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This case report describes a challenging patient with a unique trauma mechanism: many pieces of a fragmented organic foreign body emerged within 1\u2009year of the initial injury, leading to repeated operations, a long period in an intensive care unit and a long-term swallowing and speech dysfunction.<\/jats:p>","DOI":"10.1136\/bcr-2017-224021","type":"journal-article","created":{"date-parts":[[2018,7,24]],"date-time":"2018-07-24T14:04:44Z","timestamp":1532441084000},"page":"bcr-2017-224021","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Multiple cranial nerve injuries and neck abscesses caused by a transorally penetrating organic stick"],"prefix":"10.1136","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3791-2121","authenticated-orcid":false,"given":"Satu","family":"Lamminm\u00e4ki","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saku T","family":"Sinkkonen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timo","family":"Atula","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,7,24]]},"reference":[{"key":"2025042705393157000_2018.jul24_1.bcr-2017-224021.1","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1111\/coa.12576","article-title":"Analysis of ingested foreign bodies according to age, type and location: a retrospective observational study","volume":"41","author":"Kim","year":"2016","journal-title":"Clin Otolaryngol"},{"key":"2025042705393157000_2018.jul24_1.bcr-2017-224021.2","doi-asserted-by":"crossref","first-page":"3452","DOI":"10.21037\/jtd.2016.11.32","article-title":"Update in the extraction of airway foreign bodies in adults","volume":"8","author":"Blanco Ramos","year":"2016","journal-title":"J Thorac Dis"},{"key":"2025042705393157000_2018.jul24_1.bcr-2017-224021.3","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.suc.2016.08.006","article-title":"Pediatric airway and esophageal foreign bodies","volume":"97","author":"Berdan","year":"2017","journal-title":"Surg Clin North Am"},{"key":"2025042705393157000_2018.jul24_1.bcr-2017-224021.4","doi-asserted-by":"crossref","first-page":"991","DOI":"10.1288\/00005537-199309000-00009","article-title":"Penetrating trauma of the oropharynx in children","volume":"103","author":"Radkowski","year":"1993","journal-title":"Laryngoscope"},{"key":"2025042705393157000_2018.jul24_1.bcr-2017-224021.5","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199801000-00010"},{"key":"2025042705393157000_2018.jul24_1.bcr-2017-224021.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2005.12.003"},{"key":"2025042705393157000_2018.jul24_1.bcr-2017-224021.7","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-0779"},{"key":"2025042705393157000_2018.jul24_1.bcr-2017-224021.8","doi-asserted-by":"crossref","first-page":"952.e11","DOI":"10.1016\/j.wneu.2017.04.084","article-title":"Transoral Intracranial Injury via Middle Skull Base by a Blunt Chopstick in a Child","volume":"103","author":"Samuthrat","year":"2017","journal-title":"World Neurosurg"},{"key":"2025042705393157000_2018.jul24_1.bcr-2017-224021.9","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.314.7073.50"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-224021","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T12:39:39Z","timestamp":1745757579000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-224021"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,24]]},"references-count":9,"alternative-id":["10.1136\/bcr-2017-224021"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-224021","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7,24]]}}}