Imaging plays an important role in the diagnosis, staging and prognosis of JNA. Certain radiological changes as seen on CECT were observed to be consistent in our case series. This study analysed preoperative and postoperative CECT of large series of JNA patients to evaluate the sites and pattern of spread of tumor. We evaluated the clinical significance of pterygoid wedge in preoperative and postoperative imaging and thus elucidating two new radiological signs. Retrospective analysis of the pre operative and post operative imaging data of 242 patients with JNA. The findings in the scan were clinically correlated with the endoscopic intraoperative findings. Preoperative evaluation of the pterygoid wedge revealed widening on the involved side in 99.1% of our cases which is 1.8 times greater compared to the uninvolved side. The possibility of residual/recurrent tumor was found to be significantly higher in those where the pterygoid wedge was not removed by drilling (p \ 0.001) Drilling of the pterygoid wedge intra operatively, reduced the rate of residual/recurrence from 31.9 to 3.07%. Widening of the pterygoid wedge seen in the preoperative CECT, referred as RAM HARAN sign occurs in JNA. It has a significant diagnostic value as a radiological sign in JNA. Drilling of the pterygoid wedge intraoperatively reduces the rate of recurrence of JNA. Appearance of the two pterygoid plates on postoperative CECT, as two parallel lines, referred as Chopstick sign, has a remarkable prognostic value as a radiological sign in JNA.

Ingestion of foreign bodies and migration to extraluminal spaces causing suppurative complications is a rare event. Extraluminal migration of the foreign bodies may cause serious vascular and suppurative complications. We present a rare case of an accidentally ingested foreign body which presented with suppurative complication. The localization of the foreign body was challenging and an open approach was used to remove the foreign body. Keywords: foreign body, migrating foreign body, extraluminal foreign body, metallic foreign body Journal of Otolaryngology-ENT Research Case Report Open Access Migration of metallic wire foreign body slicked and instilled in to the lower part of hypopharynx to the neck -a rare case report 124 Copyright: ©2018 Janakiram et al. Citation: Janakiram TN, Samavedam UC, Savaram KK, et al. Migration of metallic wire foreign body slicked and instilled in to the lower part of hypopharynx to the neck -a rare case report. Citation: Janakiram TN, Samavedam UC, Savaram KK, et al. Migration of metallic wire foreign body slicked and instilled in to the lower part of hypopharynx to the neck -a rare case report.