Department of Otolaryngology, En Chu Kong Hospital, Taipei, Taiwan.
Am J Otolaryngol. 2011 Jan-Feb;32(1):75-6. doi: 10.1016/j.amjoto.2009.09.003. Epub 2009 Oct 31.
Most migrated foreign bodies in the neck were removed immediately in patients with persistent symptoms. It is a rare condition that a fish bone was buried for a prolonged time in the tongue with little discomfort. We report a unique case of an ingested fish bone lodged in the tongue for 16 months until infection ensued. Ludwig angina was considered first because the patient had fever, odynophagia, swelling of the tongue, and mouth floor. The fish bone buried in the tongue was incidentally found on the computed tomography scan and successfully removed by surgical exploration. Although dental infection is the most common underlying cause in Ludwig angina, embedded foreign body should be considered as one of the pathogenesis. On the other hand, computed tomography scan can be useful in identifying extraluminal migration of fish bones in the neck.
大多数颈部移行性异物在出现持续症状的患者中被立即取出。鱼刺在舌内长时间埋藏而无明显不适是一种罕见情况。我们报告了一个独特的病例，患者在 16 个月内吞下鱼刺，直到发生感染。首先考虑路德维希咽峡炎，因为患者有发热、吞咽困难、舌肿胀和口底肿胀。在计算机断层扫描中偶然发现埋藏在舌内的鱼骨，并通过手术探查成功取出。虽然牙源性感染是路德维希咽峡炎最常见的潜在原因，但应将嵌入性异物视为发病机制之一。另一方面，计算机断层扫描可用于确定颈部鱼刺的腔外迁移。
