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First day back at school: an unusual presentation of a foreign body in the mouth
  1. J Windsor,
  2. I Hore,
  3. J Fong,
  4. S McGuinness
  1. University College London Hospital, London, UK; jswindsordoctors.org.uk

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    A distressed 8 year old child presented to the emergency department with part of a pencil sharpener firmly attached to the tip of her tongue. The small opening at the base of the aluminium globe had acted as a constricting ring, causing the tip of the tongue to swell and fill the contents of the globe. Although baseline observations were normal, the patient was unable to swallow effectively and was only able to breathe through her nose.

    Using a small circular saw the globe was removed and following administration of dexamethasone and diclofenac, the patient was discharged the following day.


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