Ballivet-de-Régloix Stanislas, Crambert Anna, Maurin Olga, Bonfort Gratien, Marty Salome, Pons Yoann
Department of ENT - Head and Neck Surgery, Military Training Hospital Percy,101, Avenue Henri Barbusse 92140, Clamart, France.
Emergency Department, Fire Fighting Brigade of Paris, Place Jules Renard 75017, Paris, France.
Iran J Otorhinolaryngol. 2017 Jul;29(93):215-219.
We present a retrospective study series and discussion of the current literature to discuss the management of fishbones in the upper aerodigestive tract.
From January 2013 to July 2016, all patients referred to our referral center because of a fishbone in the upper aerodigestive tract were analysed.
Of the 24 patients, 95% of them reported discomfort in the throat. It was noted that 58% of physical examinations and nasofibroscopy results were normal. Ten fishbones were found in the upper aerodigestive tract. They were removed by foreign body forceps or by endoscopy depending on the location. Foreign body-related complications were not observed. Ten patients with no identifiable fishbone had no symptoms after 48 hours. Other patients, including the 10 patients with the fishbone removed, were asymptomatic after 10 days.
From our experience, we recommend a systematic nasofibroscopy. If it is normal, the patient is assessed at 48h. The complementary investigation by CT scan and/or oesophagoscopy must be reserved in cases of suspicion of oesophageal localization or complication. Otherwise, rigid or flexible endoscopy may be performed when laryngoscopy is unsuccessful or for the treatment of foreign bodies lodged below this area.
我们展示了一系列回顾性研究并讨论了当前文献，以探讨上消化道气道内鱼骨的处理方法。
对2013年1月至2016年7月期间因上消化道气道内有鱼骨而转诊至我们转诊中心的所有患者进行了分析。
在24例患者中，95%的患者报告有咽喉不适。注意到58%的体格检查和鼻纤维镜检查结果正常。在上消化道气道内发现了10根鱼骨。根据位置，通过异物钳或内镜将其取出。未观察到与异物相关的并发症。10例未发现鱼骨的患者在48小时后无症状。其他患者，包括10例已取出鱼骨的患者，在10天后无症状。
根据我们的经验，我们建议进行系统的鼻纤维镜检查。如果结果正常，在48小时时对患者进行评估。对于怀疑食管定位或并发症的情况，必须保留CT扫描和/或食管镜检查等补充检查。否则，当喉镜检查不成功或用于治疗位于该区域以下的异物时，可进行硬质或柔性内镜检查。
