Toothbrush: A Report of an Unusual Foreign Body

Document Type: Case Report

Authors

Hearing & Speech Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

Abstract

Introduction:
Ingestion of a foreign body is a common problem among all age groups. Most of the foreign bodies in the pharynx are usually lodged at the level of cricopharynx. The diagnosis is based on history, clinical, and radiological examination. Most foreign-body ingestions are accidental, but there may be contributory factors such as mental disorder, alcoholism, and prison incarceration. Toothbrush ingestion is uncommon and requires prompt medical attention.
 
Case Report:
In this article, a rare case of a toothbrush foreign body is presented. The ingestion was caused by a seizure and the toothbrush was removed through surgical management.
 
Conclusion: 
An ingested toothbrush will not pass spontaneously. The best management is early endoscopy performed by a skilled surgeon. If this is unsuccessful, surgical management can be performed.

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Main Subjects


1. Chander Sharma R, Singh Dogra SK, Mahajan V. Oro-Pharyngo-Laryngeal Foreign Bodies: Some Interesting Cases. Indian J Otolaryngol Head Neck Surg 2012, 64(2):197–200

2. Saki N, Nikakhlagh S, Safai F, Peyvasteh M. Esophageal Foreign Bodies in children. Pakistan Journal of Medical Sciences 2007; 23(6):854-6.

3.Saki N, Tahmasebi M, Nikakhlagh S. Diagnostic Accuracy of Conventional Radiography for Esophageal Foreign Bodies in Adults. Iran J Radiol 2008, 5(4):199-204.

4. Sewpaul A, Shaban F, Venkatasubramaniam AK, Tennant D,  Kellya SB. The case of the forgotten toothbrush. Int J Surg Case Rep 2012; 3(5): 184–5.

5. Karim Jamal, Shalin Shaunak, Sarandeep Kalsi, Dhiren Nehra. Successful Laparoscopic Removal of an Ingested Toothbrush. J Surg Tech Case Rep 2013; 5(2): 99–102

6. Duncan T.Wilcox, Hratch L. Karamanoukian, Philip L.  Toothbrush Ingestion by Bulimics May Require Laparotomy. Journal of Pediatric Surgery 1994, 29(12): 1596.

7. Jan Christoph Karcher, Christoph von Buch,Karl-Ludwig Waag, Konrad Reinshagen. Gastrobronchial fistula after toothbrush ingestion. Journal of Pediatric Surgery 2006, 41: 1768–70.

8. M. MUGHAL. Accidental ingestion of a toothbrush! Archives of Emergency Medicine 1986, 3: 119-123.