A BROKEN TOOTH BRUSH AS A FOREIGN BODY IN THE PARAPHARYNGEAL SPACE: A CASE REPORT

DOI
  • Kimura Ryohei
    Department of Otorhinolaryngology, The Jikei University School of Medicine
  • Kessoku Hisashi
    Department of Otorhinolaryngology, The Jikei University School of Medicine
  • Hama Takanori
    Department of Otorhinolaryngology, The Jikei University School of Medicine

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Other Title
  • MRI で診断し得た副咽頭間隙内歯ブラシ異物の1例

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Description

<p>　A 57-year-old man fell down while brushing his teeth. He reported that the toothbrush was broken and the head was gone. He presented to the ENT department with a sore throat a day later. CT of the neck revealed emphysema and dirty fat in the left parapharyngeal space, however, no foreign body was detected. Accordingly, he received conservative therapy, including intravenous antibiotic administration. Despite 3 days of antibiotic treatment, however, his oral pain failed to subside. Suspecting the presence of a foreign body, MRI of the neck was performed, which revealed toothbrush bristles in the parapharyngeal space. He was referred to the hospital for surgical operation. On examination at the hospital, laceration and swelling of the right soft palate were found, but no toothbrush components could be located. Therefore, transoral endoscopic surgery was performed under general anesthesia, the head of the toothbrush was removed safely, and the patient recovered without any complications. Plain x-rays and CT may fail to reveal objects like toothbrushes, and MRI may be necessary in some cases to confirm the existence of a foreign body.</p>

Journal

  • JIBI INKOKA TEMBO

    JIBI INKOKA TEMBO 61 (4), 216-221, 2018-08-15

    Society of Oto-rhino-laryngology Tokyo

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