Head and Neck: Pediatrics

  • Reza Rahbar
  • Gerald B. Healy


A child is discovered to have ingested a hearing aid battery. Radiographically, it is seen at the level of the distal esophagus. Which of the following represents the best management plan?
  1. (A)

    No intervention; follow the patient clinically (inpatient)

  2. (B)

    No intervention; follow the patient clinically (outpatient)

  3. (C)

    Follow the progression of the foreign body radiographically

  4. (D)

    Surgically remove the battery

  5. (E)

    Remove the battery endoscopically



Nasal Bone Peritonsillar Abscess Nasal Fracture Racemic Epinephrine Laryngeal Trauma 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Committee on Infectious Diseases. Haemophilus influenzae type B conjugate vaccines: recommendations for immunization with recently and previously licensed vaccine. Pediatrics 1993; 92:480–488.Google Scholar
  2. 2.
    American Academy of Pediatrics. Parainfluenza virus infections. In Peter G, ed. 1994 Red Book: Report of the Committee on Infectious Diseases, 23rd ed. Elk Grove Village, IL: American Academy of Pediatrics, 1994; 341–342.Google Scholar
  3. 3.
    Cressman WR, Myer CM III. Diagnosis and management of croup and epiglottitis. Pediatr Clin North Am 1994; 41:265–276.PubMedGoogle Scholar
  4. 4.
    McEniery J, Gillis J, Kilham H, Benjamin B. Review of intubation in severe laryngotracheobonchitis. Pediatrics 1991; 87:847–853.PubMedGoogle Scholar
  5. 5.
    Dennelly BW, McMillan JA, Weiner LB. Bacterial tracheitis: report of eight new cases and review. Rev Infect Dis 1990; 12:729–735.Google Scholar
  6. 6.
    Haeggstrom A, Gustafsson O, Engquist S, Engstrom CF. Intraoral ultrasonography in the diagnosis of peritonsillar abscess. tolaryngol Head Neck Surg 1993; 108:243–247.Google Scholar
  7. 7.
    Holt GR, Timsley PP. Peritonsillar abscesses in children. Laryngoscope 1981; 91:1226–1230.CrossRefPubMedGoogle Scholar
  8. 8.
    DiLorenzo RA, Singer JI, Matre WM. Retropharyngeal abscess in an afebrile child. Am J Emerg Med 1993; 11:151–154.CrossRefGoogle Scholar
  9. 9.
    Stanley RB. The zygomatic arch as a guide to reconstruction of comminuted malar fractures. Arch Otolaryngol Head Neck Surg 1989; 115:1459–1462.PubMedGoogle Scholar
  10. 10.
    Stanley R B, Nowak GM. Midfacial fractures: importance of angle of impact to horizontal craniofacial buttresses. Otolaryngol Head Neck Surg 1985; 93:186–192.PubMedGoogle Scholar
  11. 11.
    Krause C. Nasal fractures: evaluation and repair. In Mathog RH, ed. Maxillofacial Trauma. Baltimore: Williams & Wilkins, 1984: 257–268.Google Scholar
  12. 12.
    Clayton MI, Lesser THJ. The role of radiography in the management of nasal fractures. J Laryngol Otol 1986; 100:797–801.CrossRefPubMedGoogle Scholar
  13. 13.
    Altreuter RW. Nasal trauma. Emerg Med Clin North Am 1987; 5:293–300.PubMedGoogle Scholar
  14. 14.
    Waldron J, Mitchell DB, Ford G. Reduction of fractured nasal bones; local vs. general anesthesia. Clin Otolaryngol 1989; 14:357–359.CrossRefPubMedGoogle Scholar
  15. 15.
    Brennan J, Meyers A, Jafek B. Penetrating neck trauma: a 5-year review of the literature, 1983-1988. Am J Otolaryngol 1990; 11:191–198.CrossRefPubMedGoogle Scholar
  16. 16.
    Miller R, Duplechain J. Penetrating wounds of the neck. Otolaryngol Clin North Am 1991; 24:15–31.PubMedGoogle Scholar
  17. 17.
    Schaefer SD, Close LG. The acute management of laryngeal trauma: an update. Ann Otol Rhinol Laryngol 1989; 98: 98–104.PubMedGoogle Scholar
  18. 18.
    Schaefer SD, Brown OE. Selective application of CT in the management of laryngeal trauma. Laryngoscope 1983; 93:1473–1475.PubMedGoogle Scholar
  19. 19.
    Stanley RB, Cooper DS, Florman SH. Phonatory effects of thyroid cartilage fractures. Ann Otol Rhinol Laryngol 1987; 96:93–496.Google Scholar
  20. 20.
    Leopold DA. Laryngeal trauma. Arch Otolaryngol Head Neck Surg 1983; 109:106–112.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Reza Rahbar
    • 1
  • Gerald B. Healy
    • 2
  1. 1.Department of Otolaryngology, Harvard Medical SchoolBoston Children’s HospitalBostonUSA
  2. 2.Department of Otolaryngology, Harvard UniversityChildren’s HospitalBostonUSA

Personalised recommendations