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A 7 year old boy attended the accident and emergency department with facial swelling and chest discomfort. Two hours earlier he was playing with a luggage strap by placing the hook inside his mouth.
Examination revealed a small laceration to the buccal surface of his left cheek that was not bleeding. He had a soft, mildly tender swelling over the left cheek with subcutaneous emphysema over his neck down to the suprasternal notch. Examination of the …