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Flexible nasopharyngoscopy for fish bone removal from the pharynx

Published online by Cambridge University Press:  29 June 2007

A. T. K. Choy ,
P. G. C. Gluckman ,
M. C. F. Tong  and
C. A. Van Hasselt
A. T. K. Choy
Affiliation:
Hong Kong
P. G. C. Gluckman
Affiliation:
Hong Kong
M. C. F. Tong
Affiliation:
Hong Kong
C. A. Van Hasselt*
Affiliation:
Hong Kong
*
Dr C. A. van Hasselt, Division of Otorhinolaryngology, Department of Surgery, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong.
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Abstract

The use of flexible nasopharyngoscopy with biopsy forceps for the removal of fish bones found in the oropharynx and hypopharynx is described. One hundred and sixty-eight patients with ingested fish bones in the upper aero-digestive tract were studied over a 12-month period. Of these, 73 percent were removed per-orally, or by indirect laryngoscopy. Fifteen percent were removed using the fibreoptic nasopharyngoscope. Twelve percent required a general anaesthetic and rigid oesophagoscopy for removal of fish bones at or below the level of the cricopharyngeus muscle. The technique has proven to be quick, well tolerated and low in morbidity. It is invaluable in patients in whom indirect laryngoscopy is unsatisfactory.

Keywords

EndoscopynasopharyngealForeign body
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 8 , August 1992 , pp. 709 - 711
Copyright
Copyright © JLO (1984) Limited 1992

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References

Ell, S. R. (1989) View from within–Radiology in Focus. Radioopacity of fish bones. Journal of Laryngology and Otology, 103: 1224–1226.CrossRefGoogle Scholar
Endo, M., Nakayama, T., Yazawa, T., Hanyu, E., Iwatsuka, M., Yamada, A., Suzuki, S., Nakamura, M., Yamada, K., Maki, M., Takemoto, T. (1972) Removal of foreign bodies from the esophagus and stomach using a esophagofibrescope. Rinsho Geka, 27: 437–442.CrossRefGoogle Scholar
Manabe, Y., Araki, M., Takeda, K. (1989) Endoscopic management of eosphageal meat impaction using a splay-mouth forceps. Gastrointestinal Endoscopy, 35: 476–477.CrossRefGoogle Scholar
Nandi, P., Ong, G. B. (1978) Foreign bodies in the oesophagus: review of 2394 cases. British Journal of Surgery, 65: 5–9.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: 459–462.CrossRefGoogle ScholarPubMed
Webb, W. A. (1988) Management of foreign bodies of the upper gastrointestinal tract. Gastroenterology, 94: 204–216.CrossRefGoogle ScholarPubMed