Related Experiment Video
Updated: Nov 5, 2025
09:39
Technique to Collect Fungiform Taste Papillae from Human Tongue
Published on: September 18, 2010
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Needle in the Haystack: Wire Bristle Foreign Body Presenting Deep Within the Tongue Base
Priyanka Tripuraneni1, Eric L Wu1, William Z Gao1
1Department of Otolaryngology-Head & Neck Surgery, Georgetown University Hospital, Washington, DC, USA.
Ear, Nose, & Throat Journal
|May 17, 2021
Summary
A rare case of an ingested wire bristle lodged deep in tongue muscles required surgical removal. A new management algorithm is proposed for difficult ingested wire bristle cases, especially when endoscopy fails.
Area of Science:
- Gastroenterology and Otolaryngology
- Surgical Case Reports
Background:
- Ingested wire bristles, often from grill brushes, pose a diagnostic and management challenge.
- Complications include deep tissue migration and perforation, necessitating advanced retrieval techniques.
Approach:
- A transcervical surgical approach was successfully employed for wire bristle removal from the tongue's extrinsic musculature.
- A comprehensive literature review informed the development of a revised management algorithm.
Key Points:
- Successful removal of a deeply embedded wire bristle from the tongue musculature via a transcervical approach.
- The case highlights the limitations of endoscopic retrieval for migrated foreign bodies.
- A novel algorithm is proposed for managing complex ingested wire bristle cases.
Conclusions:
- The transcervical approach is a viable option for deeply migrated ingested wire bristles in the tongue.
- The proposed algorithm offers a structured approach to optimize patient outcomes for ingested wire bristles.
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