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Fish-Bone Impaction of the Throat
1Fremantle Hospital, Fremantle, Western Australia.
The Australian and New Zealand Journal of Surgery
|December 22, 2017
Summary
Fish-bone impaction in the pharynx and esophagus can lead to severe complications if treatment is delayed. Prompt medical attention is crucial to prevent potentially fatal outcomes from perforation and inflammation.
Area of Science:
- Otolaryngology
- Gastroenterology
- Emergency Medicine
Background:
- Fish-bone impaction is a common cause of pharyngeal and esophageal foreign bodies.
- Delayed treatment can lead to serious, life-threatening complications.
Purpose of the Study:
- To discuss 55 cases of fish-bone impaction.
- To highlight the severe complications associated with delayed treatment.
Main Methods:
- Retrospective case series analysis of 55 patients with fish-bone impaction.
- Detailed reporting of cases with severe complications.
Main Results:
- Fifty-five cases of fish-bone impaction were reported.
- Complications included pharyngo-esophageal perforation, retropharyngeal inflammation, suppuration, and vascular injury (carotid artery, aorta).
- Delay in treatment or improper removal attempts significantly increased morbidity and mortality risk.
Conclusions:
- Fish-bone impaction requires timely medical intervention.
- Delayed treatment can result in severe morbidity and mortality due to complications like perforation and infection.
- Prompt management is essential to avoid grave outcomes.
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