Migration of an ingested fish bone into the paraglottic space

2016 ◽  
Vol 130 (10) ◽  
pp. 973-974 ◽  
Author(s):  
U C Megwalu
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Rare Event ◽  
Invasive Procedure ◽  
Fish Bone ◽  
Endoscopic Examination ◽  
Posterolateral Approach ◽  
First Case ◽  
Paraglottic Space

AbstractBackground:Ingested foreign bodies are common emergencies encountered in otolaryngology practice. The vast majority can be managed with endoscopic removal. Migration of foreign bodies into the paraglottic space is a rare event that often necessitates using a more invasive procedure for removal.Case report:A 68-year-old man presented with sore throat and odynophagia 4 days after ingesting a fish bone.Results:A computed tomography scan revealed a 2.5 cm linear foreign body embedded in the larynx within the right paraglottic space. The patient underwent endoscopic examination and transcervical exploration of the paraglottic space via a posterolateral approach, with successful removal of the foreign body on the second attempt.Conclusion:This is the first case report of an ingested paraglottic space foreign body managed by transcervical exploration using a posterolateral approach to the paraglottic space.

scholarly journals Migrated pharyngeal fish bone causing spondylodiscitis. Case report

2014 ◽  
Vol 13 (1) ◽  
pp. 67-68 ◽  
Author(s):  
Aluizio Augusto Arantes Júnior ◽  
Jose Augusto Malheiros ◽  
Marco Tulio Domingos Silva e Reis ◽  
Gustavo Meyer de Moraes
Keyword(s):  
Case Report ◽  
Cervical Spine ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Fish Bone ◽  
Emergency Rooms ◽  
Infectious Process ◽  
Fish Bones ◽  
First Case ◽  
Longus Colli

Ingestion of foreign bodies is a common problem seen at emergency rooms and frequently involves chicken and fish bones. There are few cases of migrated foreign bodies through the retropharynx causing infectious process in the area but no one, despite the proximity, causing spondylodiscitis. Perhaps such condition is attributed to the integrity of the longus colli fascia covering and protecting the cervical spine. We described the first case of spondylodiscitis due to a foreign body (saw-toothed fish bone) that penetrated the longus colli fascia and carved into vertebral body C3.

A foreign body (a fish bone) in the esophagus translocating into soft tissues of the neck – a case report

2019 ◽  
Vol 8 (1) ◽  
pp. 56-59
Author(s):  
Magda Licznerska-Kreczko ◽  
Jerzy Kuczkowski ◽  
Tomasz Nowicki ◽  
Maciej Świerblewski ◽  
Andrzej Skorek
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Antibiotic Prophylaxis ◽  
Digestive Tract ◽  
Foreign Bodies ◽  
Soft Tissues ◽  
Atlantic Cod ◽  
Fish Bone ◽  
Endoscopic Removal ◽  
Key Words Foreign Body

Background: Patients with foreign bodies in upper digestive tract not infrequently trigger many diagnostic and treatment challenges, especially when foreign bodies translocate and are lodged outside the esophagus. Case report: We present a case of a foreign body in esophagus 56-years old woman who had developed persistent sensation of an obstacle in her throat after eating fish (Atlantic cod). She has initially dismissed her symptoms and refused medical treatment. Subsequently, a neck CT done one week later showed a 20-milimeter long fish bone in the soft tissues on the left side of her neck (between pharynx and vertebral column). Few attempts of endoscopic removal were unsuccessful. Despite antibiotic prophylaxis and due to the fish bone translocation into soft tissues of the neck and its location close to a common carotid artery and an internal jugular vein a decision was made to remove it from the external approach. The foreign body was successfully removed without any esophageal damages. Conclusions: Foreign bodies in digestive tract may result in many life-threatening complications. The fundamental management is based on the endoscopic removal of a foreign body and the antibiotic prophylaxis. In case of foreign bodies lodged in soft tissues open surgery is recommended. Key words: foreign body in the esophagus; fish bone; paraesophageal abscess ; treatment

Foreign body in the tongue: an unusual site for a common problem

1991 ◽  
Vol 105 (10) ◽  
pp. 849-850 ◽  
Author(s):  
Kalpesh S. Patel
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Fish Bone ◽  
Aerodigestive Tract ◽  
Upper Aerodigestive Tract ◽  
Unusual Site ◽  
Rare Site ◽  
Frequent Problem

