Tracheal foreign body
Updates to Case Attributes
The tracheal foreign body (FB) was endoscopically removed without complication after the patient underwent a tracheostomy to secure the airway.
Penetrating neck injuries often occur secondary to knife or gun shotgunshot trauma. 1. Rarely, FB at high speeds can penetrate the neck to involve the aero-digestiveaerodigestive tract, such as in this case. The entire tract must be imaged as the FB can migrate to other structures and cause devastating vascular injury.1.
Plain radiography may be used to identify radiolucent FB, however, they may not detect FB of lower density or adequately assess soft tissue injury. Computed tomography (CT) is the best method for imaging the extent of soft tissue damage. AniographyAngiography may also be needed to specifically assess vascular damage. 2.
-<p>The tracheal foreign body (FB) was endoscopically removed without complication after the patient underwent a tracheostomy to secure the airway.</p><p> </p><p>Penetrating neck injuries often occur secondary to knife or gun shot trauma. <sup>1</sup> Rarely, FB at high speeds can penetrate the neck to involve the aero-digestive tract, such as in this case. The entire tract must be imaged as the FB can migrate to other structures and cause devastating vascular injury.<sup> 1</sup></p><p>Plain radiography may be used to identify radiolucent FB, however they may not detect FB of lower density or adequately assess soft tissue injury. Computed tomography (CT) is the best method for imaging the extent of soft tissue damage. Aniography may also be needed to specifically assess vascular damage. <sup>2</sup></p>- +<p>The tracheal foreign body (FB) was endoscopically removed without complication after the patient underwent a tracheostomy to secure the airway.</p><p>Penetrating neck injuries often occur secondary to knife or gunshot trauma <sup>1</sup>. Rarely, FB at high speeds can penetrate the neck to involve the aerodigestive tract, such as in this case. The entire tract must be imaged as the FB can migrate to other structures and cause devastating vascular injury <sup>1</sup>.</p><p>Plain radiography may be used to identify radiolucent FB, however, they may not detect FB of lower density or adequately assess soft tissue injury. Computed tomography (CT) is the best method for imaging the extent of soft tissue damage. Angiography may also be needed to specifically assess vascular damage <sup>2</sup>.</p>
References changed:
- 1. Solanki B, Manish T, Anusuya G, Yogesh S. Migratory Penetrating Foreign Body in Neck and Tracheo-Bronchial Tree- An Unusual Interesting Case Report. Sch J Med Case Rep 2014; 2(4):222-225. <a href="http://saspjournals.com/wp-content/uploads/2014/04/SJMCR-24222-225.pdf">SSN 2347 - 6559 (Online)</a>
- 2. Lydiatt DD, Hollins RR, Moyer DJ et-al. Problems in evaluation of penetrating foreign bodies with computed tomography scans: report of cases. J. Oral Maxillofac. Surg. 1987;45 (11): 965-8. <a href="http://www.ncbi.nlm.nih.gov/pubmed/3478444">Pubmed citation</a><span class="auto"></span>
- Solanki B, Manish T, Anusuya G, Yogesh S. Migratory Penetrating Foreign Body in Neck and Tracheo-Bronchial Tree- An Unusual Interesting Case Report. Sch J Med Case Rep 2014; 2(4):222-225. <a href="http://saspjournals.com/wp-content/uploads/2014/04/SJMCR-24222-225.pdf">SSN 2347 - 6559 (Online)</a>
- Lydiatt DD, Hollins RR, Moyer DJ et-al. Problems in evaluation of penetrating foreign bodies with computed tomography scans: report of cases. J. Oral Maxillofac. Surg. 1987;45 (11): 965-8. <a href="http://www.ncbi.nlm.nih.gov/pubmed/3478444">Pubmed citation</a><span class="auto"></span>