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Inhaled open safety pin: a challenging case

Milan Sedhai1, Prashant Tripathi1

  • 1Department of ENT Head and Neck Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.

Oxford Medical Case Reports
|May 27, 2022
PubMed

Insights

Sharp metallic foreign body aspiration in children poses risks. Emergency bronchoscopic removal of an open safety pin in an 8-year-old girl was successful, preventing complications.

Area of Science:

  • Pediatric Otolaryngology
  • Emergency Medicine
  • Medical Case Reports

Background:

  • Foreign body aspiration in children, particularly sharp metallic objects, presents significant risks of morbidity and mortality.
  • Timely intervention is crucial, but bronchoscopic removal of such objects can be technically demanding for surgeons.

Observation:

  • An 8-year-old girl presented with throat pain and dysphagia after aspirating an open safety pin.
  • Radiographic imaging revealed a radio-opaque foreign body in the supraglottic region.
  • The foreign body was an open, sharp, metallic safety pin lodged between the arytenoids, extending into the subglottis and hypopharynx.

Findings:

  • Emergency direct laryngoscopy successfully removed the sharp metallic foreign body under general anesthesia.
  • The surgical procedure was technically challenging due to the object's position and sharp nature.
  • The patient experienced no post-operative complications.

Implications:

  • This case highlights the successful emergency management of a life-threatening sharp metallic foreign body in a child.
  • Prompt diagnosis and intervention are critical for favorable outcomes in pediatric foreign body aspiration.
  • The case underscores the importance of specialized skills in bronchoscopic removal of challenging foreign bodies.

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