The tin whistle: A rare and serious cause of penetrating oro
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Penetrating injuries of the oropharynx and palate are common in children under the age of six. These impalement injuries are especially common amongst toddlers, given their proclivity for mechanical falls while carrying objects in their mouths. Although the majority of these injuries do not have significant or lasting sequelae, some can have detrimental complications such as involvement of the internal carotid artery with subsequent neurological deficits. Ultimately they can be life-threatening injuries. This article presents a patient who sustained a penetrating injury in which a “tin whistle” caused herniation of the parotid gland which was not detected on clinical examination. challenging clinical examination, the role of investigations and consequences of these injuries are discussed...

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