Objective:

To report the successful removal of a bamboo chopstick from the parapharyngeal space using a combined approach of vascular embolization and surgery, and to discuss its clinical value in reducing hemorrhage risk during surgical extraction.

Key Findings:

• Active bleeding from the maxillary artery was confirmed via angiography, highlighting the need for embolization.
• Embolization resulted in minimal intraoperative blood loss (approximately 5 mL), demonstrating its effectiveness.
• The patient recovered without complications, indicating the success of the combined approach.

Interpretation:

Preoperative embolization may significantly reduce intraoperative bleeding risk and enhance surgical safety in cases of penetrating parapharyngeal foreign bodies with arterial injury, as evidenced by the successful outcome in this case.

Limitations:

• The case study is based on a single patient, limiting generalizability.
• Lack of consensus on optimal management strategies for similar cases.
• No long-term follow-up data to assess the durability of the intervention.

Conclusion:

The combined approach of vascular embolization and surgical extraction is effective in managing penetrating foreign bodies in the pharynx with arterial injury.