Oral foreign bodies are involved in a wide range of pediatric cases, from benign occurrences to those that threaten the airway. Included are cases of tongue entrapment leading to pain, edema, and ischemia. Cases in the literature report tongue entrapment in glass bottles,1- 3 aluminum cans,4,5 and pieces of balloon.6 Because such cases are sufficiently sparse, treatment often requires a creative and novel approach to ensure safe removal of the constricting object without exacerbating or causing injury to the patient. The otolaryngologist also must be prepared to provide airway management after foreign-body removal. We report, to our knowledge, the first case of a tongue trapped in a metal water bottle, subsequent removal of the bottle and management of the tongue, and a review of the literature for airway edema associated with tongue entrapment. The Duke University Medical Center Institutional Review Board reviewed this study and granted it exempt status.
Metal drinking bottle with 720-mL capacity.
Exposure of trapped tongue after half of bottle was removed.
Edematous tongue immediately after complete removal of bottle.
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