Video-Laryngoscopy-Assisted Fishbone Removal from the Upper Digestive Tract; a Letter to the Editor video-laryngoscopy assisted fishbone removal
Archives of Academic Emergency Medicine,
Vol. 9 No. 1 (2021),
1 January 2021
Fish bones are frequently lodged in the upper digestive tract, usually at the palatine tonsils, tongue base, valleculae, and pyriform sinuses. The otorhinolaryngologist represents the first point of contact in such cases, which may in fact account for a sizeable percentage of ENT emergencies (1). Persistent sharp pain in the throat, experienced by the patient following eating fish, indicates that a fishbone has stuck. If the bone is not removed in a timely manner, it may result in serious septic complications (2).
Fishbone removal requires dexterity on the part of the ENT Surgeon and co-operation on the part of the patient. Removal of fishbones in the oro-pharynx or base of tongue is usually easy; bones lodged further down may require a three-hand technique, i.e. the patient or an assistant holding the tongue, and not infrequently, turn out to be an intolerable task in the outpatient setting. We Have succeeded in managing such cases under general anaesthesia without intubation, with the use of a rigid anaesthetic video-laryngoscope and a pair of Magill forceps.
- video-assisted surgery
- foreign bodies
How to Cite
Ray R, Dutta M, Mukherjee M, Gayen GC. Foreign Body in Ear, Nose and Throat: Experience in a Tertiary Hospital. Indian Journal of Otolaryngology and Head & Neck Surgery. 2014;66:13-6.
Ahmad RA, Ishlah W, Shaharudin M, Sathananthar K, Norie A. Posterior mediastinal abscess secondary to esophageal perforation following fish bone ingestion. The Medical journal of Malaysia. 2008;63:162-3.
Swain S, Pani S, Sahu M. Management of fish bone impaction in throat – Our experiences in a tertiary care hospital of eastern India. Egyptian Journal of Ear, Nose, Throat and Allied Sciences. 2016;18:27-30.
Sakaida H, Chiyonobu K, Ishinaga H, Takeuchi K. Use of a Rigid Curved Laryngoscope for Removal of a Fish Bone in the Hypopharynx. Case Reports in Otolaryngology. 2016;2016:1-3.
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