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Barrett Esophagus-II: Clinical Manifestations and Management01:21

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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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Peptic Ulcer Disease IV: Management01:26

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Related Experiment Video

Updated: Apr 27, 2026

Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes
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Bullet in the pharynx: endoscopic management.

B M N Saeed

    Revue De Laryngologie - Otologie - Rhinologie
    |July 1, 2014
    PubMed
    Summary

    This case report details an unusual neck gunshot wound in a young male. Endoscopic removal of a pharyngeal bullet was successful, highlighting individualized, multidisciplinary treatment for such injuries.

    Area of Science:

    • Otolaryngology
    • Trauma Surgery
    • Emergency Medicine

    Background:

    • Neck gunshot wounds present complex diagnostic and therapeutic challenges.
    • Individualized and multidisciplinary treatment approaches are crucial for optimal patient outcomes.
    • Accidental firearm injuries to the neck require careful management to avoid damage to vital structures.

    Observation:

    • A 14-year-old male sustained an accidental bullet injury to the submental neck area.
    • The bullet lodged in the pharynx, between the tongue base and left tonsil, near the epiglottis.
    • No critical injuries to vital neck structures were identified.

    Findings:

    • The bullet was successfully removed using an endoscopic approach.
    • The patient experienced no significant postoperative complications.

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  • This case highlights a rare presentation of a neck bullet injury.
  • Implications:

    • Endoscopic removal is a viable and safe option for specific pharyngeal bullet foreign bodies.
    • Early and accurate diagnosis is key in managing neck trauma.
    • Multidisciplinary collaboration ensures comprehensive care for complex neck injuries.