Carotid-Threatening Penetrating Oropharyngeal Trauma in a Pediatric Patient: A Case Report and Literature Review.

Autor:	Snyder AJ; Otolaryngology - Head and Neck Surgery, Albany Medical College, Albany, USA., McKay S; Otolaryngology - Head and Neck Surgery, Albany Medical College, Albany, USA., Mammen L; Otolaryngology - Head and Neck Surgery, Albany Medical Center, Albany, USA., Reichert LK; Otolaryngology - Head and Neck Surgery, Albany Medical Center, Albany, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Sep 25; Vol. 16 (9), pp. e70170. Date of Electronic Publication: 2024 Sep 25 (Print Publication: 2024).
DOI:	10.7759/cureus.70170
Abstrakt:	Penetrating oropharyngeal injury is a relatively common occurrence in pediatric patients; however, cases involving close proximity to critical vascular structures, such as the internal carotid artery (ICA), are exceedingly rare and pose significant risks. This case report describes a seven-year-old male who sustained penetrating oropharyngeal trauma with startling proximity to the ICA after being pushed into a locker with a pencil in his mouth. Initial evaluation showed the wooden pencil protruding from the soft palate without active bleeding. CT angiography revealed that it was less than 1 mm from the left ICA, with no signs of extravasation or dissection. The pencil was removed atraumatically under ketamine sedation, and the puncture site was irrigated without complications. In patients presenting with penetrating oropharyngeal trauma, injury to the internal carotid or adjacent vessels with possible resulting extravasation or dissection should be considered. This is a single case report accompanied by a literature review. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Albany Medical Center Institutional Review Board (IRB) issued approval NA. IRB approval was not required for a case report. Written consent was obtained. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Snyder et al.)
Databáze:	MEDLINE
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