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Needle in the Haystack: Wire Bristle Foreign Body Presenting Deep Within the Tongue Base.

Authors:
Priyanka Tripuraneni Eric L Wu William Z Gao Bruce J Davidson Jonathan P Giurintano

Ear Nose Throat J 2021 May 16:1455613211014079. Epub 2021 May 16.

Department of Otolaryngology-Head & Neck Surgery, 71541Georgetown University Hospital, Washington, DC, USA.

Objectives: To report a case of ingested wire bristle embedded within the extrinsic musculature of the tongue requiring a transcervical approach for removal and to provide a revised algorithm for the management of ingested wire bristles.

Methods: The clinical record of 1 patient who ingested a grill brush wire bristle was reviewed. A literature review was also conducted to refine a treatment algorithm for managing ingested wire bristles.

Results: We present a case of a 53-year-old male who accidentally ingested a grill brush wire bristle. After multiple unsuccessful endoscopic attempts at removal, the wire bristle migrated deep into the extrinsic musculature of the tongue, necessitating a transcervical approach for adequate visualization and retrieval.

Conclusions: This is the first case reported of a wire bristle migrating deep into the tongue musculature that was successfully removed via a transcervical approach. Our proposed algorithm provides a comprehensive approach to the management of ingested wire bristles, specifically in cases where endoscopic retrieval is not feasible.

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http://dx.doi.org/10.1177/01455613211014079DOI Listing
May 2021

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