Chee L W, Sethi D S
Department of Otolaryngology, Singapore General Hospital, Singapore.
Ann Otol Rhinol Laryngol. 1999 Feb;108(2):177-80. doi: 10.1177/000348949910800213.
Ingested foreign bodies are the commonest otolaryngological emergency in Singapore and other parts of Southeast Asia. One of the uncommon complications of ingested foreign bodies is migration, which has the potential to cause morbidity and mortality. A retrospective study of 24 patients presenting from 1990 to 1996 at Singapore General Hospital was done to evaluate the presentation, investigation, and diagnosis of migrated foreign bodies. Of interest, most patients had ingested foreign bodies within 24 hours. All the migrated foreign bodies were linear, sharp fish bones. Migration is said to have occurred in the presence of positive neck radiography and negative rigid esophagoscopy. Computed tomography is the investigation of choice to confirm migration. All patients had neck exploration, and factors for successful outcome are discussed. This is the largest series in the literature to date.
吞食异物是新加坡及东南亚其他地区最常见的耳鼻喉科急症。吞食异物的罕见并发症之一是异物迁移，这有可能导致发病和死亡。对1990年至1996年在新加坡总医院就诊的24例患者进行了一项回顾性研究，以评估迁移性异物的临床表现、检查和诊断。有趣的是，大多数患者在24小时内吞食了异物。所有迁移性异物均为线状尖锐鱼骨。当颈部X线检查呈阳性而硬质食管镜检查呈阴性时，即表明发生了异物迁移。计算机断层扫描是确认异物迁移的首选检查方法。所有患者均接受了颈部探查，并对成功治疗的因素进行了讨论。这是迄今为止文献中最大的病例系列。
