Abstract
Back ground
An impalement-related injury to the oral cavity is common in pediatric patients at emergency department. A computed tomography evaluation is not always suitable in these cases. Herein, we aimed to present oral sonography findings from six pediatric patients presenting with impalement-related injury to the oral cavity.
Case series
All included patients were younger than 4 years and sustained injuries with a toothbrush, chopstick, water gun, and fork to the tonsils, submandibular gland area, uvula, and under the tongue.
Conclusion
Ultrasound imaging appeared useful in helping diagnose impalement-related injuries lateral to the midline.
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Data availability
Data sharing is not applicable to this article as no new data were created or analyzed in this study.
References
Bandarkar AN, Adeyiga AO, Fordham MT, et al. Tonsil ultrasound: technical approach and spectrum of pediatric peritonsillar infections. Pediatr Radiol. 2016;46:1059–67. https://doi.org/10.1007/s00247-015-3505-7.
Borges G, Bonilha L, Santos SF, et al. Thrombosis of the internal carotid artery secondary to soft palate injury in children and childhood. Report of two cases. Pediatr Neurosurg. 2000;32:150–3. https://doi.org/10.1159/000028921.
Caraiani C, Dong Y, Rudd AG, Dietrich CF. Reasons for inadequate or incomplete imaging techniques. Med Ultrason. 2018;20:498–507. https://doi.org/10.11152/mu-1736.
Chung BH, Lee MR, Yang JD, et al. Delayed pseudoaneurysm formation of the carotid artery following the oral cavity injury in a child: a case report. World J Clin Cases. 2021;9:4104–9. https://doi.org/10.12998/wjcc.v9.i16.4104.
el-Sayed Y, al Dousary S. Deep-neck space abscesses. J Otolaryngol. 1996;25:227–33.
Geng C, Tian S, Song Q, et al. A new approach for evaluating palatine tonsillar hypertrophy in children based on ultrasound: a pilot study. J Ultrasound Med. 2022. https://doi.org/10.1002/jum.16030.
Gervasio A, D’Orta G, Mujahed I, et al. Sonographic anatomy of the neck: the suprahyoid region. J Ultrasound. 2011;14:130–5. https://doi.org/10.1016/j.jus.2011.06.001.
Girard M, Deschamps J, Razzaq S, Beaubien-Souligny W, et al. Emerging applications of extra-cardiac ultrasound in critically ill cardiac patients. Can J Cardiol. 2022. https://doi.org/10.1016/j.cjca.2022.11.015.
Glass GE, Neri PM, Abdulkader F, et al. An orbital abscess secondary to intraoral impalement. J Craniofac Surg. 2020;31:1111–3. https://doi.org/10.1097/scs.0000000000006452.
Goswami S. The head of a broken toothbrush in the parapharyngeal space: a rare case report. J Indian Soc Periodontol. 2016;20:79–81. https://doi.org/10.4103/0972-124x.164763.
Goswami S, Goswami C. A broken toothbrush in the retropharyngeal space in a toddler of sixteen months. Case Rep Emerg Med. 2015;2015:485762. https://doi.org/10.1155/2015/485762.
Hennelly K, Kimia A, Lee L, et al. Incidence of morbidity from penetrating palate trauma. Pediatrics. 2010;126:e1578–84. https://doi.org/10.1542/peds.2010-1059.
Hosokawa T, Yamada Y, Tanami Y, et al. Evaluation of the normal tonsils in pediatric patients with ultrasonography. J Ultrasound Med. 2017;36:1029–36. https://doi.org/10.7863/ultra.16.05083.
Hosokawa T, Yamada Y, Takahashi H, et al. Size of the tonsil on ultrasound in children without tonsil-associated symptoms. Ultrasound Q. 2020;36:24–31. https://doi.org/10.1097/ruq.0000000000000445.
Hosokawa T, Tanami Y, Sato Y, et al. Comparison of sonographic findings between neonates with pyriform sinus fistulas and lymphangiomas. Am J Otolaryngol. 2021;42:102783. https://doi.org/10.1016/j.amjoto.2020.102783.
Hosokawa T, Tanami Y, Sato Y, et al. Point-of-care ultrasound for airway lesions. Pediatr Int. 2022. https://doi.org/10.1111/ped.15462.
Hosokawa T, Tanami Y, Sato Y, et al. Role of ultrasound in the treatment of pediatric infectious diseases: case series and narrative review. World J Pediatr. 2022. https://doi.org/10.1007/s12519-022-00606-5.
Hosomi S, Rinka H, Watanabe Y, et al. Cervical impalement injury to a child by a chopstick diagnosed with computed tomography and ultrasonography. J Anesth. 2012;26:598–600. https://doi.org/10.1007/s00540-012-1373-y.
Inoue N. Oral injuries in children presenting to a Japanese pediatric emergency room. Pediatr Int. 2017;59:826–30. https://doi.org/10.1111/ped.13299.
Moriarty KP, Harris BH, Benitez-Marchand K. Carotid artery thrombosis and stroke after blunt pharyngeal injury. J Trauma. 1997;42:541–3. https://doi.org/10.1097/00005373-199703000-00025.
Park JW, Jung JH, Kwak YH, et al. Epidemiology of pediatric visits to the emergency department due to foreign body injuries in South Korea: nationwide cross-sectional study. Medicine (Baltimore). 2019;98:e15838. https://doi.org/10.1097/md.0000000000015838.
Rong AJ, Fan KC. Multimodal imaging features of intraocular foreign bodies. 2019;34:518–32. https://doi.org/10.1080/08820538.2019.1674894.
Sagar S, Kumar N, Singhal M, et al. A rare case of life-threatening penetrating oropharyngeal trauma caused by toothbrush in a child. J Indian Soc Pedod Prev Dent. 2010;28:134–6. https://doi.org/10.4103/0970-4388.66758.
Sievert M, Miksch M, Mantsopoulos K, et al. The value of transcutaneous ultrasound in the diagnosis of tonsillar abscess: a retrospective analysis. Auris Nasus Larynx. 2021;48:1120–5. https://doi.org/10.1016/j.anl.2021.04.006.
Syebele K, Van Straten C, Chidinyane L. Oral and oropharyngeal impalement injury in pediatric patients–focus on rural environment. Int J Pediatr Otorhinolaryngol. 2012;76:1113–6. https://doi.org/10.1016/j.ijporl.2012.04.010.
Umibe A, Omura K, Hachisu T, et al. Life-threatening injury caused by complete impalement of a toothbrush: case report. Dent Traumatol. 2017;33:317–20. https://doi.org/10.1111/edt.12346.
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TH designed the study and collected and analyzed the data; TH wrote and reviewed the manuscript.
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Hosokawa, T. Ultrasound imaging for evaluation of impalement-related injuries to the oral cavity in pediatric patients: a case series study. Eur Arch Paediatr Dent 24, 241–248 (2023). https://doi.org/10.1007/s40368-023-00783-5
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DOI: https://doi.org/10.1007/s40368-023-00783-5