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  • Title: Penetrating pharyngeal injuries in children: trivial trauma leading to devastating complications.
    Author: Luqman Z, Khan MA, Nazir Z.
    Journal: Pediatr Surg Int; 2005 Jun; 21(6):432-5. PubMed ID: 15891890.
    Abstract:
    Pharyngeal perforations are uncommon in children and are usually secondary to instrumentation or external penetrating injuries. A delay in management can lead to life-threatening complications such as retropharyngeal abscess, mediastinitis, and airway compromise. We report three children who had pharyngeal perforation due to apparently innocuous injury and who developed serious complications. A high index of suspicion for a significant pharyngeal injury, use of lateral soft-tissue x-ray films of the neck, and flexible endoscopy in the emergency room can assist in early diagnosis when evaluating patients with oropharyngeal and penetrating neck injury. Prompt administration of broad-spectrum antibiotics, local drainage, and debridement can avert life-threatening complications.
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