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Multiple cranial nerve injuries and neck abscesses caused by a transorally penetrating organic stick.

Satu LamminmäkiSaku T SinkkonenTimo Atula
Published in: BMJ case reports (2018)
Foreign bodies cause a remarkable number of otolaryngological emergency visits and occasionally result in life-threatening conditions and later-emerging complications. Patient recovery depends on the detection and proper extraction of all foreign materials. Despite various obtainable diagnostic tools, adequate anamnesis forms the basis of clinical reasoning and should direct later examinations and radiological imaging. This case report describes a challenging patient with a unique trauma mechanism: many pieces of a fragmented organic foreign body emerged within 1 year of the initial injury, leading to repeated operations, a long period in an intensive care unit and a long-term swallowing and speech dysfunction.
Keyphrases
  • case report
  • intensive care unit
  • public health
  • emergency department
  • water soluble
  • risk factors
  • loop mediated isothermal amplification
  • mass spectrometry
  • real time pcr
  • acute respiratory distress syndrome