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.

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 Sawing Through The Neck - A Case of Serrated Fish Bone Migrating to Prevertebral Space

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Ngui LX ◽  
Shashi G. ◽  
Muhammad Nasri AB.
Keyword(s):  
Computed Tomography ◽  
Fish Bone ◽  
Computed Tomography Scan ◽  
Computed Tomography Imaging ◽  
Tomography Imaging ◽  
Transcervical Approach ◽  
Rigid Esophagoscopy ◽  
History Of ◽  
High Index Of Suspicion ◽  
Tomography Scan

Fish bone is the commonest pharyngeal foreign body, however migrating fish bone is a rare occurrence. We report a case of a 54-year-old male who had history of fish bone ingestion over a week and presented with odynophagia and worsening neck pain. Rigid esophagoscopy revealed tip of a fish bone which was embedded in granulation tissue. The fish bone migrated further with manipulation. Aided with computed tomography scan findings, the serrated fish bone was finally removed via transcervical approach without any complication. In conclusion, high index of suspicion and prompt removal of migrating fish bone with the aid of computed tomography imaging is necessary to avoid fatal complications.

scholarly journals Management of a metal foreign body entering the thyroid via the esophagus: a case report

2020 ◽  
Vol 48 (5) ◽  
pp. 030006052092537
Author(s):  
Songxiang Wang ◽  
Chaoyang Xu
Keyword(s):  
Foreign Body ◽  
Thyroid Gland ◽  
Foreign Bodies ◽  
Preoperative Assessment ◽  
Fish Bone ◽  
X Ray ◽  
Pain Reporting ◽  
The Right ◽  
Metal Foreign Body ◽  
Tomography Scan

The entry of a metallic foreign body into the thyroid gland via the esophagus is a rare occurrence, with no previously reported cases. We present a 42-year-old woman who was admitted to hospital with right-sided neck pain, reporting that she had inadvertently swallowed a fish bone. She underwent laryngoscopy, which showed no fish bone in the throat, and no obvious bleeding in the bilateral tonsils and pear-shaped fossa. X-ray examination showed a needle-shaped foreign body in the neck, and a computed tomography scan of her neck showed a 0.1-cm diameter, 2.0-cm long foreign body in the right thyroid. She underwent emergency surgery and a needle of the corresponding size was found in the thyroid gland. This case demonstrates the importance of adequate preoperative assessment and an appropriate surgical approach for thyroid metallic foreign bodies.

scholarly journals Intracranial metallic foreign bodies in a man with a headache

2012 ◽  
Vol 4 (3) ◽  
pp. 18 ◽  
Author(s):  
Zerrin Pelin ◽  
Tuncay Kaner
Keyword(s):  
Computed Tomography ◽  
Hospital Admission ◽  
Foreign Bodies ◽  
Metallic Materials ◽  
Anterior Fontanelle ◽  
Computed Tomography Scan ◽  
History Of ◽  
Ambient Cistern ◽  
The Relationship ◽  
Tomography Scan

We report the case of a 22-year old man with intracranial metallic foreign bodies who presented complaining of a headache. His history of headaches had begun when he was five years old and continued with increasing severity. Six months before hospital admission, nausea and vomiting began to accompany his headache. Computed tomography scan revealed that 2 metallic foreign bodies were located adjacent to the vertex and another was next to the ambient cistern. The location and position of foreign bodies suggested that they were introduced in infancy through the anterior fontanelle before its closure in an unsuccessful homicide attempt. This case is one of the few reported cases combining headache and intracranial foreign bodies and we discuss the relationship between headache and these metallic materials.

scholarly journals Management of a large intraorbital wooden foreign body: Case report

2020 ◽  
Vol 11 ◽  
pp. 158
Author(s):  
John Nute Jabang ◽  
Lamin Dampha ◽  
Binta Sanyang ◽  
Charles Adeyemi Roberts ◽  
Bakary Ceesay
Keyword(s):  
Foreign Body ◽  
Multidisciplinary Approach ◽  
Foreign Bodies ◽  
Bone Fragment ◽  
Computed Tomography Scan ◽  
Periorbital Edema ◽  
Male Population ◽  
Wooden Foreign Body ◽  
Tomography Scan ◽  
Body Case

Background: Intraorbital foreign bodies are a global injury and occur with a frequency of one in six orbital injuries; however, intraorbital wooden foreign bodies are uncommon. Intraorbital wooden foreign bodies predominantly affect the male population with a mean age ranging from 21 to 22 years. The diagnosis of intraorbital wooden foreign bodies depending on their size can be challenging on imaging and if not removed early the risk of infection is high. Case Description: A 23-year-old motorcyclist presented to the ER following a collision with a donkey cart carrying wood 3 h before presentation. Examination revealed an acutely ill-looking man in painful distress with a right supraorbital laceration associated with ipsilateral ptosis and periorbital edema. There was a retained intraorbital wooden foreign body. Computed tomography scan showed evidence of both an intraorbital bone fragment and a wooden foreign body. Surgery was done 3rd day of admission before which vision has declined with only perception to light. Only the wooden foreign body was removed. Evolution was favorable with recovery of vision and improvement of the ptosis. Conclusion: The management of intraorbital wooden foreign bodies demands a multidisciplinary approach after a thorough history, examination, and imaging. Treatment of choice is timely and meticulous removal of the foreign body to avoid infection and other associated complications.

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