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Migration of an ingested fish bone into the paraglottic space

Published online by Cambridge University Press:  08 August 2016

U C Megwalu
U C Megwalu*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Stanford University School of Medicine, California, USA
*
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: [email protected]
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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.

Keywords

Foreign BodiesDeglutition DisordersForeign-Body MigrationLarynx
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 10 , October 2016 , pp. 973 - 974
Copyright
Copyright © JLO (1984) Limited 2016 

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