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Migration of an ingested fish bone into the paraglottic space

  • U C Megwalu (a1)

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

References

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1 Zaytoun, GM, Rouadi, PW, Baki, DH. Endoscopic management of foreign bodies in the tracheobronchial tree: predictive factors for complications. Otolaryngol Head Neck Surg 2000;123:311–16
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3 Lupo, EJ, Leuin, SC, Kelley, PE. Anterior laryngofissure approach to an airway foreign body after migration into the paraglottic space. Laryngoscope 2011;121:2159–61
4 Marks, SC, Marsh, BR, Dudgeon, DL. Indications for open surgical removal of airway foreign bodies. Ann Otol Rhinol Laryngol 1993;102:690–4
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Keywords

Migration of an ingested fish bone into the paraglottic space

  • U C Megwalu (a1)

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