Sa'adudeen Idris Olanrewaju, Omokanye Habeeb Kayode, Peter Adeoye Oladapo, Ige Olufemi Adebayo, Jimoh Muritala, Ominigbo Olodedia Benneth, Fabiyi Johnson Olurotimi, Aremu Shuaib Kayode, Adegboye Aderonke Folashade
Department of Otorhinolaryngology, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
Division of Thoracic & Cardiovascular Surgery, Department of Surgery, University of Ilorin, Ilorin, Nigeria.
Ear Nose Throat J. 2023 Aug 3:1455613231189951. doi: 10.1177/01455613231189951.
Foreign bodies, particularly fish bones, in the hypopharynx and cervical esophagus are a common complaint. A swallowed foreign body can be embedded in the tonsil, the base of the tongue, the pyriform fossae, or any region of the upper esophagus. A 70-year-old woman presented with persistent left-sided pharyngeal pain with the sensation of a foreign body for 10 days. She felt a sudden sharp pain in her pharynx while eating a fish head 10 days before the presentation. On examination, an elderly woman was found in painful distress. Flexible fiberoptic laryngoscopy revealed a pool of saliva in the pyriform fossae and a diagnosis of a foreign body in the esophagus was suspected. She was planned for direct laryngoscopy, left (lateral/external) pharyngotomy, and removal of foreign bodies under fluoroscopic guidance of the C-arm. A metallic fish hook that hung over the greater left horn, buried in the neck muscles, was found during the surgery and was extracted. The patient did well postoperatively and was discharged from the clinic. Foreign bodies, particularly fish bones, in the hypopharynx and cervical esophagus are a common complaint, particularly in the African setting.
下咽和颈段食管的异物，尤其是鱼骨，是一种常见的病症。吞咽的异物可能嵌顿于扁桃体、舌根、梨状窝或上段食管的任何部位。一名70岁女性因左侧咽部持续疼痛伴异物感10天前来就诊。就诊前10天，她在吃鱼头时咽部突然剧痛。检查时，发现一名老年女性处于疼痛不适状态。纤维喉镜检查显示梨状窝有一滩唾液，怀疑食管有异物。计划对她进行直接喉镜检查、左侧（外侧/外部）咽切开术，并在C形臂荧光透视引导下取出异物。手术中发现一个金属鱼钩挂在左大角上方，埋于颈部肌肉中，将其取出。患者术后恢复良好，已从诊所出院。下咽和颈段食管的异物，尤其是鱼骨，是一种常见的病症，在非洲地区尤为常见。
