Koay C B, Herdman R C
Department of Otolaryngology, Royal Berkshire Hospital, Reading.
J Laryngol Otol. 1995 Jun;109(6):534-5. doi: 10.1017/s0022215100130634.
Impaction of a fish bone at the base of tongue or the vallecula is a very common problem. Removal of the bone from these sites without a general anaesthesia can be challenging to surgeons and patients alike. Various manoeuvres to facilitate this procedure have been described, some are very successful but may require specialized instruments, while others may cause excessive discomfort to the patients and even inadvertent dislodgement of the bone. We describe a method using a flexible fibreoptic nasendoscope to provide a visual guide in order to facilitate peroral removal of the bone with a pair of forceps. This method is well tolerated by patients and avoids the need for a general anaesthesia in many cases.
鱼骨嵌顿于舌根或会厌谷是一个非常常见的问题。在不进行全身麻醉的情况下从这些部位取出鱼骨，对外科医生和患者来说都具有挑战性。已经描述了各种有助于该操作的手法，有些非常成功，但可能需要专门的器械，而其他手法可能会给患者带来过度不适，甚至导致鱼骨意外移位。我们描述了一种使用柔性纤维鼻咽喉镜提供视觉引导的方法，以便用一对镊子经口取出鱼骨。这种方法患者耐受性良好，在许多情况下避免了全身麻醉的需要。
