A case of fishbone in the tongue that migrated toward the hyoid bone

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  • FUKUDA Naoyuki
    Department of Oral Surgery, Institute of Biomedical Sciences, Tokushima University Graduate School
  • TAKAMARU Natsumi
    Department of Oral Surgery, Institute of Biomedical Sciences, Tokushima University Graduate School
  • AKITA Kazuya
    Department of Oral Surgery, Institute of Biomedical Sciences, Tokushima University Graduate School
  • URATA Hiroaki
    Department of Oral Surgery, Institute of Biomedical Sciences, Tokushima University Graduate School
  • NAGAI Hirokazu
    Division of Oral and Maxillofacial Surgery, Sendai City Hospital
  • MIYAMOTO Youji
    Department of Oral Surgery, Institute of Biomedical Sciences, Tokushima University Graduate School

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Other Title
  • 舌骨近傍に移動した舌内迷入魚骨の1例
  • ゼッコツ キンボウ ニ イドウ シタ ゼツ ナイメイニュウギョコツ ノ 1レイ

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Abstract

<p>This report describes a rare case of a fishbone that penetrated the tongue and moved toward the hyoid bone. An 84-year-old woman was referred to the department with the chief complaint of pain and swelling in her tongue. After anti-inflammatory therapy, a fishbone-like foreign body was detected in the tongue through computed tomographic and ultrasonographic examinations. Since a CT scan performed the day before the operation had revealed that the foreign body had moved from the dorsum of the tongue to near the hyoid bone, it was removed by means of a skin incision, using intraoperative ultrasonography under general anesthesia. The removed foreign body was a needle-shaped 25 mm fishbone. There was no postoperative infection or other complication. In conclusion, it is important to obtain a detailed medical history and to use imaging for detecting foreign bodies in soft tissue and determining their position. Furthermore, it is vital to reconfirm the position just before the operation. Intraoperative ultrasonography is useful for improving the accuracy of the operation because it enables detection of the foreign body in real time.</p>

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