RT Journal Article SR Electronic T1 Multiple cranial nerve injuries and neck abscesses caused by a transorally penetrating organic stick JF BMJ Case Reports FD BMJ Publishing Group Ltd SP bcr-2017-224021 DO 10.1136/bcr-2017-224021 VO 2018 A1 Lamminmäki, Satu A1 Sinkkonen, Saku T A1 Atula, Timo YR 2018 UL http://casereports.bmj.com/content/2018/bcr-2017-224021.abstract 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.