Alkhudher Sheikha, AlObaid Faisal, Shafi Shabreez
Surgical Department, Amiri Hospital, Kuwait City, Kuwait.
ENT Department, Farwaniya Hospital, Sabah Al Nasser, Kuwait.
Case Rep Otolaryngol. 2018 Mar 31;2018:3590580. doi: 10.1155/2018/3590580. eCollection 2018.
We report a case of fish bone impaction in the paraglottic space, which caused palsy of the left vocal cord. The patient was a 45-year-old man. He presented with throat pain and hoarseness of voice for approximately one week. The diagnosis was made after careful history taking and confirmed by the use of computed tomography scan as the fish bone was not visible endoscopically under local and general anaesthesia. The patient underwent thyroid cartilage window approach, and the fish bone was retrieved. His symptoms have improved significantly, and he did not require tracheostomy. Other cases reported the removal of foreign bodies by other techniques such as laryngofissure and posterolateral approach. Our case is different in that we used a modification of thyroplasty type 1 technique as it has less reported complications than other approaches that were published in literature.
我们报告一例甲状旁腺间隙鱼骨嵌顿病例，该病例导致左侧声带麻痹。患者为一名45岁男性。他出现咽痛和声音嘶哑约一周。通过仔细询问病史做出诊断，并经计算机断层扫描确认，因为在局部和全身麻醉下，鱼骨在内镜下不可见。患者接受了甲状软骨开窗术，取出了鱼骨。他的症状有显著改善，且无需气管切开术。其他病例报告了通过喉裂开术和后外侧入路等其他技术取出异物。我们的病例不同之处在于，我们采用了改良的1型甲状成形术技术，因为与文献中发表的其他方法相比，该技术报告的并发症较少。
