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Missing Pharyngeal Pack Endoscopically Retrieved: An Avoidable Complication.
1Department of Oral and Maxillofacial Surgery, Aster Sanad Hospital, Riyadh, Saudi Arabia.
Annals of Maxillofacial Surgery
|January 30, 2019
Summary
A pharyngeal throat pack was unintentionally left after surgery. It was later found and removed from the patient's gastrointestinal tract, highlighting a rare complication in head and neck procedures.
Area of Science:
- Otorhinolaryngology
- Head and Neck Surgery
- Oral and Maxillofacial Surgery
- Gastroenterology
Background:
- Pharyngeal packing is a standard procedure in various surgical specialties, including otorhinolaryngology, head and neck, dental, and oral and maxillofacial surgeries.
- These packs are crucial for maintaining surgical site integrity and preventing complications during procedures.
Observation:
- An unusual case involved a patient who inadvertently retained a pharyngeal throat pack following extubation.
- The retained pack was asymptomatic initially but discovered later during diagnostic evaluation.
Findings:
- The pharyngeal pack was successfully identified within the gastrointestinal tract.
- Endoscopic retrieval of the foreign body was performed without immediate complications.
Implications:
- This case underscores the importance of meticulous post-operative checks to prevent retained surgical items.
- Highlights the need for vigilance in identifying and managing rare complications associated with pharyngeal packing.
- Suggests potential for gastrointestinal migration of pharyngeal packs if retained.
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