Human aggressions by wild animals are rare but often dramatic. Among the animals that attack humans, the crocodile is singled out by the impressive power of its jaws, which leave very little chance of survival to the victim it manages to grasp. Crocodile bite lesions most often affect the limbs and trunk. Cephalic injuries are exceptional and particularly serious because of the important infectious risks and their usual mortality. The authors report a case of cranio-cervico-facial trauma due to a crocodile bite in a 16-year-old patient with deep soft tissue wounds associated with a fracture of the mandible. Emergency management resulted in a favorable outcome. The report of this case aims to highlight the clinical specificities and the modalities of management of this rare lesion entity in an under medicalized context.

Introduction: Obstructive foreign bodies of the pharynx are a relatively rare but dangerous emergency in ENT practice. Objective: To investigate cases of pharyngeal obstructive foreign bodies in the ENT by studying its epidemiological, diagnostic and therapeutic aspects. Method: a cross-sectional prospective study of 6 years from January 2015 to December 2020 was carried out in the ENT and cervico-facial surgery department. Results: we recorded 34 cases of pharyngeal obstruction by foreign bodies. The patients were aged 3 months to 39 years and the sex ratio was 1.83. The age group ranged between 3 month and 3 years was the most represented with 47.06% cases. The respiratory distress (52.94%) and dysphagia (70.59%) were the main cause of consultation in the ENT. Most Foreign bodies were toys and bottle caps in respectively 52.93% and 29.41% cases. The topography was predominantly hypopharyngeal (82.35%). The extraction was endoscopic (64.70%) and chairside (35.29%), with a favorable outcome in 97.06% of cases. Conclusion: pharyngeal obstructive foreign bodies constitutes an absolute ENT emergency, the prevention of which is based on rigorous surveillance of preschool children.