title: [Oropharyngeal toothbrush perforation in an infant].
abstract: BACKGROUND
  Oral impalement injuries are common in children. We report a case of severe pharyngeal toothbrush perforation in a 15-month-old infant.
  
  
  METHODS
  A 15-month-old child was admitted for a penetrating oral injury caused by a toothbrush. There was no hemorrhagic or neurological complication. A CT scan showed the toothbrush in the right parapharyngeal region with its extremity in the mastoid region. Exploration and extraction of the toothbrush was performed under general anesthesia. The outcome was uneventful.
  
  
  CONCLUSIONS
  Penetrating oral cavity wounds caused by a toothbrush in children may be severe and must be explored in the operating room. A preoperative CT scan must be performed to complete the assessment of lesions. The risk of infection is high and an antibiotic prophylaxis is recommended. Neurological and vascular complications may occur but they are rare.
authors.affiliation: Service de chirurgie maxillo faciale et plastique de la face, CHU de Tours, hôpital Trousseau, avenue de la République, 37170 Chambray-les-Tours, France. Electronic address: arnopare@gmail.com.
authors.forename: A
authors.initials: A
authors.lastname: Paré
authors.affiliation: Service de chirurgie maxillo faciale et plastique de la face, CHU de Tours, hôpital Trousseau, avenue de la République, 37170 Chambray-les-Tours, France.
authors.forename: S
authors.initials: S
authors.lastname: Poynard
authors.affiliation: Service de chirurgie maxillo faciale et plastique de la face, CHU de Tours, hôpital Trousseau, avenue de la République, 37170 Chambray-les-Tours, France.
authors.forename: J-D
authors.initials: JD
authors.lastname: Kun Darbois
authors.affiliation: Service de chirurgie maxillo faciale et plastique de la face, CHU de Tours, hôpital Trousseau, avenue de la République, 37170 Chambray-les-Tours, France.
authors.forename: F
authors.initials: F
authors.lastname: Fauvel
authors.affiliation: Service de chirurgie maxillo faciale et plastique de la face, CHU de Tours, hôpital Trousseau, avenue de la République, 37170 Chambray-les-Tours, France.
authors.forename: D
authors.initials: D
authors.lastname: Goga
authors.affiliation: Service de chirurgie maxillo faciale et plastique de la face, CHU de Tours, hôpital Trousseau, avenue de la République, 37170 Chambray-les-Tours, France.
authors.forename: B
authors.initials: B
authors.lastname: Laure
mesh_terms: D000058:Accidental Falls; D003742:Dental Devices, Home Care; D005547:Foreign Bodies / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D009960:Oropharynx / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D011859:Radiography; D014099:Toothbrushing / Q000009:adverse effects*; D014950:Wounds, Penetrating / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery
keywords: Brosse à dent; Oral cavity impalement; Penetrating wound; Plaie pénétrante; Toothbrush; Traumatisme buccal