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Updated: Jun 26, 2025
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Migratory Fish Bone in the Hyoglossus: Catch Me if You Can
Muhammad Adzha Musa1, Irfan Affandi Hamid2, Hardip Gendeh1
1Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Canselor Tuanku Muhriz, Kuala Lumpur, MYS.
Cureus
|May 15, 2024
Summary
A fish bone migrated in an elderly man
Area of Science:
- Otorhinolaryngology
- Medical Imaging
- Surgical Procedures
Background:
- Foreign body ingestion is common in otorhinolaryngology.
- Untreated foreign bodies can migrate, complicating management.
Observation:
- An elderly male presented with dysphagia after ingesting a fish bone.
- Examination revealed right vallecula swelling; CT confirmed a migratory neck foreign body.
Findings:
- Open neck exploration successfully removed the migratory foreign body.
- Intraoperative fluoroscopy guided the surgical procedure.
Implications:
- A high index of suspicion is crucial for migratory foreign bodies missed by endoscopy.
- Early surgical intervention is vital to prevent life-threatening complications.
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