Oral and oropharyngeal impalement injury in pediatric patients—Focus on rural environment

Abstract

Objective. This article describes a case series of oral and oropharyngeal impalement injuries in pediatric patients and highlights the peculiar etiological role of the rural environment. Results. There were eight boys and one girl. The ages of the study participants ranged from two to ten years. Object-to-head injury was the predominant etiopathogenic mechanism (six cases) compared with head-to-object injury (three cases). Six out of nine lesions were shallow. The hard palate was the single most commonly affected site. Two cases (2/9) of post-impalement injury infection were recorded.

The Utility of CTA in Pediatric Oropharyngeal Trauma: A Systematic Review and Meta‐Analysis

“…A full text review of the remaining reports excluded 78 reports, leaving 95 remaining studies for inclusion in the final data extraction and analysis. Fifteen studies were case series of 4 or more patients 2,32,36,39–41,50–58 and 80 studies were case reports of less than 4 patients 3–31,59–108 . Figure 1 outlines the full search process.…”

Pharyngeal trauma: When to suspect physical abuse

“…Cases of penetrating oropharyngeal injuries in children and their presenting symptoms have been reported over the years, many of which involve accidental falls or injuries with blunt objects, as well as others that raise the question of abuse and neglect (Manning et al, 1990; Radkowski et al, 1993; Tostevin et al, 1995). Intra‐oral injuries sustained from impalement from blunt objects such as toothbrushes (Matsusue et al, 2011), pens (McHugh, 1997), plastic toys and wires (Syebele et al, 2012) have been documented. Such injuries are observed largely in toddlers and young children under the age of 10 who fall with blunt or sharp objects in their mouth or have an object inadvertently pushed back toward the oropharynx suddenly.…”

Severe Injury Caused by a Traumatic Toothbrush Impalement: A Case Report

“…El retraso en su manejo origina una incomodidad significativa e innecesaria para el paciente, además de aumentar el riego de aparición de infecciones, y cicatrización inadecuada de los tejidos afectados (28,34). Los casos de incrustación traumática pueden ser manejados multidisciplinariamente y tratados en una manera conservadora, sin necesidad de una intervención quirúrgica, con el objetivo de regenerar los tejidos lesionados y restaurar su función normal, y con propabilidades mínimas de surgimiento de complicaciones o secuelas adversas (6,35,36). Al respecto, Kupietzky (11) menciona que el tiempo para conseguir la cicatrización de las lesiones tratadas se logra en aproximadamente tres semanas.…”