A four year old presented who aspirated a
tamarind seed two weeks before. Every time we tried to remove the large,
swollen seed through the vocal cords it would fall off the forceps. Breaking
the hard seed into smaller pieces to allow passage was also unsuccessful. Even
by paralyzing the patient we could not extract the seed. Keeping the patient
sufficiently oxygenated was a problem. An incision was made in his trachea and
the seed was removed directly from the wider trachea. The child was discharged
healthy in four days.
A 60 year old man presented septic, with a deep
neck abscess. He had had a tooth removed six years ago. His x-ray showed a
dense object in his peritonsillar region and examination of the oral cavity
showed a partially visible object. His neck was drained of 150 milliliters of
exudate and removal of the object revealed it to be a round piece of wood with
a ceramic base. It looked like a prosthetic crown or the broken end of an oral
clamp. The patient denies having had a prosthetic crown put in after his tooth
removal; however, it will be shown to the maxillary surgeon for further
clarification.
Tamarind Seed
Tamarind Seed
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