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Pharyngeal trauma in children – accidental and otherwise

Published online by Cambridge University Press:  29 June 2007

P. M. J. Tostevin ,
L. J. Hollis  and
C. M. Bailey
P. M. J. Tostevin*
Affiliation:
Department of Paediatric Otolaryngology, Great Ormond Street Hospital for Children, London, UK.
L. J. Hollis
Affiliation:
Department of Paediatric Otolaryngology, Great Ormond Street Hospital for Children, London, UK.
C. M. Bailey
Affiliation:
Department of Paediatric Otolaryngology, Great Ormond Street Hospital for Children, London, UK.
*
Dr p. M. J. Tostevin, 1 Beaufort House, 30 Winders Road, London SW1 1 3HB.
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Abstract

Pharyngeal perforation is an uncommon injury in children. Most reported cases to date have been secondary to instrumentation or penetrating wounds. Laceration to the pharyngeal wall may introduce air, secretions and bacteria into the parapharyngeal space and mediastinum and consequently has potentially life-threatening sequelae. The management of these injuries is controversial. We present a series of four children who suffered pharyngeal trauma, accidentally and otherwise, and discuss their management.

We recommend a high index of suspicion of pharyngeal injury in all cases of oropharyngeal trauma and overnight admission to hospital for observation until an accurate diagnosis has been established. Non- accidental injury of the child must be seriously considered in all cases.

Keywords

PharynxWounds and injuriesChild
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 12 , December 1995 , pp. 1168 - 1175
Copyright
Copyright © JLO (1984) Limited 1995

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References

Coulthard, M., Isaacs, D. (1991) Retropharyngeal abscesses. Archives of Diseases in Childhood 66 (10): 1227–1230.CrossRefGoogle Scholar
Dolgin, S. R., Wykoff, T. W., Kumar, N. R., Maniglia, A. J. (1992) Conservative medical management of traumatic pharyngo-esophageal perforations. Annals of Otology, Rhinology and Laryngology 101: 209–211.CrossRefGoogle ScholarPubMed
Efrati, Y. (1992) Oral blast injury caused by an accident. Annals of Otology, Rhinology and Laryngology 102: 528–529.CrossRefGoogle Scholar
Fliss, D., Goldstein, Y., Tovi, F. (1988) Cervicomediastinal emphysema due to oropharyngeal injury. Harefuah 114: 125–126.Google Scholar
Hagan, W. E. (1983) Pharyngoesophageal perforations after blunt trauma to the neck. Otolaryngology — Head and Neck Surgery 91: 620–626.CrossRefGoogle ScholarPubMed
Hartmann, R. W. (1992) Recognition of retropharyngeal abscess in children. The American Family Physician 46: 193–198.Google ScholarPubMed
Hood, R. M. (1957) Rupture of the esophagus by compressed carbon dioxide. U.S. Armed Forces Medical Journal 8: 587.Google ScholarPubMed
Krekorian, E. A. (1975) Laryngopharyngeal injuries. Laryngoscope 85: 2069–2086.CrossRefGoogle ScholarPubMed
Meyers, A. D. (1978) Hypopharyngeal perforations in neonates. Archives of Otolaryngology 104: 51–52.CrossRefGoogle ScholarPubMed
Olu Ibekwe, A. (1991) Fracture of the hyoid bone with laceration of the pharynx. West African Journal of Medicine 10: 198–199.Google ScholarPubMed
O'Neill, J. E., Giffen, J. P., Cottrell, J. E. (1984) Pharyngeal and esophageal perforation following endotracheal intubation. Anaesthesiology 40: 487–88.CrossRefGoogle Scholar
Sethi, D. S., Chew, C. T. (1991) Retropharyngeal abscess The foreign body connection. Annals of the Academy of Medicine 20 (5): 581–588.Google ScholarPubMed
Tucker, H. M., Padula, R. T. (1968) Nonpenetrating traumatic perforation of the pharynx. Archives of Otolaryngology 87: 97–99.CrossRefGoogle ScholarPubMed