Lateral thyroid cartilage thyrotomy approach to an embedded paraglottic fishbone

Wong, Hui Tong; Tham, S Y; Elangkumaran, K; Ng, W S J; Sia, K J

doi:10.1308/rcsann.2017.0010

Cited by 6 publications

(4 citation statements)

References 6 publications

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“…Interestingly, Wong et al reported a case of an open approach via a creation of lateral thyroid cartilage window in managing an embedded paraglottic FB. The perichondrium of thyroid cartilage was sutured after removing the FB [13].…”

Section: Discussionmentioning

confidence: 99%

Transluminal Migration of Oesophageal Foreign Bodies: A Series of Three Patients

Tong¹,

Ming²,

Ramasamy³

et al. 2023

JCHS

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Inadvertent ingestion of foreign bodies, particularly fish bone, are a common complaint in the otolaryngology emergency practices in Southeast Asia. Due to its thin, linear, and sharp pointed end, fish bone has the potential to penetrate through the oesophagus wall, or migrate extraluminally towards the surrounding structures in the neck, resulting in bizarre and lethal complications. We present an unusual case of extraluminal migration of foreign body (FB) and 2 cases of completely embedded FB in the oesophagus wall. We aim to share our experience in both conservative approach and transcervical approach for these difficult clinical problems. All of them have minimal rigid oesophagoscopy findings but possess the radiological evidence of FB. Computed tomography scan have higher sensitivity and provide good preoperative guidance, it should be done early and performed in the event of negative endoscopic evaluation. Prompt diagnosis and early retrieval of FB can significantly reduce morbidity and mortality.

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Section: Discussionmentioning

confidence: 99%

Transluminal Migration of Oesophageal Foreign Bodies: A Series of Three Patients

Tong¹,

Ming²,

Ramasamy³

et al. 2023

JCHS

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“…Hemitiroidecotmy has been proposed for the retrieval of a FB stuck in the thyroid gland [26]. For FB located in the paraglottic space, both anterior and posterior approaches to the laryngeal cartilages have been described [27][28][29][30]. With technological advances, imaging-guided approaches have been promisingly introduced.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-Assisted Removal of a Wooden Foreign Body Embedded in the Neck

Vitali,

Orlando,

Maggiore

et al. 2023

Surgical Techniques Development

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Objectives: The deep submucosal migration of ingested foreign bodies into the pharyngolaryngeal mucosa is a sporadic event, and its management can be very challenging. In the case of the failure of endoscopic retrieval, open surgical techniques are usually required, and intraoperative ultrasonography can become a useful adjunct for identifying their precise localization. Methods: An 84-year-old woman presented with new-onset dysphagia and odynophagia after the accidental ingestion of a fragment of a toothpick a few hours before in the absence of hoarseness or respiratory distress. Ultrasonography and an unenhanced CT scan of the neck revealed a 3 cm linear foreign body embedded into the neck between the left pyriform sinus and the esophageal wall. Results: We report the removal of a fragment of a wooden toothpick deeply lodged between the left pyriform sinus and the esophageal wall, which was managed via an open transcervical approach with the aid of intraoperative ultrasound guidance. Conclusions: We suggest that both preoperative and intraoperative ultrasonography should represent the first-line imaging technique for deeply embedded neck foreign bodies.

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“…Some authors previously discussed transcervical approach including laryngofissure and posterolateral approach in deeply embedded foreign body. 14,15) They suggested the usefulness of transcervical approach especially in patients who failed to remove foreign body endoscopically. But in current case, the needle was located far from skin more than 1 cm and it was more close to approach from visceral space, so we did not consider transcervical approach initially.…”

Section: Discussionmentioning

confidence: 99%

Retrieval of Metallic Foreign Bodies from the Upper Airway Using Intraoperative C-Arm Fluoroscopy: Case Report and Literature Review

Suh¹,

Kim²,

Kim³

et al. 2022

Korean J Otorhinolaryngol-Head Neck Surg

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Foreign body ingestion is commonly encountered by otolaryngologists. Most foreign bodies in the upper airway can be easily removed via direct endoscopy; however, if they penetrate the soft tissue deeply, both localization and retrieval may be challenging. Here, we report on the successful removal of multiple sewing needles from the throat using intraoperative, real-time C-arm fluoroscopy to guide endoscopic extraction. The use of intraoperative, real time C-arm fluoroscopy to guide endoscopic extraction allowed quick, safe treatment and avoided any development of complications in our patient.

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Lateral thyroid cartilage thyrotomy approach to an embedded paraglottic fishbone

Cited by 6 publications

References 6 publications

Transluminal Migration of Oesophageal Foreign Bodies: A Series of Three Patients

Transluminal Migration of Oesophageal Foreign Bodies: A Series of Three Patients

Ultrasound-Assisted Removal of a Wooden Foreign Body Embedded in the Neck

Retrieval of Metallic Foreign Bodies from the Upper Airway Using Intraoperative C-Arm Fluoroscopy: Case Report and Literature Review

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