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Removal of a triple-barbed fishhook from the hypopharynx with microlaryngoscopy
Paul B Swanson1, Sheila A Apicella, Clark A Rosen
1Department of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Objectives:
To review the literature involving removal of sharp foreign bodies from the hypopharynx and to present a case of a triple-barbed fishhook removed from the hypopharynx with suspension microlaryngoscopy.
Study Design:
Literature review and case presentation.
Methods:
Review of the literature was done using a MEDLINE search with the keywords hypopharynx, foreign bodies, and laryngoscopy.
Results:
Review of the literature revealed no prior description of either foreign body removal using microlaryngoscopy or report of the removal of a triple-barbed fishhook from humans.
Conclusion:
Removal of sharp foreign bodies from the aerodigestive tract always presents a technical challenge, and this case of a hypopharyngeal triple-barbed fishhook introduces new operative techniques. By using microlaryngoscopy and bimanual instrumentation to manipulate and remove the fishhook, an open surgical procedure was avoided.