{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:03:57Z","timestamp":1787169837445,"version":"build-2736575974"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Most toothbrush-induced oral injuries occur in children and are relatively shallow, involving the oral mucous membranes and musculature, but rarely deeper layers. Here, the management of an adult case of pharyngeal injury caused by a toothbrush is discussed. A man fell while brushing his teeth, and his toothbrush stuck in his throat. Contrast-enhanced computed tomography showed a toothbrush stuck in the left parapharyngeal space, reaching the subcutaneous tissue of the posterior neck. The toothbrush was surgically removed because blind removal could damage major cervical arterioles and nerves. In intraoral injuries caused by deep penetrating toothbrushes, there is a risk that the injury extends to the major arterioles and nerves of the neck. The need for imaging studies, methods of removal, and possible complications should all be considered before taking an appropriate removal action.<\/jats:p>","DOI":"10.4103\/jets.jets_160_22","type":"journal-article","created":{"date-parts":[[2023,8,7]],"date-time":"2023-08-07T09:00:06Z","timestamp":1691398806000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["An Adult Case of Pharyngeal Injury Caused by Toothbrush"],"prefix":"10.4103","author":[{"given":"Satoshi","family":"Nakamura","sequence":"first","affiliation":[{"name":"Emergency and Critical Care Center, Kurashiki Central Hospital, Kurashiki, Okayama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuki","family":"Katsura","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Head and Neck Surgery, Kurashiki Central Hospital, Kurashiki, Okayama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Fujiwara","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Head and Neck Surgery, Kurashiki Central Hospital, Kurashiki, Okayama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetsunori","family":"Ikegami","sequence":"additional","affiliation":[{"name":"Emergency and Critical Care Center, Kurashiki Central Hospital, Kurashiki, Okayama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,8,4]]},"reference":[{"key":"R1-20240828","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1007\/s00383-005-1447-0","article-title":"Penetrating pharyngeal injuries in children: Trivial trauma leading to devastating complications","volume":"21","author":"Luqman","year":"2005","journal-title":"Pediatr Surg Int"},{"key":"R2-20240828","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1038\/sj.bdj.2008.893","article-title":"Severe oropharyngeal trauma caused by toothbrush-case report and review of 13 cases","volume":"205","author":"Kumar","year":"2008","journal-title":"Br Dent J"},{"key":"R3-20240828","doi-asserted-by":"crossref","first-page":"e1284","DOI":"10.1542\/peds.2006-0779","article-title":"The toothbrush: A rare but potentially life-threatening cause of penetrating oropharyngeal trauma in children","volume":"118","author":"Sasaki","year":"2006","journal-title":"Pediatrics"},{"key":"R4-20240828","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1001\/archotol.132.4.446","article-title":"Evaluation and management of pediatric oropharyngeal trauma","volume":"132","author":"Soose","year":"2006","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"R5-20240828","first-page":"216","article-title":"A broken tooth brush as a foreign body in the parapharyngeal space: A case report","volume":"61","author":"Kimura","year":"2018","journal-title":"Oto Rhino Laryngol Tokyo"},{"key":"R6-20240828","first-page":"2480140","article-title":"Delayed presentation of submucosal retained toothbrush from self-inflicted injury in patient with schizophrenia","volume":"2017","author":"Creswell","year":"2017","journal-title":"Case Rep Emerg Med"},{"key":"R7-20240828","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1007\/s00405-006-0068-0","article-title":"Parapharyngeal space foreign body","volume":"263","author":"Burduk","year":"2006","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"R8-20240828","first-page":"247","article-title":"Toothbrush: A report of an unusual foreign body","volume":"27","author":"Farahnak","year":"2015","journal-title":"Iran J Otorhinolaryngol"},{"key":"R9-20240828","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1016\/S0002-9610(36)90122-8","article-title":"Posttraumatig thrombosis of internal carotid artery. Report of two cases","volume":"32","author":"Caldwell","year":"1936","journal-title":"Am J Surg"},{"key":"R10-20240828","first-page":"485762","article-title":"A broken toothbrush in the retropharyngeal space in a toddler of sixteen months","volume":"2015","author":"Goswami","year":"2015","journal-title":"Case Rep Emerg Med"},{"key":"R11-20240828","doi-asserted-by":"crossref","first-page":"e1578","DOI":"10.1542\/peds.2010-1059","article-title":"Incidence of morbidity from penetrating palate trauma","volume":"126","author":"Hennelly","year":"2010","journal-title":"Pediatrics"}],"container-title":["Journal of Emergencies, Trauma, and Shock"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jets.jets_160_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:13:28Z","timestamp":1787166808000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jets.jets_160_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,4]]},"references-count":11,"URL":"https:\/\/doi.org\/10.4103\/jets.jets_160_22","relation":{},"ISSN":["0974-2700","0974-519X"],"issn-type":[{"value":"0974-2700","type":"print"},{"value":"0974-519X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,4]]},"assertion":[{"value":"2022-12-24","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-14","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}