Johari Shirish, Chong Kevin Yaw-Khian
Department of Otolaryngology-Head and Neck Surgery, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, 308433 Singapore.
Ear Nose Throat J. 2010 Aug;89(8):364-8.
Although foreign body ingestion and impaction in the pharynx or hypopharynx are quite commonly encountered at our institution, foreign body impaction in tongue tissue is rare. Six cases of foreign bodies embedded in the tongue were identified in a retrospective review spanning the years 1998 to 2007. All the foreign bodies were fish bones. Four of these patients required only tongue exploration to remove the bone; one required a partial glossectomy because of difficulties locating the bone; and one required incision and drainage of an intraglossal abscess that had developed, as well as a tracheostomy. All foreign bodies were successfully removed, with none of the patients experiencing altered sensation or problems with tongue mobility afterwards.
虽然在我们机构，咽部或下咽的异物摄入和嵌顿很常见，但舌组织中的异物嵌顿却很少见。在一项涵盖1998年至2007年的回顾性研究中，确定了6例异物嵌入舌头的病例。所有异物均为鱼骨。其中4例患者仅需进行舌部探查以取出骨头；1例因难以找到骨头而需要进行部分舌切除术；1例需要切开引流已形成的舌内脓肿，并进行气管切开术。所有异物均成功取出，术后所有患者均未出现感觉改变或舌头活动问题。
