{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,28]],"date-time":"2025-09-28T11:12:20Z","timestamp":1759057940249},"reference-count":20,"publisher":"Walter de Gruyter GmbH","issue":"8","license":[{"start":{"date-parts":[[2018,8,1]],"date-time":"2018-08-01T00:00:00Z","timestamp":1533081600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Soft palate penetrating injuries have been reported among children, particularly in children falling with objects in their mouth. The authors present a case of a healthy 14-month-old child who fell onto a blunt-ended chopstick, the subsequent cerebrovascular accident, and the role of the osteopathic tenets thereafter. The child had an acute infarction to the region of his right middle cerebral artery secondary to right internal carotid artery occlusion. Physicians should consider the neurologic sequelae of lateral soft palate injuries and damage to the surrounding anatomical structures. A thorough, whole-patient approach to physical examination is critical.<\/jats:p>","DOI":"10.7556\/jaoa.2018.124","type":"journal-article","created":{"date-parts":[[2018,7,30]],"date-time":"2018-07-30T12:31:28Z","timestamp":1532953888000},"page":"555-559","source":"Crossref","is-referenced-by-count":3,"title":["Hemiplegic Syndrome After Chopstick Penetration Injury in the Lateral Soft Palate of a Young Child"],"prefix":"10.1515","volume":"118","author":[{"given":"Syna","family":"Daudfar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Codee","family":"Gorman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John T.","family":"Pham","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2018,8,1]]},"reference":[{"issue":"8","key":"2022022616260293563_j_jaoa.2018.124_ref_001","doi-asserted-by":"publisher","first-page":"1479","DOI":"10.1016\/j.ijporl.2006.02.002","article-title":"Two patterns of impalement injury to the oral cavity: report of four cases and review of literature","volume":"70","author":"Chauhan","year":"2006","journal-title":"Int J Pediatr Otorhinolaryngol"},{"issue":"5401","key":"2022022616260293563_j_jaoa.2018.124_ref_002","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1136\/bmj.2.5401.82","article-title":"Aetiology of acute hemiplegia in childhood","volume":"2","author":"Bickerstaff","year":"1964","journal-title":"Br Med J"},{"issue":"14","key":"2022022616260293563_j_jaoa.2018.124_ref_003","doi-asserted-by":"publisher","first-page":"764","DOI":"10.1056\/NEJM196604072741403","article-title":"Carotid thrombosis due to intraoral trauma: an unusual complication of a common childhood accident","volume":"274","author":"Pitner","year":"1966","journal-title":"N Engl J Med"},{"key":"2022022616260293563_j_jaoa.2018.124_ref_004","doi-asserted-by":"publisher","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"},{"issue":"12","key":"2022022616260293563_j_jaoa.2018.124_ref_005","doi-asserted-by":"crossref","first-page":"1571","DOI":"10.1288\/00005537-198412000-00007","article-title":"Internal carotid artery thrombosis following soft palate injuries: a case report and review of 16 cases.","volume":"94","author":"Hengerer","year":"1984","journal-title":"Laryngoscope."},{"issue":"4","key":"2022022616260293563_j_jaoa.2018.124_ref_006","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1016\/0736-4679(96)00079-0","article-title":"Internal carotid artery thrombosis in a child secondary to intraoral trauma","volume":"14","author":"Melio","year":"1996","journal-title":"J Emerg Med"},{"issue":"7","key":"2022022616260293563_j_jaoa.2018.124_ref_007","doi-asserted-by":"publisher","first-page":"1279","DOI":"10.1016\/j.joms.2006.10.056","article-title":"Management of penetrating trauma to the soft palate: a case report","volume":"65","author":"Raska","year":"2007","journal-title":"J Oral Maxillofac Surg"},{"issue":"5","key":"2022022616260293563_j_jaoa.2018.124_ref_008","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1097\/00006534-198311000-00012","article-title":"Impalement injuries of the palate","volume":"72","author":"von Domarus","year":"1983","journal-title":"Plast Reconstr Surg"},{"issue":"3","key":"2022022616260293563_j_jaoa.2018.124_ref_009","doi-asserted-by":"publisher","first-page":"356","DOI":"10.1016\/j.otohns.2005.12.003","article-title":"Current management of penetrating injuries of the soft palate","volume":"135","author":"Randall","year":"2006","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"24","key":"2022022616260293563_j_jaoa.2018.124_ref_010","doi-asserted-by":"publisher","first-page":"2285","DOI":"10.1056\/NEJMoa1415061","article-title":"Stent-retriever thrombectomy after intravenous t-PA vs","volume":"372","author":"Saver","year":"2015","journal-title":"t-PA alone in stroke. 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