Page 101 - Portuguese Journal - SPORL - Vol 61. Nº2

Figures 4 and 5
Cervical computed tomography sagittal and axial reformat showing the location of the screw and its
previous trajectory in C2, as well as its relationship with the adjacent structures.

tonsil, causing hematoma of the wall and was hospitalized and fed through a nasogastric
adjacent soft tissues but not compromising tube for 48 hours. Subsequently, a liquid diet
the integrity of the blood vessels. There were was given orally, which was well-tolerated.
no other complications. The laboratory test results did not show
The foreign body was extracted transorally systemic infection; however, intravenous
under local anesthesia and endoscopic control antibiotics were administered-amoxicillin/
(Figure 6) without any complications at the clavulanic acid (1,200 mg every 8 hours) and
otorhinolaryngology department. clindamycin (600 mg every 6 hours for seven
The patient remained under clinical days).
surveillance after evaluation by an orthopedist The patient’s progress during hospitalization
and confirmation of the absence of was favorable, and control cervical X-ray
neurological deficits and spinal instability. He and CT (Figures 7 and 8) did not show any
complications.
Figure 6 The patient was discharged after seven days
Image of the screw after its removal, measuring and referred to the otorhinolaryngology and
approximately 5.5 cm in length orthopedics outpatient clinics.
Control magnetic resonance imaging was
performed two months later and only showed
signs of previous surgery, without sequelae of
the screw migration or migration of any other
type of osteosynthesis metal device.

Volume 61 . Nº2 . June 2023 243