Management of fish bone impaction in throat – Our experiences in a tertiary care hospital of eastern India

Swain, Santosh Kumar; Pani, Santosh Kumar; Sahu, Mahesh Chandra

doi:10.1016/j.ejenta.2016.12.001

Cited by 9 publications

(14 citation statements)

References 16 publications

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“… 12 , 13 In some studies, fish bone was the most common type discovered in oropharynx and hypopharynx, especially in both tonsils and piriform fossa. 14 However, in our study, it was found that the most common type of foreign bodies were in the esophagus in adults and coins in the bronchus in children. This could be due to several factors, including the geographic location, nutritional habits of the patient and if the service is provided in a secondary or tertiary hospital.…”

Section: Discussioncontrasting

confidence: 56%

Foreign bodies in otorhinolaryngology

Al-Qahtani

Qobty

Al-Shahrani

et al. 2020

SMJ

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Objectives: To analyze the data of patients with otorhinolaryngological foreign bodies and to evaluate the management and outcomes of foreign bodies to prevent complications. Methods: A retrospective study was conducted over 8 years at Aseer Central Hospital to examine all admitted cases with foreign bodies in the ear, nose, throat, esophagus and bronchus during the period from January 2011 to January 2019. Patient demographic data, type of foreign body, and most common site were analyzed. Results: A total of 184 patients were admitted, including 72)39.1%(males and 112)60.9%(females. The age range was from one year old to 70 years old; the mean±standard deviation of age was 10.6±12.55 years. Foreign bodies were most commonly located Original Article in the esophagus)n=97, 52.7%(, followed by the bronchus)n=55, 29.9%(. A statistically significant difference was found, with a p-value of 0.00001. The most common site in children was the bronchus)n=39, 21%(; the most common site in adults was the esophagus)n=18, 72%(. Conclusion: Otorhinolaryngological foreign bodies are found most frequently in preschool-aged children. The most common site in children was the bronchus, and the most common site in adults was the esophagus. Prevention measures are essential to reduce the risk of ingestion and admission, which can be challenging.

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Section: Discussioncontrasting

confidence: 56%

Foreign bodies in otorhinolaryngology

Al-Qahtani

Qobty

Al-Shahrani

et al. 2020

SMJ

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“…This is because in this part of India fish is a part of the natives' daily diet. Study by Santosh Kumar Swain et al 8 shows that the most common site of fish bone impaction is tonsil (31.6%), followed by base of tongue (20.4%), vallecula (18.4%) and pyriform fossa. But a study by L.C Knight and T.H.J Lesser 9 found that most common site of fish bone impaction is base of the tongue (53%) followed by tonsil (20%).…”

Section: Discussionmentioning

confidence: 99%

Epidemiological Profile of Foreign Body in Upper Aero-digestive Tract in a Peripheral Tertiary-Care Hospital

Maiti

Hembrom

Sinha

et al. 2018

BJOHNS

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Introduction Foreign body in upper aero-digestive tract leads to many complications including life-threatening ones to the patients. Its management depends upon type of foreign body and site of lodgement. Materials and Methods A descriptive study was conducted from March 2013 to February 2017 to determine the different components of the epidemiological profile of the cases of Foreign body in upper Aero-digestive Tract (UADT) and its management principle. Total 192 patients were selected for this study. These patients underwent different procedures for foreign body removal and post-operative notes were taken for data analysis to note the epidemiological pattern. Results A total of 192 patients were included in the study. Epidemiological data were derived and analyzed comprehensively to present the different profiles. Conclusion Fish bone was found to be the commonest foreign body in upper aero-digestive tract, followed by coin and meat bone. Foreign bodies are commonly removed by Tilley's forceps followed by Hypopharyngoscopy.

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“…The common sites of lodgment of the fish bone were the tonsil/tonsillar pillar, vallecula, tongue base, and esophagus,[ 8 ] whereas it was the buccal mucosal muscle plane in our case. The various surgical approaches for the fish bone impactions start with a direct removal after routine clinical examination (of accessible oral site), followed by extraction under video laryngeal telescopic guidance (for tongue base, vallecula, and hypopharynx) or finally endoscopy.…”

Section: Discussionmentioning

confidence: 79%

“…[ 7 ] The fish bone impactions are reported with a high prevalence of 75.75% among the age group of 21–30 years as per an Indian study. [ 8 ] The common presenting feature in case of fish bone impaction of the oral cavity is a granuloma[ 7 ] or foreign body sensation with precise finger point localization. [ 8 ] The age and presenting symptoms could be correlated to our case.…”

Section: Discussionmentioning

confidence: 99%

“…[ 8 ] The common presenting feature in case of fish bone impaction of the oral cavity is a granuloma[ 7 ] or foreign body sensation with precise finger point localization. [ 8 ] The age and presenting symptoms could be correlated to our case. The risk factors that contribute to fish bone impactions include age extremities, psychiatric disabilities,[ 1 7 ] dentures,[ 4 ] and living in coastal areas with predominant seafood-based diet.…”

Section: Discussionmentioning

confidence: 99%

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Impacted Fish Bone in Buccal Space Associated with an Abscess

Rayudu¹,

Palla²,

Vaaka³

et al. 2021

Journal of Medical Ultrasound

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Fish bone impaction in buccal space abscess is an uncommon dental scenario. A case of young adult with partially edentulous state contributing to this emergency is presented. The history, clinical imaging findings, surgical procedure, and checklist for clinical assessment are briefly described. The point-of-care ultrasonography (POCUS) was used in our case to identify, locate, and perform an ultrasonography-guided removal of impacted fish bone in consolidated abscess of the buccal space. The role of POCUS in cases of dental swellings or uncommon emergencies is emphasized in clinical settings.

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Management of fish bone impaction in throat – Our experiences in a tertiary care hospital of eastern India

Cited by 9 publications

References 16 publications

Foreign bodies in otorhinolaryngology

Foreign bodies in otorhinolaryngology

Epidemiological Profile of Foreign Body in Upper Aero-digestive Tract in a Peripheral Tertiary-Care Hospital

Impacted Fish Bone in Buccal Space Associated with an Abscess

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