ABSTRACT Objective: To describe a unique situation of a sewing needle lodged in the parapharyngeal space and elucidate the problems encountered in its successful removal.Methods: Design: Case Report Setting: Tertiary Private Hospital Patient: One Result: A 24-year-old male tailor accidentally swallowed a sewing needle that pierced the oropharyngeal wall and was wedged in the parapharyngeal space.After a thorough physical examination, read more 70 degree rod endoscopy, radiography and doppler ultrasonography and intraoperative C-arm X-ray for intraoperative localization and as a guide for extraction all yielded less than optimal guidance.
Although an intra-oral approach was initially taken, the transcervical approach provided the best access.Conclusion: Removal of a sharp foreign body in the parapharyngeal space should be considered a surgical emergency owing to its close proximity to vital structures and the potential for serious complications.Identifying the exact location may require a variety of imaging modalities, and foreign body extraction may entail ultrastar dc hc550 multiple surgical approaches.