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    Flavell, E.M. Stacey, M.R. and Hall, J.E. 2009. The clinical management of airway obstruction. Current Anaesthesia & Critical Care, Vol. 20, Issue. 3, p. 102.

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    Chu, Kent-Man Choi, Hok-Kwok Tuen, Henry H. Law, Simon Y.K. Branicki, Frank J. and Wong, John 1998. A prospective randomized trial comparing the use of the flexible gastroscope versus the bronchoscope in the management of foreign body ingestion. Gastrointestinal Endoscopy, Vol. 47, Issue. 1, p. 23.


Nasendoscopy guided removal of fish bones from the base of tongue and the vallecula

  • C. B. Koay (a1) and R. C. D. Herdman (a1)
  • DOI:
  • Published online: 01 June 2007

Impaction of a fish bone at the base of tongue or the vallecula is a very common problem. Removal of the bone from these sites without a general anaesthesia can be challenging to surgeons and patients alike. Various manoeuvres to facilitate this procedure have been described, some are very successful but may require specialized instruments, while others may cause excessive discomfort to the patients and even inadvertent dislodgement of the bone. We describe a method using a flexible fibreoptic nasendoscope to provide a visual guide in order to facilitate peroral removal of the bone with a pair of forceps. This method is well tolerated by patients and avoids the need for a general anaesthesia in many cases.

Corresponding author
Address for correspondence: Mr C. B. Koay, F.R.C.S., Department of Otolaryngology, The Radcliffe Infirmary, Woodstock Road, Oxford OX2 6HE.
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A. J. Carr (1987) Radiology of fish bone foreign bodies in the neck. Journal of Laryngology and Otology 101: 407408.

A. T. K. Choy , P. G. C. Gluckman , M. C. F. Tong , C. A. Van Hasselt (1992) Flexible nasopharyngoscopy for fish bone removal from the pharynx. Journal of Laryngology and Otology 106: 709711.

S. R. Ell , A. J. Parker (1992) The radio-opacity of fish bones. Clinical Otolaryngology 17: 514516.

N. S. Jones , F. J. Lannigan , N. Y. Salama (1991) Foreign bodies in the throat: a prospective study of 388 cases. Journal of Laryngology and Otology 105: 104108.

P. Nandi , G. B. Ong (1978) Foreign body in the oesophagus: review of 2394 cases. British Journal of Surgery 65: 59.

J. H. K. Ngan , P. J. Fok , E. C. S. Lai , F. I. Branicki , J. Wong (1990) A prospective study on fish bone ingestion. Annals of Surgery 211: 459462.

J. J. Phillips , P. Patel (1988) Swallowed foreign bodies. Journal of Laryngology and Otology 102: 235241.

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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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