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Transoral endoscopic approach to upper cervical spine migrated foreign bodies

Published online by Cambridge University Press:  26 November 2021

L H Png ,
S T Toh  and
N W Y Teo
L H Png*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Singapore General Hospital, Singapore
S T Toh
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Singapore General Hospital, Singapore
N W Y Teo
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Singapore General Hospital, Singapore
*
Author for correspondence: Dr Lu Hui Png, Department of Otorhinolaryngology – Head and Neck Surgery, Singapore General Hospital, Outram Road, Singapore169608 E-mail: Luhpng@gmail.com
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Abstract

Background

Migrated ingested foreign bodies in the aerodigestive tract can lodge within vital organs and vessels, causing potentially devastating complications. It is often difficult to localise these foreign bodies, with extrication resulting in the requirement for open approaches which may cause significant morbidity.

Case report

This paper presents the case of an ingested migrated stingray bone lodged adjacent to the vertebral artery in the upper cervical spine. This was managed via an endoscopic transoral approach, with the assistance of an image-guidance system.

Results

Successful extraction of the foreign body was achieved, with minimal residual morbidity.

Conclusion

Our study showed that image-guided endoscopic surgery is a safe, precise and feasible option for the localisation and removal of migrated foreign bodies in the aerodigestive tract involving critical neurovascular structures.

Keywords

EndoscopyForeign-Body MigrationPharynxSpineVertebral Artery
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 1 , January 2022 , pp. 91 - 93
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr L H Png takes responsibility for the integrity of the content of the paper

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