3D CT Imaging for assessment of toothbrush induced peritonsillar perforation in an epileptic patient: A case report of a rare complication

A 50yr. Old female patient was brought in by her relatives with a chief complaint of toothbrush getting stuck in throat while brushing. She had difficulty in opening mouth and was unable to speak. Medical History revealed history of epilepsy with discontinuation of medications for the past two years. Axial, Sagittal and 3-dimensional reconstructed CT images were taken in the site of the injury for evaluation of the injury and to rule out damage to vital structures & proximity to the vital structures. The images clearly delineated the presence of the toothbrush causing perforation of the peritonsillar region. The Toothbrush was sectioned and removed carefully under sedation. Keywords: Peritonsillar perforation, Axial CT, Sagittal CT, 3-D Reconstructed CT, Epileptic Injury