Abstract
Vascular surgery was consulted who recommended removal of the extruding filament within the nasopharynx using an endoscopic approach to reduce the potential communication with the internal vasculature. Open removal of the foreign body was reserved as a last resort given the potential significant morbidity associated with such surgery. The patient was taken to the OR. Under general anesthesia he was prepared for sinonasal surgery. Under direct visualization with a nasal endoscope, endoscopic scissors were used to amputate the filament at the mucosal junction. Post operatively, the patient recovered without complications. Post-operative CT and angiography was ordered but never completed. On follow up examinations up to 9 months, there had been no further recurrence of symptoms, extrusion, or complications.
Highlights
Oral or nasal foreign bodies are a common hospital problem within otolaryngology with an incidence which most often occurs in the pediatric population [1]
EVC: Endovascular Coiling; CT: Computed Tomography; FoR: Fossa of Rosenmuller; ET: Eustachian Tube the coil in clinic may potentially result in vessel rupture, bleeding and stroke
Several cases (Table 1) [3,4] have been reported in the literature following endovascular coiling of a traumatic pseudoaneurysm presenting within 6 weeks of coiling
Summary
Endovascular coil erosion, Nasal foreign body, Nasopharyngeal foreign body, Internal Carotid artery aneurysm. EVC: Endovascular Coiling; CT: Computed Tomography; FoR: Fossa of Rosenmuller; ET: Eustachian Tube the coil in clinic may potentially result in vessel rupture, bleeding and stroke. This is in contrast with most nasopharyngeal foreign bodies, which can usually be retrieved without serious complication [1]. Treatments for endovascular coil erosion in cases reports of traumatic pseudoaneurysms have involved trimming the
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