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The simple bread tag - a menace to society?
Ryan Karro1, Pierre Goussard, James Loock
1Private practice; Department of Otorhinolaryngology, Tygerberg Hospital and Faculty of Health Sciences, Stellenbosch University, Cape Town, South Africa. rkarro@iname.com.
Plastic bread tags, though seemingly harmless, pose a significant risk when inhaled by children. This case series highlights the dangers of these unusual laryngeal foreign bodies and emphasizes prompt diagnosis and removal.
Area of Science:
- Pediatric Otolaryngology
- Emergency Medicine
- Radiology
Background:
- Inhaled foreign bodies in children can cause serious respiratory distress, with organic materials being most common.
- Plastic foreign bodies are less frequent and pose diagnostic challenges due to their radiolucent nature.
- Bread tags are typically associated with gastrointestinal complications, not laryngeal obstruction.
Observation:
- This case series highlights three pediatric patients presenting with laryngeal foreign bodies.
- The unusual foreign body identified in all cases was a plastic bread tag, a commonly encountered household item.
Findings:
- Plastic bread tags are radiolucent and difficult to diagnose via standard radiography.
- This study reports the first pediatric cases of inhaled bread tags and the first case series of this specific foreign body in the larynx.
Implications:
- The findings underscore the need for increased awareness among clinicians regarding seemingly innocuous plastic items as potential pediatric airway foreign bodies.
- Prompt diagnosis and intervention are critical for managing laryngeal foreign body impactions and preventing life-threatening outcomes.
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