P97 Foreign body in hard palate: a case report. (June 2019)

• Record Type: Journal Article
• Authors: Zia, Muhammad; Jawad, Muhammad; Shori, Naeem; Azam, Muhammad
• Is Part Of: Archives of disease in childhood. Volume 104:(2019)Supplement 3
• Page Start: A195
• Page End: A195
• Publication Date: 2019-06
• Subjects: Children -- Diseases -- Periodicals; Infants -- Diseases -- Periodicals; 618.920005
• DOI: 10.1136/archdischild-2019-epa.452
• Languages: English
• ISSNs: 0003-9888

Abstract

Abstract : Background: 6 month old baby, known case of Trisomy 21 with poor feeding. Case report: A 6 month old baby girl was brought to emergency department by the mother as she was not feeding well for last few hours.Baby was born at term with an antenatal diagnosis of trisomy 21.She was exclusively breast fed since birth.Mom noticed an unusual appearance of a hard palate that she had not observed before.Her first impression was probably a cleft palate. On examination in emergency department baby was well looking, alert with features of trisomy 21.Local examination of the palate revealed a piece of hazelnut that was stuck inside the hard palate.It was removed with the help of a spatulaunder direct visualisation in left lateral position.Baby was then discharged home as she was taking her feeds well. Discussion: Foreign bodies of hard palate are rare.Most cases occur in infants.It can present in a variety of ways and most common is usual appearance mimicking oral pathology with poor feeding.Sometimes the diagnosis is challenging and there is always a choking hazard if there is delay in diagnosis.