AbstractForeign bodies in the upper aerodigestive tract represent one of the commonest ENT emergencies. A case report of a fish bone penetrating the anterior tongue is presented which exemplifies this frequent problem. but at a rare site.

scholarly journals Obstructive Sialadenitis of Submandibular Gland Due to a Nail-like Fish Bone Foreign Body: A Rare Case Report

2019 ◽  
pp. 1-7
Author(s):  
Rosa Mostafavi Tabatabaee ◽  
Majid Sanatkhani
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Submandibular Gland ◽  
Foreign Bodies ◽  
Fish Bone ◽  
Pathological Examination ◽  
Radiographic Examination ◽  
Spontaneous Pain ◽  
Submandibular Region ◽  
Obstructive Sialadenitis

Introduction: Foreign body-associated sialadenitis of submandibular gland is not often and scarce within the literature. In this study, a report of a piece of Nail-like fish bone foreign body entering the Wharton’s duct causing an acute sialadenitis is presented. Foreign bodies must be explored and all suspected areas must be examined carefully for avoiding secondary problems and surgeries in the future. Foreign bodies in the oral and maxillofacial region are often experienced after trauma and dental treatment. Case Report : We describe a case of obstructive sialadenitis in the submandibular gland caused by penetration of a fish bone in a 68-year-old man. He had swelling and spontaneous pain in the left submandibular region. The radiographic examination didn't show foreign body in the submandibular gland. Initially, we diagnosed obstructive sialadenitis in the left submandibular gland and the study suspect that salivary stone might be the cause of this swelling so compressing and milking of Wharton duct. The foreign body measured 1.3 cm *3 mm*2 mm and was a nail-like object. On pathological examination, the foreign body was found to be a fish bone (cartilage-like organic material). Conclusion: This case demonstrated that precise and proper inspection and examination, milking and then paying attention to the secretion of salivary gland lead to proper diagnosis and after that suitable treatment, so this could reduce costly assessment and treatment, also lessen bewilderment of the patient.

scholarly journals Clinical Approaches to Migrating Ingested Foreign Bodies in the Neck

2020 ◽  
pp. 014556132094878
Author(s):  
Nien-Hsuan Ho ◽  
Feng-Chi Chang ◽  
Yi-Fen Wang
Keyword(s):  
Foreign Body ◽  
Surgical Approach ◽  
Foreign Bodies ◽  
Fish Bone ◽  
Sternocleidomastoid Muscle ◽  
Fluoroscopic Guidance ◽  
First Case ◽  
Cervical Incision ◽  
Ingested Foreign Body ◽  
Lower Neck

This report presents 2 unusual cases along with a review of the current literature. Further, it aims to propose an algorithm for the initial surgical management of migrating ingested foreign bodies, focusing on the use of fluoroscopy, rigid laryngopharyngoscopy, and an external surgical approach. A 42-year-old man presented with progressive odynophagia after swallowing a fish bone 20 days previously, and a 60-year-old woman presented with a painful enlarging mass over the left lower neck for 1 month. The first case involved a horizontally oriented pharyngeal fish bone with a portion in the neck, which was removed under fluoroscopic guidance and rigid laryngopharyngoscopy in succession. In the second case, there was an extraluminal fish bone that had migrated into the sternocleidomastoid muscle, which was retrieved through cervical incision. All foreign bodies were removed without complications. To the best of our knowledge, this is the second report of fluoroscopy-guided ingested foreign body retrieval and the first one with a proposed algorithm for the management of migrating ingested foreign body in the neck. The location and orientation of migrating ingested foreign bodies as well as their relation to structures in the neck are important factors in determining the surgical approach.

scholarly journals Migration of an Ingested Fish Bone to the Submandibular Gland: A Case Report and Literature Review

2019 ◽  
Vol 4 (2) ◽  
pp. 1-4
Author(s):  
Jinhua Ma ◽  
Yahui Sun ◽  
Baoqiang Dai ◽  
Hongqin Wang 
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Thyroid Gland ◽  
Literature Review ◽  
Submandibular Gland ◽  
Foreign Bodies ◽  
Soft Tissues ◽  
Fish Bone ◽  
Fish Bones ◽  
Routine Inspection

