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Clinical Approaches to Migrating Ingested Foreign Bodies in the Neck
Nien-Hsuan Ho1, Feng-Chi Chang2,3, Yi-Fen Wang1
1Department of Otorhinolaryngology-Head and Neck Surgery, 46615Taipei Veterans General Hospital and National Yang-Ming University, Taipei.
Ear, Nose, & Throat Journal
|August 15, 2020
Summary
This study presents two cases of migrating ingested foreign bodies in the neck, proposing a new algorithm for surgical management using fluoroscopy and laryngoscopy. The algorithm aids in safely removing these challenging foreign bodies.
Area of Science:
- Otolaryngology
- Surgical Management
- Medical Imaging
Background:
- Ingested foreign bodies in the neck are uncommon but can lead to serious complications.
- Migration of these objects necessitates advanced diagnostic and surgical strategies.
- Current literature lacks a standardized algorithm for managing migrating neck foreign bodies.
Observation:
- Two patients presented with delayed symptoms from ingested fish bones migrating into the neck.
- Case 1: Pharyngeal fish bone managed with fluoroscopy and laryngoscopy.
- Case 2: Extraluminal fish bone migrated into the sternocleidomastoid muscle, removed via cervical incision.
Findings:
- Successful retrieval of migrating ingested foreign bodies in both cases without complications.
- Demonstrated efficacy of fluoroscopy-guided retrieval and external surgical approaches.
- Proposed a novel algorithm for the initial surgical management of migrating ingested foreign bodies in the neck.
Implications:
- The proposed algorithm offers a structured approach to surgical decision-making for neck foreign bodies.
- Highlights the importance of imaging and surgical technique in managing migrating foreign bodies.
- Contributes to improved patient outcomes by providing a guideline for complex cases.
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