{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T06:14:10Z","timestamp":1779344050153,"version":"3.51.4"},"reference-count":16,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T00:00:00Z","timestamp":1779321600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Rationale<\/jats:title>\n                    <jats:p>Percutaneous penetrating foreign bodies in the parapharyngeal space complicated by arterial injury are rare but pose a high risk of life-threatening hemorrhage, and optimal management strategies remain unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient concerns<\/jats:title>\n                    <jats:p>A 32-year-old man presented with a 4-day history of left infra-auricular swelling and a 1-day history of recurrent hematemesis after accidental penetration by a bamboo chopstick. Computed tomography showed a linear foreign body in the left parapharyngeal space, accompanied by surrounding tissue swelling and pharyngeal narrowing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diagnosis<\/jats:title>\n                    <jats:p>The patient was diagnosed with a percutaneous penetrating foreign body in the left parapharyngeal\u2013lateral skull base region, with suspected vascular injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>The patient underwent preoperative endovascular embolization of the left maxillary artery, followed by surgical removal of the foreign body and debridement under general anesthesia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes<\/jats:title>\n                    <jats:p>Angiography confirmed active bleeding from the maxillary artery. After embolization, the foreign body was successfully removed with minimal intraoperative blood loss (approximately 5\u2005mL). The patient recovered without complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Lessons<\/jats:title>\n                    <jats:p>In selected cases of penetrating parapharyngeal foreign bodies with arterial injury, preoperative embolization may reduce intraoperative bleeding risk and improve surgical safety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1774286","type":"journal-article","created":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T05:42:45Z","timestamp":1779342165000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Vascular embolization as an adjunct to surgical removal of percutaneously inserted foreign bodies in the pharynx to avoid the risk of massive bleeding: a case 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