PMC6178370_01
Lateral and anteroposterior (AP) radiograph upon admission.
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Upon admission, cervical X-ray was done and both anteroposterior (AP) and lateral views were studied to determine the current location of the foreign body (Figure 1).
Video laryngoscopy, postoperatively exploring the hypopharynx with emphasis
on right posterolateral pharyngeal.
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Rigid video laryngoscopy was also done where no mucosal lesion was noted even at the supposed location of the foreign body at the right posterior pharyngeal wall above the pyriform sinus where the foreign body was located in the radiologic examination (Figure 2).
Intraoperative view of C-arm fluoroscopy directed lateral to the patient.
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With the aid of the C-arm positioned AP to the supine patient, the level and laterality of the foreign body was identified at the level of C4 oriented at right lateral posterior pharyngeal wall and lateral to the vertebra (Figures 3 and 4).
Intraoperative view of C-arm fluoroscopy directed anteroposterior to the
patient.
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With the aid of the C-arm positioned AP to the supine patient, the level and laterality of the foreign body was identified at the level of C4 oriented at right lateral posterior pharyngeal wall and lateral to the vertebra (Figures 3 and 4).
Post-operative video laryngoscopy.
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At the 3rd post-op day, repeat chest X-ray was done and repeat video laryngoscopy showed granulation tissue at the right pharyngeal wall at the level above pyriform sinus where the incision was made (Figure 5), there was no bleeding or hematoma.