Background: Fish bone is one of the most common foreign bodies that gets lodged in the upper digestive tract, often located in the tonsil, epiglottis, pear-shaped fossa, and esophagus, where it may be easily located on routine inspection and removed. The forcible swallowing of food such as rice balls after ingesting fish bones by mistake may lead to the migration of the fish bone from the pharynx, throat, or esophagus to the surrounding tissues. Migration most commonly occurs to the soft tissues of the neck, even to the thyroid gland, but migration to the submandibular gland has rarely been reported. Conclusions: Foreign body ingestion may cause a series of complications and endanger a patient’s life. Cases require high awareness and attentiveness on the part of the first physician to diagnose and manage the condition, and appropriate health education should be imparted to the patient.

scholarly journals Thyroid Cartilage Window Approach to Extract a Foreign Body after Migration into the Paraglottic Space

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Sheikha Alkhudher ◽  
Faisal AlObaid ◽  
Shabreez Shafi
Keyword(s):  
Foreign Bodies ◽  
Thyroid Cartilage ◽  
Fish Bone ◽  
Posterolateral Approach ◽  
Computed Tomography Scan ◽  
Window Approach ◽  
Paraglottic Space ◽  
Tomography Scan ◽  
Careful History

We report a case of fish bone impaction in the paraglottic space, which caused palsy of the left vocal cord. The patient was a 45-year-old man. He presented with throat pain and hoarseness of voice for approximately one week. The diagnosis was made after careful history taking and confirmed by the use of computed tomography scan as the fish bone was not visible endoscopically under local and general anaesthesia. The patient underwent thyroid cartilage window approach, and the fish bone was retrieved. His symptoms have improved significantly, and he did not require tracheostomy. Other cases reported the removal of foreign bodies by other techniques such as laryngofissure and posterolateral approach. Our case is different in that we used a modification of thyroplasty type 1 technique as it has less reported complications than other approaches that were published in literature.

Fish Bone Foreign Body in a Zenker's Diverticulum: A Case Report

2017 ◽  
Vol 68 (3) ◽  
pp. 240-244
Author(s):  
Sumiyo Saburi ◽  
Yoichiro Sugiyama ◽  
Hideki Bando ◽  
Ryuichi Hirota ◽  
Yasuo Hisa ◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Fish Bone ◽  
Zenker’S Diverticulum ◽  
Zenker's Diverticulum

scholarly journals Nasopharyngeal hirudiniasis: a hidden culprit—a case report

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Shreya Agarwal ◽  
Nimish Gupta
Keyword(s):  
Drinking Water ◽  
Case Report ◽  
Foreign Body ◽  
Male Patient ◽  
Natural Water ◽  
Water Sources ◽  
Endoscopic Examination ◽  
Rare Occurrence ◽  
Safety Measures ◽  
Case Presentation

Abstract Background Leech infestation in the nose or nasopharyngeal region is a rare occurrence. The most common known cause is drinking water from natural water sources like ponds and rivers. Its hidden location of attachment in the nasopharynx and its uncommon occurrence make it easy to miss during diagnosis. Case presentation We present a case of a 61-year-old male patient with recurrent unilateral epistaxis without any apparent cause. He was diagnosed with leech infestation in the nasopharynx on endoscopic examination. This article reports the management of nasopharyngeal leech infestation and safety measures for this animate foreign body retrieval. Conclusion A vigilant approach, thorough history, and examination are a must. Though leeches are simple to remove most of the time, certain necessary precaution should be kept in mind for better management and prevention of further complications.

Foreign body: denture in oesophagus: a case report

2019 ◽  
Vol 11 (5) ◽  
pp. 226-227
Author(s):  
Nitin Arora ◽  
Daljeet Kaur ◽  
Urvashi Mishra ◽  
Radhika Bhateja ◽  
Nikhil Arora
Keyword(s):  
Case Report ◽  
Early Intervention ◽  
Foreign Body ◽  
Early Detection ◽  
Early Treatment ◽  
Foreign Bodies ◽  
Recurrent Laryngeal Nerve Injury ◽  
Laryngeal Nerve ◽  
Upper Gi ◽  
Laryngeal Nerve Injury

identally swallowed dentures are one of the most common foreign bodies of upper digestive tract in elderly people and it can lead to severe complications. Complications ranging from oesophageal rupture, mediastinitis, haemetemesis, and recurrent laryngeal nerve injury has been reported. Therefore, an early detection and an early intervention are important. We are reporting a case of accidentally swallowed denture. After the diagnosis of an impacted denture was made, upper GI Oesophagoscopy was done and it was removed in emergency OT. This case highlights the importance of an early treatment in order to avoid complications.

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