Removal of a Wire Brush Bristle from the Hypopharynx Using Suspension, Microscope, and Fluoroscopy

Wire brush bristles are an increasingly recognized hazard that can present as a foreign body in the aerodigestive tract. Due to their small size and tendency to become embedded in surrounding tissue, these small metallic bristles present a unique operative challenge to otolaryngologists. Here we pre...

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Main Authors: Matthew R. Naunheim, Matthew M. Dedmon, Matthew C. Mori, Ahmad R. Sedaghat, Jayme R. Dowdall
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2015/925873
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author Matthew R. Naunheim
Matthew M. Dedmon
Matthew C. Mori
Ahmad R. Sedaghat
Jayme R. Dowdall
author_facet Matthew R. Naunheim
Matthew M. Dedmon
Matthew C. Mori
Ahmad R. Sedaghat
Jayme R. Dowdall
author_sort Matthew R. Naunheim
collection DOAJ
description Wire brush bristles are an increasingly recognized hazard that can present as a foreign body in the aerodigestive tract. Due to their small size and tendency to become embedded in surrounding tissue, these small metallic bristles present a unique operative challenge to otolaryngologists. Here we present a case of a 40-year-old woman who underwent endoscopic extraction of a wire bristle from the posterior pharyngeal wall using suspension, microscopy, and C-arm fluoroscopy. We believe this is the first published case of an endoscopic removal of a buried foreign body in the hypopharynx using these methods of localization concurrently. By leveraging multiple techniques for visualization, surgeons can avoid open exploration while ensuring complete removal of the object. Additionally, this case highlights the importance of regulatory oversight and consumer awareness of the hazards of grill brushes.
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institution Kabale University
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series Case Reports in Otolaryngology
spelling doaj-art-290bed8c90144de8beca94c5ec55aca62025-02-03T05:47:50ZengWileyCase Reports in Otolaryngology2090-67652090-67732015-01-01201510.1155/2015/925873925873Removal of a Wire Brush Bristle from the Hypopharynx Using Suspension, Microscope, and FluoroscopyMatthew R. Naunheim0Matthew M. Dedmon1Matthew C. Mori2Ahmad R. Sedaghat3Jayme R. Dowdall4Department of Otology and Laryngology, Massachusetts Eye and Ear Infirmary, Boston, MA 02114, USADepartment of Otology and Laryngology, Massachusetts Eye and Ear Infirmary, Boston, MA 02114, USADepartment of Otology and Laryngology, Massachusetts Eye and Ear Infirmary, Boston, MA 02114, USADepartment of Otology and Laryngology, Massachusetts Eye and Ear Infirmary, Boston, MA 02114, USADepartment of Otology and Laryngology, Massachusetts Eye and Ear Infirmary, Boston, MA 02114, USAWire brush bristles are an increasingly recognized hazard that can present as a foreign body in the aerodigestive tract. Due to their small size and tendency to become embedded in surrounding tissue, these small metallic bristles present a unique operative challenge to otolaryngologists. Here we present a case of a 40-year-old woman who underwent endoscopic extraction of a wire bristle from the posterior pharyngeal wall using suspension, microscopy, and C-arm fluoroscopy. We believe this is the first published case of an endoscopic removal of a buried foreign body in the hypopharynx using these methods of localization concurrently. By leveraging multiple techniques for visualization, surgeons can avoid open exploration while ensuring complete removal of the object. Additionally, this case highlights the importance of regulatory oversight and consumer awareness of the hazards of grill brushes.http://dx.doi.org/10.1155/2015/925873
spellingShingle Matthew R. Naunheim
Matthew M. Dedmon
Matthew C. Mori
Ahmad R. Sedaghat
Jayme R. Dowdall
Removal of a Wire Brush Bristle from the Hypopharynx Using Suspension, Microscope, and Fluoroscopy
Case Reports in Otolaryngology
title Removal of a Wire Brush Bristle from the Hypopharynx Using Suspension, Microscope, and Fluoroscopy
title_full Removal of a Wire Brush Bristle from the Hypopharynx Using Suspension, Microscope, and Fluoroscopy
title_fullStr Removal of a Wire Brush Bristle from the Hypopharynx Using Suspension, Microscope, and Fluoroscopy
title_full_unstemmed Removal of a Wire Brush Bristle from the Hypopharynx Using Suspension, Microscope, and Fluoroscopy
title_short Removal of a Wire Brush Bristle from the Hypopharynx Using Suspension, Microscope, and Fluoroscopy
title_sort removal of a wire brush bristle from the hypopharynx using suspension microscope and fluoroscopy
url http://dx.doi.org/10.1155/2015/925873
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