PMC5565629_01
Showing the child at presentation.
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The patient could not feed, phonate or close mouth which was drooling saliva. There was no convulsion or altered consciousness (Fig. 1).
Skull radiograph showing foreign body penetrating the hard palate through the open mouth.
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X-ray showed radiopaque straight object through the open mouth penetrating the hard palate, nasopharynx that impinged the skull base (Fig. 2).
The foreign body (metallic portion of a manual screw driver) after surgical removal.
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Findings were that of a silvery metallic object (screw driver) measuring about 8.5 cm (Fig. 3).
The child with subcutaneous emphysema following penetrating pencil to the neck.
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There was a stab wound measuring 2 cm x 2 cm along the skin crease at the crico-thyroid membrane (Fig. 4).
The child after a successful placement of a tracheostomy.
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The patient was recovered from anaesthesia and placed on oxygen placed over the T-tube and discharged to the ward for intensive nursing care of the tracheostomy (Fig. 5). The time from arrival at the A&E to anaesthesia/surgical interventions was 59 min.