Foreign body in the hypopharynx: late prosthesis extrusion after cervical arthrodesis
Article Sidebar
Main Article Content
Abstract
This is a case report of a rare airway Foreign Body (FB), the first reported case of an extruded prosthesis of previous cervical spine arthrodesis still attached to the wall of the hypopharynx, obstructing the airway, and requiring immediate removal. A 56-year-old man with a history of previous cervical arthrodesis (C3-C7). He presented anterior displacement of the Cage Device and erosion of the posterior wall of the hypopharynx, with the prosthesis causing partial obstruction of the larynx. After the Neurosurgery and Radiology team determined that there were no risks of cervical spine instability, we were able to remove the device in the operating room using Laryngoscope and McGill forceps with success. After proper evaluation of the case, we were able to remove the foreign body uneventfully. Given the rarity of this complication, we hope this case report can assist in the treatment and management of future cases.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Rafanan AL, Mehta AC. Adult airway foreign body removal: What’s new? Clin Chest Med. 2001;22(2):319–30. doi: 10.1016/s0272-5231(05)70046-0.
Baharloo F, Veyckemans F, Francis C, Biettlot M-P, Rodenstein DO. Tracheobronchial Foreign Bodies: Presentation and Management in Children and Adults. Chest [Internet]. 1999;115(5):1357–62. doi: 10.1378/chest.115.5.1357.
Hewlett JC, Rickman OB, Lentz RJ, Prakash UB, Maldonado F. Foreign body aspiration in adult airways: Therapeutic approach. J Thorac Dis. 2017;9(9):3398–409. doi: 10.21037/jtd.2017.06.137.
Limper AH, Prakash UBS. Tracheobronchial Foreign Bodies in Adults. Ann Intern Med [Internet]. 1990 Apr 15;112(8):604–9. doi: 10.7326/0003-4819-112-8-604.
Yee TJ, Swong K, Park P. Complications of anterior cervical spine surgery: A systematic review of the literature. J Spine Surg. 2020;6(1):302–22. doi: 10.21037/jss.2020.01.14.
Geyer TE, Foy MA. Oral extrusion of a screw after anterior cervical spine plating. Spine (Phila Pa 1976). 2001;26(16):1814–6. doi: 10.1097/00007632-200108150-00019.
Fujibayashi S, Shikata J, Kamiya N, Tanaka C. Missing anterior cervical plate and screws: A case report. Spine (Phila Pa 1976). 2000;25(17):2258–61. doi: 10.1097/00007632-200009010-00018.
Cavanagh SP, Tyagi A, Marks P. Extrusion of BOP-B graft orally following anterior cervical discectomy and fusion. Br J Neurosurg. 1996;10(4):417–8. doi: 10.1080/02688699647393.
Fountas KN, Kapsalaki EZ, Machinis T, Robinson JS. Extrusion of a Screw Into the Gastrointestinal Tract After Anterior Cervical Spine Plating. Clin Spine Surg [Internet]. 2006;19(3). doi: 10.1097/01.bsd.0000164164.11277.49.
Quadri SA, Capua J, Ramakrishnan V, Sweiss R, Cabanne M, Noel J, et al. A rare case of pharyngeal perforation and expec-toration of an entire anterior cervical fixation construct. J Neurosurg Spine. 2017;26(5):560–6. doi: 10.3171/2016.10.spine16560.
Sharma RR, Sethu AU, Lad SD, Turel KE, Pawar SJ. Pharyngeal perforation and spontaneous extrusion of the cervical graft with its fixation device: A late complication of C2-C3 fusion via anterior approach. J Clin Neurosci. 2001;8(5):464–8. doi: 10.1054/jocn.2000.0826.