Intraoperative Ultrasound for Localization and Removal of an Oropharyngeal Wire Grill-Brush Bristle.

Brooks JA1,2, McKeon M1, Chow JS3, Watters K1,2.

Author information

1

1 Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts, USA.

2

2 Department of Otology and Laryngology, Harvard Medical School, Cambridge, Massachusetts, USA.

3

3 Department of Radiology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Abstract

OBJECTIVES::

This paper reports the utilization of intraoperative ultrasound in the removal of an accidentally ingested wire grill-brush bristle from the pharyngeal space of a child.

METHODS::

Standard procedures for obtaining imaging of an accidentally ingested foreign body were performed, including radiograph, computed tomography (CT) imaging, and preoperative ultrasonography. Despite preoperative imaging, the object could neither be located nor removed. Ultrasonography was performed intraoperatively for real-time localization.

RESULTS::

Intraoperative ultrasonography was required to successfully locate and remove the wire grill-brush bristle from the patient's oropharyngeal space.

CONCLUSIONS::

Intraoperative ultrasound serves as a useful tool to guide surgical removal of aerodigestive foreign bodies and may offer an opportunity to reduce the need for CT imaging.

KEYWORDS:

foreign body; grill-brush; intraoperative ultrasound; ultrasonography; wire bristle

PMID:

 

30895800

 

DOI:

 

10.1177/0003489419838543

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