We conclude that anaesthesia for cleft lip and palate repair in hospital based team-cleft care activities in our environment is relatively safe. We recommend general anaesthesia with controlled ventilation for children and local anaesthesia for adult and older children who can cooperate.

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Children often play with sharp objects in their mouths without knowing the injurious effects of such action. These objects can accidentally cause severe injury to oro-pharyngeal tissues. Timely removal of such objects is essential to prevent life threatening complications. This paper presents a case of an intraoral penetrating injury in a 5 year old patient caused by a long metallic foreign object. The foreign body was successfully removed by meticulous exploration through the existing wound. Educational measures such as enlightening the parents and guardians on the importance of keeping dangerous materials from the reach of their children may be necessary. The need to immediately bring such patients to the hospital for expert management in case of inadvertent injury and also to comply with follow-up appointments is also essential.

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