A Brush With Danger: A Case Report of a Toothbrush Impalement Injury to the Oral Cavity.

Paediatric oral impalement injuries are uncommon but may be associated with significant morbidity due to the proximity of critical neurovascular structures within the head and neck. We report a case of a 4-year-old male who sustained a partial impalement injury to the oral cavity following a fall at home whilst brushing his teeth. The toothbrush head penetrated the right pterygomandibular raphe and became lodged medial to the mandibular ramus. Surgical exploration and removal were performed under general anaesthesia, followed by wound irrigation and primary closure. The patient made an uneventful recovery. This case highlights the importance of cautious initial management, comprehensive assessment and safe surgical removal of intraoral foreign bodies in paediatric patients.