Resolving Tongue Entrapment: A Comprehensive Review with Case Report

Abstract Objective To report a case of oral tongue entrapment due to a metal water bottle and review clinical considerations for managing this rare pathology. Study Design Case report and literature review. Setting Tertiary care hospital. Methods A 6‐year‐old female presented with her tongue trapped...

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Main Authors: Alisha R. Pershad, Daniel Gorelik, Diego Preciado, Habib G. Zalzal
Format: Article
Language:English
Published: Wiley 2024-10-01
Series:OTO Open
Subjects:
Online Access:https://doi.org/10.1002/oto2.70044
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author Alisha R. Pershad
Daniel Gorelik
Diego Preciado
Habib G. Zalzal
author_facet Alisha R. Pershad
Daniel Gorelik
Diego Preciado
Habib G. Zalzal
author_sort Alisha R. Pershad
collection DOAJ
description Abstract Objective To report a case of oral tongue entrapment due to a metal water bottle and review clinical considerations for managing this rare pathology. Study Design Case report and literature review. Setting Tertiary care hospital. Methods A 6‐year‐old female presented with her tongue trapped in a threaded aluminum water bottle. Upon admission, her tongue was edematous and actively bleeding, though she was spontaneously breathing. A systematic review was then performed to document similar case studies found in the literature. Results Emergency removal of the foreign body was performed in the operating room using drill cutting burrs and metal shears. The bottle was successfully removed with minimal injury to the oral tongue. The patient required nasal intubation for seven days to allow the tongue edema to subside. Subsequent literature review identified 14 similar cases, with the vast majority occurring with similar brand of aluminum water bottle. Conclusion The increasing use of reusable bottles may lead to a higher incidence of tongue entrapment cases. Awareness of this complication and appropriate management strategies are crucial to prevent severe outcomes in pediatric patients.
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spelling doaj-art-56f2ea3f653b4a6c9b44ccc817c74b9d2024-12-27T10:00:50ZengWileyOTO Open2473-974X2024-10-0184n/an/a10.1002/oto2.70044Resolving Tongue Entrapment: A Comprehensive Review with Case ReportAlisha R. Pershad0Daniel Gorelik1Diego Preciado2Habib G. Zalzal3Division of Otolaryngology–Head and Neck Surgery Children's National Medical Center Washington District of Columbia USADivision of Otolaryngology–Head and Neck Surgery Children's National Medical Center Washington District of Columbia USADivision of Otolaryngology–Head and Neck Surgery Children's National Medical Center Washington District of Columbia USADivision of Otolaryngology–Head and Neck Surgery Children's National Medical Center Washington District of Columbia USAAbstract Objective To report a case of oral tongue entrapment due to a metal water bottle and review clinical considerations for managing this rare pathology. Study Design Case report and literature review. Setting Tertiary care hospital. Methods A 6‐year‐old female presented with her tongue trapped in a threaded aluminum water bottle. Upon admission, her tongue was edematous and actively bleeding, though she was spontaneously breathing. A systematic review was then performed to document similar case studies found in the literature. Results Emergency removal of the foreign body was performed in the operating room using drill cutting burrs and metal shears. The bottle was successfully removed with minimal injury to the oral tongue. The patient required nasal intubation for seven days to allow the tongue edema to subside. Subsequent literature review identified 14 similar cases, with the vast majority occurring with similar brand of aluminum water bottle. Conclusion The increasing use of reusable bottles may lead to a higher incidence of tongue entrapment cases. Awareness of this complication and appropriate management strategies are crucial to prevent severe outcomes in pediatric patients.https://doi.org/10.1002/oto2.70044airway managementforeign bodypediatric otolaryngologytongue edematongue entrapment
spellingShingle Alisha R. Pershad
Daniel Gorelik
Diego Preciado
Habib G. Zalzal
Resolving Tongue Entrapment: A Comprehensive Review with Case Report
OTO Open
airway management
foreign body
pediatric otolaryngology
tongue edema
tongue entrapment
title Resolving Tongue Entrapment: A Comprehensive Review with Case Report
title_full Resolving Tongue Entrapment: A Comprehensive Review with Case Report
title_fullStr Resolving Tongue Entrapment: A Comprehensive Review with Case Report
title_full_unstemmed Resolving Tongue Entrapment: A Comprehensive Review with Case Report
title_short Resolving Tongue Entrapment: A Comprehensive Review with Case Report
title_sort resolving tongue entrapment a comprehensive review with case report
topic airway management
foreign body
pediatric otolaryngology
tongue edema
tongue entrapment
url https://doi.org/10.1002/oto2.70044
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