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The use of toluidine blue gargles to aid the detection of impacted pharyngeal fish bones

Published online by Cambridge University Press:  29 June 2007

P. Jassar*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Aberdeen Royal Infirmary, Aberdeen, UK
D. P. Murray
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Aberdeen Royal Infirmary, Aberdeen, UK
M. S. W. Lee
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Aberdeen Royal Infirmary, Aberdeen, UK
*
Address for correspondence Mr P. Jassar, c/o Ward 45, Aberdeen Royal Infirmary, Forresterhill, Aberdeen AB25 2ZN

Abstract

Fishbone impaction is a common clinical problem. In most cases careful examination pinpoints the impacted bone which can then be removed. If no bone is detected a distinction must be drawn between mucosal abrasion mimicking fishbone impaction and a fine or deeply impaled fishbone eluding detection. We present a new method that may be helpful in the detection of pharyngeal fishbones.

Type
Short Communication
Copyright
Copyright © JLO (1984) Limited 1999

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References

Ell, S. R. (1989) Radio-opacity of fishbones. Journal of Laryngology and Otology 103: 12241226.CrossRefGoogle ScholarPubMed
Ngan, J. H. K., Fok, P. J., Lai, E. C. S., Branicki, F. J., Wong, J. (1990) A prospective study on fish bone ingestion. Annals of Surgery 211: 459462CrossRefGoogle ScholarPubMed