ISSN: 2161-119X

Otolaryngology: Open Access
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  • Case Report   
  • Otolaryngol (Sunnyvale) 2015, Vol 5(3): 194
  • DOI: 10.4172/2161-119X.1000194

Iatrogenic Foreign Body during Extraction

Schweta Singh and Anupam Mishra*
Department of Otolaryngology and Head and Neck Surgery, , King George Medical University, Lucknow (UP), India
*Corresponding Author : Anupam Mishra, Department of Otolaryngology and Head and Neck Surgery, King George Medical University, Lucknow (UP), India, Tel: 91-9415022129, Email: amishra_ent@yahoo.com

Received Date: Jul 31, 2014 / Accepted Date: Mar 28, 2015 / Published Date: Mar 31, 2015

Abstract

Importance: A part of instrument used to grasp the foreign body may get fractured during its use and its fatal dislodgement may render the treating physician liable. This case being second such in the literature highlights the factors behind such mishap and due precautions to avoid such risk.

Observations: A prong of a strong/ stout crocodile action forceps fractured during attempts to firmly hold a metallic foreign body prior to its extraction. It slipped in the digestive tract as the airway was secured with cuffed endotracheal tube and subsequently was excreted per via naturalis.

Conclusions and relevance: The contributing factors for failure of metallic instrument can be related to its (1) moderate to severe degree of Impaction and (2) quality of metal used in the instrument: Routine inspection of microsurgical instruments for early detection of metal corrosion and fatigue is desirable while strength of forceps may be tested by its firm grasp / indention on a paraffin wax. An international standard be made for all manufacturers to disclose the speculated time of its safe use or else be made liable for such accident.

Citation: Singh S, Mishra A (2015) Iatrogenic Foreign Body during Extraction. Otolaryngology 5:194. Doi: 10.4172/2161-119X.1000194

Copyright: © 2015 Singh S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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