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

Published online by Cambridge University Press:  29 June 2007

C. B. Koay  and
R. C. D. Herdman
C. B. Koay*
Affiliation:
Department of Otolaryngology,The Royal Berkshire Hospital, London Road, Reading RG1 5AN.
R. C. D. Herdman
Affiliation:
Department of Otolaryngology,The Royal Berkshire Hospital, London Road, Reading RG1 5AN.
*
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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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.

Keywords

Foreign bodiesTongueOropharynx
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 6 , June 1995 , pp. 534 - 535
Copyright
Copyright © JLO (1984) Limited 1995

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References

Carr, A. J. (1987) Radiology of fish bone foreign bodies in the neck. Journal of Laryngology and Otology 101: 407–408.CrossRefGoogle Scholar
Choy, A. T. K., Gluckman, P. G. C., Tong, M. C. F., Van Hasselt, C. A. (1992) Flexible nasopharyngoscopy for fish bone removal from the pharynx. Journal of Laryngology and Otology 106: 709–711.CrossRefGoogle ScholarPubMed
Ell, S. R., Parker, A. J. (1992) The radio-opacity of fish bones. Clinical Otolaryngology 17: 514–516.CrossRefGoogle Scholar
Jones, N. S., Lannigan, F. J., Salama, N. Y. (1991) Foreign bodies in the throat: a prospective study of 388 cases. Journal of Laryngology and Otology 105: 104–108.CrossRefGoogle Scholar
Nandi, P., Ong, G. B. (1978) Foreign body in the oesophagus: review of 2394 cases. British Journal of Surgery 65: 5–9.CrossRefGoogle ScholarPubMed
Ngan, J. H. K., Fok, P. J., Lai, E. C. S., Branicki, F. I., Wong, J. (1990) A prospective study on fish bone ingestion. Annals of Surgery 211: 459–462.CrossRefGoogle ScholarPubMed
Phillips, J. J., Patel, P. (1988) Swallowed foreign bodies. Journal of Laryngology and Otology 102: 235–241.CrossRefGoogle Scholar