PT  - JOURNAL ARTICLE
AU  - Lamminmäki, Satu
AU  - Sinkkonen, Saku T
AU  - Atula, Timo
TI  - Multiple cranial nerve injuries and neck abscesses caused by a transorally penetrating organic stick
AID  - 10.1136/bcr-2017-224021
DP  - 2018 Jul 24
TA  - BMJ Case Reports
PG  - bcr-2017-224021
VI  - 2018
4099  - http://casereports.bmj.com/content/2018/bcr-2017-224021.short
4100  - http://casereports.bmj.com/content/2018/bcr-2017-224021.full
AB  - Foreign bodies cause a remarkable number of otolaryngological emergency visits and occasionally result in life-threatening conditions and later-emerging complications. Patient recovery depends on the detection and proper extraction of all foreign materials. Despite various obtainable diagnostic tools, adequate anamnesis forms the basis of clinical reasoning and should direct later examinations and radiological imaging. This case report describes a challenging patient with a unique trauma mechanism: many pieces of a fragmented organic foreign body emerged within 1 year of the initial injury, leading to repeated operations, a long period in an intensive care unit and a long-term swallowing and speech dysfunction.