What determines whether an impaled object in the cheek can be removed?

The ability to remove an impaled object from the cheek primarily depends on the location of the object and any potential impact on the airway. If the object is positioned in a way that compromises the airway, it must generally be left in place to prevent further injury or obstruction during transport. In such cases, removing the object could cause additional damage to surrounding tissues, increase bleeding, or disrupt the airway.

Furthermore, evaluating the location helps determine if there are critical structures nearby, such as blood vessels or the airway itself, which would be affected by the removal of the object. Keeping the object in place, if it does not interfere with breathing, is typically the safest approach, allowing for proper surgical management once the patient reaches a medical facility. Therefore, the location and airway impact are key factors in deciding whether to remove an impaled object in the cheek.