Patient 2: Figure 2 a-f:
  1. Lateral soft-tissue neck radiographs performed in a 5 month old infant boy who had aspirated a Devil’s thorn, with the patient imaged supine with horizontal beam shoot-through technique demonstrates the soft tissue density foreign body (blue arrow) in the subglottic regions of the large airway at the level of the C6 vertebral body. There is also associated pre-vertebral soft tissue swelling extending from C2 to T1 but there is no soft tissue gas noted.
  2. Rigid bronchoscopy images demonstrating the thorn lodged in the subglottic area
  3. Removal with rigid forceps , also noted is a groove or depression in the right vocal cord mucosa where the thorn lay prior to the intubation attempt
  4. and (e) Devil’s thorn extraction , noted the sharp horns and the process of removing it without the horns causing further airway damage
  5. Follow-up radiograph performed after removal of the foreign body and with an enteric tube in situ demonstrates a clear airway and improved pre-vertebral soft tissue thickness without soft tissue gas.