DOI: 10.36347/sjmcr.2020.v08i12.005

Pages: 1004-1006

This is the case report of trans oral trans pharyngeal removal of air gun pellet which was accidentally fired into the mouth of a young gentleman while attempting to clean the gun. The gun pellet pierced the soft palate and dodged into the Cranio Vertebral Junction (CVJ) in the anterior aspect. Removing a foreign body dodged close to such a deep and vital area of the brain and spinal cord was a very challenging task from the part of Surgeons. The most difficult part of the whole scenario was the dilemma of whether to operate upon a patient who was totally preserved and remove a foreign body or to just observe the patient. We proceeded with the first option of surgical removal. The patient survived the surgery and was discharged without any focal neurological deficit.