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Measuring Hypopharyngeal Gland Acinus Size in Honey Bee Apis mellifera Workers

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Multiple Black Carpenter Ants in Hypopharynx.

Sanjaya Kumar Behera¹, Ananya Aparoopa², Saroj Kumar Behera³

¹DHH and DDMCH Keonjhar, Keonjhar, Odisha 758001 India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India

|May 27, 2025

Summary

A 13-year-old boy experienced throat pain due to multiple carpenter ants lodged in his hypopharynx. Prompt removal under topical anesthesia in the operating room resolved this unusual otolaryngology emergency.

Keywords:

Carpenter Ants Foreign Bodies Hypopharynx Rigid Endoscopy

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Area of Science:

Otolaryngology
Emergency Medicine
Pediatric Care

Background:

Foreign bodies in the ear, nose, and throat (ENT) are a frequent reason for emergency department visits.
While some foreign bodies are easily visualized and removed, others present diagnostic and therapeutic challenges requiring prompt medical intervention.

Purpose of the Study:

To report an unusual case of pediatric foreign body ingestion involving multiple insects.
To highlight the diagnostic and management approach for difficult-to-visualize foreign bodies in the hypopharynx.

Main Methods:

A 13-year-old male presented with odynophagia, excessive salivation, and throat pain.
A 70-degree laryngoscopy revealed multiple black carpenter ants in the hypopharynx.
Foreign bodies were removed surgically under topical anesthesia in the operating room.

Main Results:

The surgical removal of multiple carpenter ants from the hypopharynx was successful.
The patient experienced symptom resolution and was discharged with conservative management after observation.

Conclusions:

Ingestion of multiple insects, such as carpenter ants, is a rare cause of hypopharyngeal foreign body presentation.
Prompt endoscopic visualization and surgical removal are crucial for managing such unusual ENT emergencies in children.