Abstract

A 22-year-old male, tailor by profession presented to Ear Nose Throat (ENT) emergency with accidental ingestion of needle while cleaning his teeth which was associated with difficulty in swallowing (more for solids than liquids) and irritation in throat. On clinical examination no foreign body was seen. Diagnosis of extraluminal migration can be done with the help of Computed tomograms (CT) scans which can provide exact location of foreign body before surgical exploration. C-arm can be utilized specially in metallic foreign bodies to localize during the surgery. In our case both CT and C-Arm were used and foreign body was removed by transcervical route without any complication. In case of absence of foreign body on intraluminal assessment, possibility of migration of foreign body should be completely ruled out and patient should be investigated accordingly.

Keywords

migratory, hypopharynx, ear, nose, throat