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

  • C. B. Koay (a1) and R. C. D. Herdman (a1)
Abstract
Abstract

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.

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Corresponding author
Address for correspondence: Mr C. B. Koay, F.R.C.S., Department of Otolaryngology, The Radcliffe Infirmary, Woodstock Road, Oxford OX2 6HE.
Linked references
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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.

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.

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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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