Citation

Olajuyin OA, Okunola AB. Niger. Postgrad. Med. J. 2012; 19(4): 250-254.

Affiliation

Department of Ear, Nose and Throat, Ekiti-State University Teaching Hospital, Ado-Ekiti, Ekiti-State. Nigeria.

Copyright

(Copyright © 2012, National Postgraduate Medical College of Nigeria)

DOI

unavailable

PMID

23385683

Abstract

AIMS AND OBJECTIVES: The objective of this paper is to emphasise the importance of detailed history, thorough physical examination and the need to expose undergraduates to basic Otorhinolaryngological skills of clinical examination as a way of overcoming the diagnostic challenges of foreign body in the throat. Patients and Methods: The case was an 8-year old boy who presented with 1-year history of impacted stump of toothbrush in his throat following a fall. With a high index of suspicion, his throat was examined under bright illumination and a foreign body brought into view by tongue depression was found impacted in his left tonsillar fossa. He was subsequently taken to the operating room for removal under General Anaesthesia. RESULTS: Intra-operatively, the stump of a toothbrush measuring 4.8cm in length was confirmed and removed (Figs 1 & 2). The procedure was uneventful. Conclusion: Foreign body in the throat could pose diagnostic challenge. Detailed history and thorough physical examination are essential to clinch a diagnosis. Early referral in doubtful cases goes a long way to reduce morbidity and mortality associated with delayed removal.

Language: en