Sora Seino, Takateru Ihara
Foreign body ingestion is a common pediatric emergency, and coins are among the most frequently ingested objects. When a coin becomes lodged at the pharyngoesophageal junction, prompt removal is required to avoid perforation, mucosal injury, and airway compromise. We report the case of a five-year-old boy with a coin impacted in the upper esophagus at the level of the cricopharyngeus, successfully removed under general anesthesia using a video laryngoscope and Magill forceps without major complications. This case highlights two key educational points. First, the use of a video laryngoscope allowed the operator and supervisor to share the same view in real time, enabling immediate intraoperative guidance. Second, a structured pre-procedural briefing appeared to enhance intraoperative team performance, and a post-procedural debriefing appeared to reinforce learning outcomes. This case suggests that a structured educational approach, combined with shared visualization, may facilitate both safe management and effective teaching of infrequently performed procedures.