Penetrating deep injuries of the oropharynx by chopsticks - A report of two cases.:-A Report of Two Cases-

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Injuries of the soft palate or the anterior pillar of the fauces often occur in children, who tend to hold pointed objects in their mouths. In most cases, the injury is superficial and heals uneventfully. However, there are several cases in which the objects penetrate deeply into the parapharyngeal space and have to be removed surgically. We report two such cases in which chopstick pierced the anterior pillar. In the first case (a 7-year-old boy), a wooden chopstick penetrated the anterior pillar and reached the subcutaneous tissue below the mastoid process through the parapharyngeal space. After cutting off the oral part of the foreign body, we removed the rest through an incision of the neck under general anesthesia. In the second case (a 2-year-old boy), a plastic chopstick injured the anterior pillar. Immediately after the injury, his cousin removed it perorally but noted its tip was missing. Ten months after the accident, the patient visited our hospital. The tip of the chopstick was found lodged in the bony external auditory canal and was removed under general anesthesia. The method of removal and the possible postoperative complications are discussed and the literature is reviewed.
耳鼻咽喉科臨床学会の論文