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Nasendoscopy guided removal of fish bones from the base of tongue and the vallecula

Published online by Cambridge University Press:  29 June 2007

C. B. Koay  and
R. C. D. Herdman
C. B. Koay*
Affiliation:
Department of Otolaryngology,The Royal Berkshire Hospital, London Road, Reading RG1 5AN.
R. C. D. Herdman
Affiliation:
Department of Otolaryngology,The Royal Berkshire Hospital, London Road, Reading RG1 5AN.
*
Address for correspondence: Mr C. B. Koay, F.R.C.S., Department of Otolaryngology, The Radcliffe Infirmary, Woodstock Road, Oxford OX2 6HE.
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Abstract

Impaction of a fish bone at the base of tongue or the vallecula is a very common problem. Removal of the bone from these sites without a general anaesthesia can be challenging to surgeons and patients alike. Various manoeuvres to facilitate this procedure have been described, some are very successful but may require specialized instruments, while others may cause excessive discomfort to the patients and even inadvertent dislodgement of the bone. We describe a method using a flexible fibreoptic nasendoscope to provide a visual guide in order to facilitate peroral removal of the bone with a pair of forceps. This method is well tolerated by patients and avoids the need for a general anaesthesia in many cases.

Keywords

Foreign bodiesTongueOropharynx
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 6 , June 1995 , pp. 534 - 535
Copyright
Copyright © JLO (1984) Limited 1995

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