Tongue trapped in lid

Samuel, Megan; Tyers, Clare; Davies, H. T. O.

doi:10.1038/s41415-019-0905-3

Cited by 4 publications

(3 citation statements)

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“…All reported cases in the literature were first approached conservatively with gentle traction (Table 1). 4–11,13 Topical anaesthetic such as viscous xylocaine can be used to lubricate the tongue and alleviate discomfort 6,8,14 . Attempts can also be made to release the vacuum seal either through draining the contents, cutting through the bottle or the use of positive pressure 4–6,8–10,12,14,15 .…”

Section: Discussionmentioning

confidence: 99%

“…If done for prolonged periods, this act may lead to entrapment of the tongue due to the negative pressure created, tongue engorgement and potential retentive features of the bottle. Delays in removal can result in severe venous congestion, oedema, ischaemia and necrosis of the tongue 4,5,7,9–12 . Clinicians should also be aware of the potential risk of airway compromise and difficulties in establishing a secure airway during management.…”

Section: Introductionmentioning

confidence: 99%

“…Delays in removal can result in severe venous congestion, oedema, ischaemia and necrosis of the tongue. 4,5,7,[9][10][11][12] Clinicians should also be aware of the potential risk of airway compromise and difficulties in establishing a secure airway during management. This report details a young child's tongue entrapment in a bottle of unique design, and how multidisciplinary coordination allowed for timely removal of the foreign body without compromising the airway.…”

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An unusual case of a foreign body: A child’s tongue entrapped in a soft drink bottle

Yee

Kwek

Bong

et al. 2021

Dental Traumatology

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Young children often present at the emergency department (ED) with foreign bodies in their mouths, including the occasional bottles and cans. Previous reports of tongue entrapment have presented cases where bottles were mostly made of glass or metal. A 4‐year‐old girl presented to the ED with her tongue entrapped in a uniquely designed plastic bottle. Attempts at conservative methods of removal such as gentle traction, breaking of the vacuum seal and use of lubricants were unsuccessful. The child was brought to the operating theatre for further management. Anaesthesia induction with a facemask was not possible as the plastic bottle was protruding from the tongue and would not allow an adequate seal around the nose and mouth. To overcome such challenges of a shared airway and workspace, the child was placed under intravenous propofol sedation initially until the prompt removal of foreign body allowed subsequent mask placement and oral intubation. The foreign body was eventually removed by sectioning the inflexible plastic into two pieces with a water‐cooled high speed dental diamond bur. The child remained stable intra‐operatively and subsequent post‐operative recovery was uneventful. This report highlights the importance of multidisciplinary coordination to reduce delays when liberating the entrapped tongue so as to minimize potential complications from the injury.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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An unusual case of a foreign body: A child’s tongue entrapped in a soft drink bottle

Yee

Kwek

Bong

et al. 2021

Dental Traumatology

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Managing the risk from children’s travel cups

et al. 2021

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IntroductionUK national newspapers have reported cases of children (and adults) who have got their tongue trapped in a Disney travel mug lid, causing extreme distress to the patients, their parents and ED staff. Potential risks include oral endotracheal intubation necessitating emergency tracheostomy to secure the airway, tongue necrosis and dental trauma. Although Disney has withdrawn their original mug from the global market, the same dangers can occur with other internationally available brands. Our aim was to design, test and present an alternative lid.Methods and materialsWe designed an alternative lid to fit onto the original Disney mug; our addition of two parallel bars prevented tongue protrusion into the lid. Prototypes of the original and new lids were three-dimensional printed for testing. A tongue substitute was developed and a representative 0.2 bar suction force was generated. The bottle was mounted in a material test machine, attached to the load cell fixture. Four samples each for the existing and new design were tested. The data were analysed by a custom Matlab script to extract the maximum force required to remove the tongues from the cup.ResultsThe new design resulted in a significant (p=0.0286, Mann-Whitney U) reduction in pullout force. For the existing design, the median pullout force was 4.64 N (minimum 3.86 N, maximum 4.91 N), while it was 2.37 N (minimum 2.20 N, maximum 2.53 N) for the new design. Trauma to the materials used with the original lid design was evident but not observed with our design.ConclusionOur lid appears to offer a safer design that can avoid injuries. However, absolute safety remains unproved, as testing did not account for other body parts which may get trapped in the lid, nor did we test a range of tongue substitute sizes, and laboratory testing only was completed.

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A non-invasive and simple method of rescuing an entrapped tongue from a glass water bottle for a small state hospital: a case report

Oral,

Mert,

Köktürk

2024

Pediatr Emerg Med J

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If children try to vigorously drink fluid from a glass bottle or play with it, their tongues can be entrapped in the bottle wherein the vacuum is created. The entrapped tongue causes lingual edema, leading to the lingual necrosis and upper airway obstruction. In this case, a 5-year-old boy whose tongue was entrapped in a glass bottle visited the emergency department of a small state hospital, where his tongue was removed non-invasively by applying positive pressure into the bottle.

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Tongue trapped in lid

Cited by 4 publications

References 0 publications

An unusual case of a foreign body: A child’s tongue entrapped in a soft drink bottle

An unusual case of a foreign body: A child’s tongue entrapped in a soft drink bottle

Managing the risk from children’s travel cups

A non-invasive and simple method of rescuing an entrapped tongue from a glass water bottle for a small state hospital: a case report

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