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Migration of an ingested fish bone into the paraglottic space

  • U C Megwalu (a1)
Abstract
Abstract Background:

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.

Copyright
Corresponding author
Address for correspondence: Dr Uchechukwu C Megwalu, Department of Otolaryngology – Head and Neck Surgery, Stanford University School of Medicine, 801 Welch Road, Stanford, CA 94305, USA Fax: +1 650 725 8502 E-mail: megwaluu@yahoo.com
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This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

1 GM Zaytoun , PW Rouadi , DH. Baki Endoscopic management of foreign bodies in the tracheobronchial tree: predictive factors for complications. Otolaryngol Head Neck Surg 2000;123:311–16

2 SR Cohen , GB Lewis Jr, WI Herbest , MA. Geller Foreign bodies in the airway: a five-year retrospective study with special reference to management. Ann Otol Rhinol Laryngol 1980;89:437–42

3 EJ Lupo , SC Leuin , PE. Kelley Anterior laryngofissure approach to an airway foreign body after migration into the paraglottic space. Laryngoscope 2011;121:2159–61

4 SC Marks , BR Marsh , DL. Dudgeon Indications for open surgical removal of airway foreign bodies. Ann Otol Rhinol Laryngol 1993;102:690–4

5 JC Fraga , AM Neto , E Seitz , L. Schopf Bronchoscopy and tracheotomy removal of bronchial foreign body. J Pediatr Surg 2002;37:1239–40

6 GA Norfolk , SF. Gray IV drug users and broken needles–a hidden risk? Addiction 2003;98:1163–6

7 MF Williams , DW Eisele , SH. Wyatt Neck needle foreign bodies in IV drug abusers. Laryngoscope 1993;103:5963

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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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