title: The toothbrush: a rare but potentially life-threatening cause of penetrating oropharyngeal trauma in children.
abstract: We present the case of a 10-year-old girl with pharyngeal injury caused by a toothbrush, the snapped head of which lodged in her upper oropharyngeal wall. Initial examination of the oral cavity did not reveal bleeding, a foreign body, or a wound. Nasopharyngoscopy showed lodgment of the toothbrush piece in the upper oropharynx, pulsating in synchrony with heartbeats. Computed tomography showed the toothbrush head near the carotid artery. The foreign body was surgically removed without any intraoperative or postoperative complications. The diagnosis and management of oropharyngeal injuries by stick-like foreign bodies, such as a toothbrush or chopsticks, are discussed.
authors.affiliation: Department of Otolaryngology and Head and Neck Surgery, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan. rxv10313@nifty.com
authors.forename: Toru
authors.initials: T
authors.lastname: Sasaki
authors.forename: Sayaka
authors.initials: S
authors.lastname: Toriumi
authors.forename: Takahiro
authors.initials: T
authors.lastname: Asakage
authors.forename: Kimitaka
authors.initials: K
authors.lastname: Kaga
authors.forename: Daisuke
authors.initials: D
authors.lastname: Yamaguchi
authors.forename: Naoki
authors.initials: N
authors.lastname: Yahagi
mesh_terms: D002339:Carotid Arteries; D002648:Child; D005260:Female; D005547:Foreign Bodies / Q000473:pathology / Q000601:surgery*; D006801:Humans; D009960:Oropharynx / Q000293:injuries* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014099:Toothbrushing / Q000009:adverse effects*; D014950:Wounds, Penetrating / Q000209:etiology* / Q000601:surgery