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Updated: Apr 11, 2026

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Published on: January 17, 2011
Primary Repair of Traumatic Hypopharyngeal Perforation via Transcervical Endoscopic Approach in an Infant
Tarun Kumar1, Ravi Sankar Manogaran2, Ankur Mandelia1
1Department of Pediatric Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Insights
A child with a throat foreign body developed a retropharyngeal abscess. Endoscopic surgery successfully drained the abscess and repaired a hypopharyngeal perforation, avoiding significant neck surgery and scarring.
Area of Science:
- Pediatric Otolaryngology
- Minimally Invasive Surgery
- Foreign Body Ingestion
Background:
- Foreign body ingestion in children can lead to severe complications.
- Retropharyngeal abscesses pose significant risks, including airway compromise and sepsis.
- Manual removal of esophageal foreign bodies carries potential for injury.
Abstract:
An 11-month-old female presented with respiratory distress, neck swelling, and sepsis following the manual removal of a foreign body (a broken Shivling) from her throat. Imaging revealed pneumo-retropharynx and a large retropharyngeal abscess. After initial stabilization and resuscitation, transcervical endoscopy was employed to drain the abscess and repair a mucosal tear in the left pyriform sinus. The patient recovered well, with no postoperative complications and complete healing confirmed via endoscopy and esophagogram. This case highlights an innovative endoscopic approach, which enabled precise visualization and suturing of the hypopharyngeal perforation while avoiding extensive neck dissection, large cervical scars, and associated morbidity.
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