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Case Reports in Emergency Medicine
Volume 2014, Article ID 562418, 3 pages
Case Report

The Tin Whistle: A Rare and Serious Cause of Penetrating Oropharyngeal Trauma in Children

Department of Plastic, Reconstructive and Aesthetic Surgery, Our Lady’s Children’s Hospital, Crumlin, Dublin 12, Ireland

Received 22 April 2014; Accepted 23 July 2014; Published 13 August 2014

Academic Editor: Kazuhito Imanaka

Copyright © 2014 E. C. Francis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Impalement injuries of the oral cavity are common in children and the potential for serious complications including internal carotid artery thrombosis can be unnoticed. We present a patient who sustained a penetrating injury in which a “tin whistle” caused herniation of the parotid gland which was not detected on clinical examination. We discuss the challenging clinical examination, the role of investigations, and consequences of these injuries aiming at increasing awareness and optimizing patient management.