights unusual wooden foreign body trajectory and successful management of penetrating neck injuries.
Area of Science:
- Otolaryngology
- Trauma Surgery
- Emergency Medicine
Background:
- Penetrating neck injuries can result from various foreign bodies.
- Wooden foreign bodies present unique challenges due to their composition and potential for fragmentation.
- The oral vestibule is an uncommon entry point for deep neck foreign bodies.
Purpose of the Study:
- To report a unique case of a wooden foreign body penetrating the neck.
- To discuss the specific challenges associated with wooden foreign bodies.
- To review the management and outcomes of such injuries.
Main Methods:
- Case presentation of a patient with a wooden foreign body in the neck.
- Radiographic and clinical examination to determine foreign body location and extent.
- Surgical exploration and foreign body removal.
- Post-operative management and follow-up.
Main Results:
- A wooden foreign body successfully removed after traversing the neck subcutaneously.
- No damage to vital neck structures was observed.
- The foreign body lodged near the clavicle.
- The patient experienced a favorable outcome post-removal.
Conclusions:
- Wooden foreign bodies in the neck, though rare, require careful diagnostic and management protocols.
- Prompt identification and removal are crucial for preventing complications.
- This case underscores the importance of considering unusual foreign body trajectories and materials in penetrating neck trauma.
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