Prince Handa Senior Resident, Department of Otorhinolaryngology, Maulana Azad Medical College & Lok Nayak Hospital, New Delhi, India
Devesh Nogia PG Resident, Department of Otorhinolaryngology, Maulana Azad Medical College & Lok Nayak Hospital, New Delhi, India
Ashish Gopal Consultant, Department of Otorhinolaryngology, Maulana Azad Medical College & Lok Nayak Hospital, New Delhi, India
Pratik Kumar Senior Resident, Department of Otorhinolaryngology, Maulana Azad Medical College & Lok Nayak Hospital, New Delhi, India
Shafaat Ahmad Senior Resident, Department of Otorhinolaryngology, Maulana Azad Medical College & Lok Nayak Hospital, New Delhi, India
Anubha Mangla PG Resident, Department of Otorhinolaryngology, Maulana Azad Medical College & Lok Nayak Hospital, New Delhi, India
Ishwar Singh Consultant, Department of Otorhinolaryngology, Maulana Azad Medical College & Lok Nayak Hospital, New Delhi, India
Address for correspondence: Prince Handa, Senior Resident, Department of Otorhinolaryngology, Maulana Azad Medical College & Lok Nayak Hospital, New Delhi, India E-mail: princehanda1651@gmail.com
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Nogia D, Handa P, Gopal A, et al. Hidden Dangers of Oral Hygiene: Oropharyngeal Impalement by Toothbrush in a 3-Year-old. RFP J ENT Allied Sci 2025;10(2):61–64.
Timeline
Received : July 17, 2025
Accepted : September 13, 2025
Published : December 30, 2025
Abstract
Introduction: Oropharyngeal impalement injuries in children are common due to behavioral tendencies such as walking or playing with objects in the mouth. Although most injuries are benign, a subset can lead to serious complications. Case Report: We report a case of a 3-year, 4-month-old male who sustained a penetrating injury to the oropharynx after a fall while brushing his teeth. The toothbrush became lodged into the left tonsillar fossa, causing significant discomfort and distress. Emergency transoral endoscopic removal was performed under sedation with standby tracheostomy. No vascular or airway injury was noted, and the patient recovered uneventfully.
Conclusion: Though seemingly trivial, oropharyngeal penetrating trauma with common household objects like toothbrushes can pose life-threatening risks. Prompt evaluation and careful extraction are critical to avoid complications.
References
1. Kupietzky A. Clinical guidelines for treatment of impalement injuries of the oropharynx in children. Pediatr Dent. 2000;22(3):229–31.
2. Younessi OJ, Alcaino EA. Impalement injuries of the oral cavity in children: a case report and survey of the literature. Int J Paediatr Dent. 2007 Jan;17(1):66–71.
3. Hellmann JR, Shott SR, Gootee MJ. Impalement injuries of the palate in children: review of 131 cases. Int J Pediatr Otorhinolaryngol. 1993 Mar;26(2):157–63.
4. Ratcliff DJ, Okada PJ, Murray AD. Evaluation of pediatric lateral oropharyngeal trauma. Otolaryngol Head Neck Surg. 2003 Jun;128(6):783–7.
5. Lalitha RM, Ranganath K, Prasad K, Agrawal K, Perumal M. Potential danger of toothbrushes for children. J of Invest & Clin Dent. 2011 May;2(2):148–50.
6. Quirynen M, de Soete M, Pauwels M, Goossens K, Teughels W, van Eldere J, et al. Bacterial survival rate on tooth- and interdental brushes in relation to the use of toothpaste. J Clin Periodontol. 2001 Dec;28(12):1106–14.
7. Kosaki H, Nakamura N, Toriyama Y. Penetrating injuries to the oropharynx. J Laryngol Otol. 1992 Sep;106(9):813–6.
9. Sasaki T, Toriumi S, Asakage T, Kaga K, Yamaguchi D, Yahagi N. The Toothbrush: A Rare but Potentially Life-Threatening Cause of Penetrating Oropharyngeal Trauma in Children. Pediatrics. 2006 Oct 1;118(4):e1284–6.
10. V N, Prasad KC, G I, Mohammadi K. Varied Manifestations of Sharp Penetrating Foreign Bodies in the Aerodigestive Tract: Our Experience. Cureus. 2023 May 26;15(5).
Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
No conflicts of interest in this work.
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Cite this article
Nogia D, Handa P, Gopal A, et al. Hidden Dangers of Oral Hygiene: Oropharyngeal Impalement by Toothbrush in a 3-Year-old. RFP J ENT Allied Sci 2025;10(2):61–64.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.