| Occult pharyngeal perforation secondary to 'pencil injury'. | |
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MedLine Citation:
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PMID: 8949311 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Palatopharyngeal injuries due to impaction of rigid objects held in the mouth are common. Most are essentially innocuous injuries requiring no specific treatment. However, there is the potential for perforation of the pharyngeal wall with the subsequent development of serious infection such as retropharyngeal abscess or mediastinitis. This possibility is more likely to be suspected in the presence of a visible laceration or puncture wound at the site of impact in the mouth or pharynx. We report three cases in which occult pharyngeal perforation occurred without any clinical signs of breech of the pharyngeal wall. In all cases a lateral soft tissue neck X-ray was diagnostic of perforation, showing the presence of retropharyngeal air. We, therefore, advocate the routine performance of soft tissue neck X-rays in all patients who present with a history of falling on a rigid object held in the mouth. |
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Authors:
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D A Smyth; J Fenton; C Timon; D P McShane |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of laryngology and otology Volume: 110 ISSN: 0022-2151 ISO Abbreviation: J Laryngol Otol Publication Date: 1996 Sep |
Date Detail:
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Created Date: 1997-01-14 Completed Date: 1997-01-14 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8706896 Medline TA: J Laryngol Otol Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 901-3 Citation Subset: AIM; IM |
Affiliation:
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Department of Otolaryngology/Head and Neck Surgery, National Children's Hospital, Dublin, Ireland. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Child, Preschool Female Humans Male Pharynx / injuries*, radiography* Wounds, Penetrating / radiography* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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