TITLE:
Unusual Foreign Body of Oropharynx
AUTHORS:
Yvette Marie Chantal Gyebre, Aboubacar Goueta, Bertin Priva Ouedraogo, Moustapha Sereme, Omar Zamtako, Kampadilemba Ouoba
KEYWORDS:
Foreign Body, Pencil, Oropharynx
JOURNAL NAME:
International Journal of Otolaryngology and Head & Neck Surgery,
Vol.5 No.5,
September
22,
2016
ABSTRACT: Introduction: The foreign bodies of the oropharynx are mainly encountered in
children. They rarely raise diagnostic problem, but remain a haunting of the CCF
and ENT surgeon. Objective: We report a special case of foreign body entering the
oropharynx and measuring 15 cm of long in a boy of 7 years, in order to discuss the
diagnostic and therapeutic approach. Observation: A 7 year old male student has
been received in emergency for accidental trauma of the oropharynx by a particular
object, a pencil. The diagnosis has been essentially clinical. The exhibition of the
oropharynx using the open mouth of Boyles Davis has obviously shown the foreign
body penetrating the right anterior pillar crossing the parapharyngeal spaces till the
right posterolateral prevertebral space. The extraction of the foreign body was done
by endoscopic route under general anesthesia. As a remarkable fact, it was the gumming
end that was penetrating. The postoperative course was uneventful. Conclusion:
This type of foreign body of oropharynx constitutes a medical and surgical
emergency. From an easy and positive diagnosis, these foreign bodies especially raise
a problem of lesion diagnostic and therapeutic approach. Prevention through education
and awareness of all the actors (students, children, parents) remain the pledge of
their control.