Delayed presentation of an undiscovered nasopharyngeal foreign body.

BMJ Case Rep

Department of Ear, Nose and Throat Surgery, Northwick Park Hospital, London, UK.

Published: June 2014

AI Article Synopsis

  • Suspected foreign body ingestion or aspiration in children is a common emergency that often requires surgical procedures under general anesthesia for removal.
  • The case discussed involves a foreign body that went unnoticed in the nasopharynx for over three years, highlighting the potential oversight in diagnoses.
  • The text also addresses how the pressures on the NHS's referral and follow-up systems may have contributed to the delayed discovery of this foreign body.

Article Abstract

Suspected paediatric aerodigestive tract foreign body (FB) ingestion or aspiration is a commonly encountered emergency. Management may require a general anaesthetic for retrieval with bronchoscopy, laryngoscopy and oesophagoscopy, each dependent on the history and investigations of the case in question. We describe the case of a foreign body, which was missed in the nasopharynx for more than 3 years and also discuss how pressures on National Health Service (NHS) referral and follow-up patterns may have altered the time course of the eventual discovery.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4069694PMC
http://dx.doi.org/10.1136/bcr-2014-204246DOI Listing

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