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Tongue Entrapment in Metal Drinking Bottle

Tongue Entrapment in Metal Drinking Bottle CLINICAL NOTE Chad W. Whited, MD; Daniel J. Rocke, MD, JD; Walter T. Lee, MD ral foreign bodies are involved in a wide range of pediatric cases, from benign oc- currences to those that threaten the airway. Included are cases of tongue entrap- ment leading to pain, edema, and ischemia. Cases in the literature report tongue en- 1-3 4,5 6 O trapment in glass bottles, aluminum cans, and pieces of balloon. Because such cases are sufficiently sparse, treatment often requires a creative and novel approach to ensure safe removal of the constricting object without exacerbating or causing injury to the patient. The oto- laryngologist also must be prepared to provide airway management after foreign-body removal. We report, to our knowledge, the first case of a tongue trapped in a metal water bottle, subsequent removal of the bottle and management of the tongue, and a review of the literature for airway edema associated with tongue entrapment. The Duke University Medical Center Institutional Review Board reviewed this study and granted it exempt status. treme tongue tenderness with bottle REPORT OF A CASE manipulation. After administering intra- venous dexamethosone sodium phos- An otherwise healthy 9-year-old boy pre- phate and applying lubricant to http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Otolaryngology - Head & Neck Surgery American Medical Association

Tongue Entrapment in Metal Drinking Bottle

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References (6)

Publisher
American Medical Association
Copyright
Copyright 2011 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6181
eISSN
2168-619X
DOI
10.1001/archoto.2011.94
pmid
21690517
Publisher site
See Article on Publisher Site

Abstract

CLINICAL NOTE Chad W. Whited, MD; Daniel J. Rocke, MD, JD; Walter T. Lee, MD ral foreign bodies are involved in a wide range of pediatric cases, from benign oc- currences to those that threaten the airway. Included are cases of tongue entrap- ment leading to pain, edema, and ischemia. Cases in the literature report tongue en- 1-3 4,5 6 O trapment in glass bottles, aluminum cans, and pieces of balloon. Because such cases are sufficiently sparse, treatment often requires a creative and novel approach to ensure safe removal of the constricting object without exacerbating or causing injury to the patient. The oto- laryngologist also must be prepared to provide airway management after foreign-body removal. We report, to our knowledge, the first case of a tongue trapped in a metal water bottle, subsequent removal of the bottle and management of the tongue, and a review of the literature for airway edema associated with tongue entrapment. The Duke University Medical Center Institutional Review Board reviewed this study and granted it exempt status. treme tongue tenderness with bottle REPORT OF A CASE manipulation. After administering intra- venous dexamethosone sodium phos- An otherwise healthy 9-year-old boy pre- phate and applying lubricant to

Journal

JAMA Otolaryngology - Head & Neck Surgery – American Medical Association

Published: Jun 1, 2011

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