Pharyngeal foreign bodies are quite common. Their diagnosis is usually easy. The risk of complications including retropharyngeal abscess and mediastinitis is rare and it depends mainly on the nature of the foreign body and the period of the therapeutic management. The occurrence of these complications darkens the prognosis of this affection usually benign. We report a 21 years old patient, without any significant history, admitted to the emergency for a high painful dysphagia and impaired general condition with fever 20 days after trauma in the posterior pharyngeal wall following a meal. The radiological assessment including cervico-thoracic CT scan had objectified the presence of a metallic foreign body in the retropharyngeal space associated with a retropharyngeal abscess and aggravated by a mediastinitis following the migration of the foreign body to the chest. Biological markers of infection were very increased. The therapeutic management consisted of a surgical drainage of the collections by a cervicotomy with removal of the foreign body. The outcome was favorable clinically and biologically. Pharyngeal foreign bodies are common and favorable when the diagnosis and extraction are made on time. The occurrence of complications, especially retropharyngeal abscess and mediastinitis is rare and burdened with a high morbidity and mortality.

The tracheostomy is a surgical opening of the trachea which is made at the level of its anterior face, 2 cm above the sternal fork permitting the placement of a tracheostomy cannula in a temporary or definitive way and this according to the indication of its realization. The tracheostomy is the surgical connection of the trachea to the skin. The prolonged wearing of a tracheostomy cannula at the level of the tracheostomy orifice can expose to certain complications which can prove to be serious. It presents risks of postoperative complications, especially late ones. The most frequent are granulomas, tracheal stenosis, infections, and fistulas. Tracheal or tracheobronchial migration of the tracheostomy cannula remains exceptional. We present a very rare case of an elderly subject followed for Parkinson's disease with a dementia syndrome, who underwent a total laryngectomy 3 years ago with prolonged placement of a tracheostomy cannula at the tracheostomy orifice. The patient presented to the emergency room with progressively worsening respiratory distress and desaturation, evolving in a febrile context, suggesting a sars cov19 infection in the current epidemiological context. A thoracic CT scan rectified the diagnosis by showing a pneumopathy on an unrecognized tracheotomy cannula at the tracheobronchial level. Indeed, this complication is secondary to the embrittlement of the cannula following poor maintenance. The use of a tracheostomy cannula for a long period of time requires a regular and particular surveillance, a rigorous maintenance and care of the cannula to avoid the occurrence of complications which can be seriousThe tracheostomy is a surgical opening of the trachea which is made at the level of its anterior face, 2 cm above the sternal fork permitting the placement of a tracheostomy cannula in a temporary or definitive way and this according to the indication of its realization. The tracheostomy is the surgical connection of the trachea to the skin. The prolonged wearing of a tracheostomy cannula at the level of the tracheostomy orifice can expose to certain complications which can prove to be serious. It presents risks of postoperative complications, especially late ones. The most frequent are granulomas, tracheal stenosis, infections, and fistulas. Tracheal or tracheobronchial migration of the tracheostomy cannula remains exceptional. We present a very rare case of an elderly subject followed for Parkinson's disease with a dementia syndrome, who underwent a total laryngectomy 3 years ago with prolonged placement of a tracheostomy cannula at the tracheostomy orifice. The patient presented to the emergency room with progressively worsening respiratory distress and desaturation, evolving in a febrile context, suggesting a sars cov19 infection in the current epidemiological context. A thoracic CT scan rectified the diagnosis by showing a pneumopathy on an unrecognized tracheotomy cannula at the tracheobronchial level. Indeed, this complication is secondary to the embrittlement of the cannula following poor maintenance. The use of a tracheostomy cannula for a long period of time requires a regular and particular surveillance, a rigorous maintenance and care of the cannula to avoid the occurrence of complications which can be serious.

No abstract

Background and Objectives: To evaluate the health-related quality of life (HRQoL) in parents of children with cochlear implants and assess influencing factors. These data can enable practitioners to support patients and their families in utilizing the cochlear implant and its benefits to the fullest extent. Subjects and Methods: A retrospective descriptive and analytic study was conducted at the Implantation center Mohammed VI. Parents of cochlear implant patients were asked to fill out forms and answer a questionnaire. Participants included parents of children <15 years old who underwent unilateral cochlear implantation between January 2009 and December 2019, presenting with bilateral severe to profound neurosensory deafness. Participants completed the children with co chlear implantation: parent's perspective (CCIPP) HRQoL questionnaire. Results: The mean age of the children was 6.49 ± 2.55 years. The mean time between implantation for each patient and this study was calculated as 4.33±2.05 years. There was a positive correlation between this variable and the following subscales: communication, well-being and happiness, and the process of implantation. For these subscales, the score was higher as the delay was greater. Parents of children who received speech therapy before implantation were more satisfied on the following subscales: communication, general functioning, well-being and happiness, implantation process, implantation effectiveness, and support for the child. Conclusions: The HRQoL is better in families of children who received their implant at an early age. This finding raises awareness of the importance of systemic screening in newborns.

Persistent stapedial artery (PSA) is a rare congenital vascular anomaly, with both clinical and surgical implications. When encountered during middle ear surgery, it represents a challenge to the otologic surgeon, since damage to this artery could lead to massive intraoperative bleeding and poor surgical exposure. Here we report the case of a 3-year-old boy with prelingual and profound bilateral sensorineural hearing loss who was referred to our Otolaryngology-Head and Neck Surgery Department for cochlear implant evaluation. Pre-operative computed tomography (CT) examination of the temporal bone confirmed the diagnosis of PSA. Further evaluation showed no contraindication for surgery and the patient underwent cochlear implantation using the classic transmastoid, facial recess approach. During surgery the vessel was coursing far enough from the round window niche, making it possible to achieve safe and complete electrode insertion into the scala tympani of the cochlear basal turn. This case demonstrates that cochlear implantation is safe and feasible in patients with PSA. Thorough analysis of the preoperative temporal bone CT scan might help with surgical planning by identifying this anomaly prior to surgery.