Endoscopic Removal of Sharp Foreign Bodies in Neck Using Image Intensified Television

JOURNAL TITLE: International Journal of Head and Neck Surgery

Author
1. Shawn T Joseph
2. Rahul C Gupta
3. Arpit Sharma
ISSN
0975-7899
DOI
10.5005/jp-journals-10001-1022
Volume
1
Issue
2
Publishing Year
2010
Pages
4
Author Affiliations
    1. Seth GS Medical College and King Edward Memorial Hospital, Mumbai, Maharashtra, India
    2. Medanta Medicity, Gurgaon, Haryana, India
    3. Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
    4. Arvind Eye Institute, Madurai, Tamil Nadu, India
    1. Department of Otorhinolaryngology and Head and Neck Surgery, Government Medical College and Sir T Hospital, Bhavnagar, Gujarat, India
    1. Department of Otorhinolaryngology and Head and Neck Surgery, BJ Medical College and Civil Hospital, Ahmedabad Gujarat, India
  • Article keywords

    Abstract

    Foreign body impaction in the neck poses life-threatening problems when it is deep and close to vital structures. We report two cases of sharp metallic foreign body impaction in the neck – one of them in the prevertebral space and the other in the intervertebral disk space. A neck exploration and surgical removal of these foreign bodies, as is usually practised in most centers, would have been life-threatening and associated with high morbidity. We removed these foreign bodies using rigid endoscope under image intensified television (IITV) guidance. The patients could be discharged the same day. We suggest that endoscopic removal under IITV fluoroscopy system should be the method of choice in the removal of foreign bodies located in these sites. We also propose a classification of neck into vertical segments which would be useful in the management decision of these cases.

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