# Successful Management of a Foreign Body Impacted in the Hard Palate: A Case Report From a Rural Setting

**Authors:** Shishir Pokhrel, Sudesh Jang Thapa, Eliza Karki, Sabnam Sangraula, Naveen Gautam

PMC · DOI: 10.1002/ccr3.71778 · Clinical Case Reports · 2026-01-02

## TL;DR

A young child in a rural area had a foreign object safely removed from her hard palate using basic tools and quick action.

## Contribution

Demonstrates effective foreign body removal in a hard palate using limited resources in a rural setting.

## Key findings

- A doll's eye was successfully extracted from an 18-month-old's hard palate under IV anesthesia.
- Prompt intervention and basic surgical tools were sufficient for safe removal in a resource-limited area.

## Abstract

Foreign body ingestion and impaction in children pose significant challenges, particularly in atypical locations like the hard palate. This case report details the successful management of a doll's eye embedded in the hard palate of an 18‐month‐old female child in a rural setting, highlighting the importance of clinical acumen, resourcefulness, and prompt intervention. Despite limited specialized care access, the foreign body was safely extracted under intravenous anesthesia using basic surgical facilities. This case underscores the risks associated with foreign body impaction in young children and emphasizes the need for preventive strategies and parental education.

Successful management of hard palate foreign body impaction in a resource‐limited setting is achievable with prompt recognition, appropriate anesthesia, and basic surgical facilities. This case emphasizes the importance of clinical vigilance and preventive measures to reduce the incidence of such occurrences in young children.

## Full-text entities

- **Diseases:** coagulation (MESH:D001778), bleeding (MESH:D006470), erythema (MESH:D004890), infection (MESH:D007239), foreign body impaction (MESH:D005547), impaction (MESH:D004834), palatal perforation (MESH:D057112), aspiration (MESH:D011015), airway obstruction (MESH:D000402), edema (MESH:D004487), hard palate (MESH:D018804)
- **Chemicals:** ketamine (-), amoxicillin (MESH:D000658), propofol (MESH:D015742), Glycopyrrolate (MESH:D006024)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12759012/full.md

## References

11 references — full list in the complete paper: https://tomesphere.com/paper/PMC12759012/full.md

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Source: https://tomesphere.com/paper/PMC12759012