Needle in the Haystack: Wire Bristle Foreign Body Presenting Deep Within the Tongue Base

xlomafota13 shared this article with you from Inoreader Needle in the Haystack: Wire Bristle Foreign Body Presenting Deep Within the Tongue Base Via ear nose throat Ear Nose Throat J. 2021 May 16:1455613211014079. doi: 10.1177/01455613211014079. Online ahead of print. ABSTRACT OBJECTIVES: To report a case of ingested wire bristle embedded within the extrinsic musculature of the tongue requiring a transcervical approach for removal and to provide a revised algorithm for the management of ingested wire bristles. METHODS: The clinical record of 1 patient who ingested a grill brush wire bristle was reviewed. A literature review was al so conducted to refine a treatment algorithm for managing ingested wire bristles. RESULTS: We present a case of a 53-year-old male who accidentally ingested a grill brush wire bristle. After multiple unsuccessful endoscopic attempts at removal, the wire bristle migrated deep into the extrinsic musculature of the tongue, necessitating a transcervical approach for adequate visualization and retrieval. CONCLUSIONS: This is the first case reported of a wire bristle migrating deep into the tongue musculature that was successfully removed via a transcervical approach. Our proposed algorithm provides a comprehensive approach to the management of ingested wire bristles, specifically in cases where endoscopic retrieval is not feasible. PMID:33993775 | DOI:10.1177/01455613211014079 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.