Idris Fathiyah, Kin Foong Seong, Zaki Faizah Binti Mohd, Baki Marina Mat
Department of Otorhinolaryngology-Head and Neck Surgery, University Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.
Department of Radiology, Pusat Perubatan University Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Turk Arch Otorhinolaryngol. 2022 Mar;60(1):59-62. doi: 10.4274/tao.2021.2021-6-5. Epub 2022 May 12.
Fishbone ingestion is a common occurrence and patients present with various symptoms, posing challenges to the attending physicians. Here, we present two unique cases of patients with an unexpected rapidly migrating fishbone in the tongue. The first patient was operated transorally because of a foreign body embedded in the genioglossus muscle. In the second patient, CT scan located a fishbone embedded in the left hyoglossus muscle; however, the fishbone had to be relocated intraoperatively using bedside ultrasound guidance and was eventually found embedded within the mylohyoid muscle. The fishbone was successfully removed via transcervical approach following a failed transoral approach.
鱼骨吞食是一种常见情况，患者会出现各种症状，给主治医生带来挑战。在此，我们呈现两例独特的病例，患者舌部有意外快速迁移的鱼骨。第一例患者因异物嵌入颏舌肌而接受经口手术。第二例患者，CT扫描发现鱼骨嵌入左舌骨舌肌；然而，术中必须使用床边超声引导重新定位鱼骨，最终发现其嵌入下颌舌骨肌内。经口手术失败后，通过经颈入路成功取出鱼骨。
