Foreign bodies in unusual sites in ENT: two case report

S. K. Behera, Ananya Aparoopa, Saroj Kumar Behera, Anita Manjari Jena
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Abstract

In otorhinolaryngology practice, foreign body impaction in the ear, nose, and throat areas and in the head and neck are emergencies. Here we present two unusual cases that we treated at our District Headquarter Hospital. First case involved a metallic foreign body a key ring in the oropharynx extending into the nasopharynx and laryngopharynx in a child, and the second case involved a foreign body wooden stick accidentally penetrating the postauricular region across the cheek to the zygomatic arch near lateral margin of periorbital area causing grade III facial nerve paresis in a female. We successfully removed both the foreign bodies. In first case after the removal of metallic foreign body from throat we kept patient for nasogastric feeding for 48 hours followed by normal liquid diet. In Second case after removal of foreign body the residual facial nerve paresis was resolved with tapering dosage of steroid.
耳鼻喉科异常部位的异物:两例报告
在耳鼻喉科实践中,耳鼻喉部位和头颈部的异物嵌塞属于急症。在此,我们介绍两例我们在区总部医院治疗的不寻常病例。第一个病例是一名儿童口咽部的金属异物(一枚钥匙圈),异物延伸至鼻咽部和喉咽部;第二个病例是一名女性,异物木棍意外穿透耳后区,穿过面颊到达颧弓,靠近眶周外侧缘,导致面神经Ⅲ级麻痹。我们成功取出了这两个异物。在第一个病例中,从喉咙取出金属异物后,我们对患者进行了 48 小时的鼻胃喂养,随后让患者进食正常流质饮食。第二个病例在取出异物后,通过减少类固醇的用量,残留的面神经麻痹得到了缓解。
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