Dr. Alexandra (Ali) Espinel, an Associate professor of pediatrics and otolaryngology, dives into the complexities of pediatric oropharyngeal trauma. She discusses a real case of a young boy injured by a toothbrush, highlighting the risks of oral injuries in active children. The conversation touches on the challenges of using CT angiography, revealing that its routine use may not be warranted. Additionally, they explore the contentious role of antibiotics in treatment and stress the importance of personalized care and family involvement in clinical decision-making.