Three cases of fish bone foreign body removed through skin incision on the neck

DOI
  • Takahashi Hiroki
    Department of Otolaryngology, Hokkaido University Graduate School of Medicine
  • Sakashita Tomohiro
    Department of Otolaryngology, Hokkaido University Graduate School of Medicine
  • Homma Akihiro
    Department of Otolaryngology, Hokkaido University Graduate School of Medicine
  • Fukuda Satoshi
    Department of Otolaryngology, Hokkaido University Graduate School of Medicine

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Other Title
  • 頸部外切開を要した魚骨異物の3例

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Abstract

Fish bones commonly lodge in the pharynx or esophagus, and are usually found via direct vision, pharyngolaryngoscopic or direct esophagoscopic observation. However, in some cases, no foreign bodies are removed by the transoral method. We report herein on three unusual cases of fish bone foreign bodies which were removed through a skin incision on the neck. Case 1 was a 68-year-old woman who complained of a sore throat after swallowing a fish bone. Computed tomography (CT) showed a fish bone in her esophagus. That foreign body was not observed by esophagoscopy, but was removed through a skin incision on the neck. Case 2 was a 58-year-old woman who complained of a sore throat and fever after swallowing a fish bone. CT showed a fish bone in her esophagus, behind the left thyroid gland lobe. The bone was removed by the same approach. Case 3 was an 81-year-old woman who complained of a sore throat after swallowing a fish bone. CT showed a fish bone in her esophagus. The bone was removed through a cervical incision. The fish bone had migrated to the pharyngeal constrictor muscles and could not be localized by palpation. Therefore, we implanted a Penrose drain as a marker and constructed three-dimensional CT (3D-CT) images by cone-beam CT in the operating room. Based on the information provided by 3D-CT images, we successfully localized that foreign body and the fish bone was removed safely and promptly using intra-operative 3D-CT images.

Journal

  • Stomato-pharyngology

    Stomato-pharyngology 27 (2), 143-146, 2014

    Japan Society of Stomato-pharyngology

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