125 0 0 0 OA 副咽頭間隙に刺入した乳児箸異物例
- 著者
- 河野 敏朗 石戸谷 淳一 遠藤 亮 佃 守
- 出版者
- 耳鼻咽喉科臨床学会
- 雑誌
- 耳鼻咽喉科臨床 (ISSN:00326313)
- 巻号頁・発行日
- vol.100, no.11, pp.899-903, 2007-11-01 (Released:2011-10-07)
- 参考文献数
- 19
- 被引用文献数
- 3 1
We sometimes experience infant cases leading to unexpected deaths due to foreign bodies. It is often difficult to identify the cause or foreign body invasion by asking questions directly to a child. We experienced an infant case of a chopstick passing through the soft palate, reaching the parapharyngeal space near the inner carotid artery circumference. At the first medical examination, we could not detect the tip of the chopstick, in the pharynx. Using 3-directional-CT images, we could locate the tip of the chopstick in the parapharyngeal space near the inner carotid artery circumference. Under general anesthesia, we could remove the tip of the chopstick from the parapharyngeal space near the inner carotid artery with an endoscope trans-orally.It is important to investigate positional conditions between a foreign body and the vessels in the parapharyngeal space. Images such as enhancing 3-directional-CT before the operation is useful.Furthermore, we have to be careful of the late neurosis by pencil-injury in the region and pay close attention to respiratory tract management.
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外部データベース (DOI)
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#ヒゲジャーナル
箸が喉に刺入した1歳女児。CTにて内頸動脈周囲に異物を認めた際は内頸動脈閉鎖症発症のリスクや48時間以内に発症することを考え摘出と経過観察を行うべきである。
河野 敏朗、他。副咽頭間隙に刺入した乳児箸異物例。耳鼻臨床 2007:11;899-903。
https://t.co/OfuYpPwLBF
https://t.co/VHteqGFJZ2
@ishiimark_sign 亡くなった例だけじゃなく、喉の奥とかを突いた怪我が原因で内頸動脈に傷が付いて脳梗塞になったりした報告はたくさんありますね…（下のpdfの参考文献12〜19あたり）
https://t.co/ahP5rbhUE7