Removal of Fish Bones in the Oropharynx and Hypopharynx Under Video Laryngeal Telescopic Guidance

Abstract

OBJECTIVE: The study goal was to present the technique and results of removal of fish bones in the oropharynx and hypopharynx under video laryngeal telescopic guidance. STUDY DESIGN AND SET: From January 2001 to December 2002, a total of 27 patients with fish bones lodged in the oropharynx and hypopharynx were studied at the ENT Department of Taipei Medical University Hospital. RESULTS: All fish bones were removed smoothly without necessitating further procedures at the time of the initial clinical examination and had an uneventful clinical course. CONCLUSION: Removal of fish bones lodged at the tongue base, vallecula, and hypopharynx under video laryngeal telescopic guidance has the advantages of good illumination, clear visualization, and precise extraction. The technique has also proven to be efficient, safe, well tolerated, and with low morbidity. SIGNIFICANCE: Removal of the fish bones from difficult areas in oropharynx and hypopharynx with this technique can reduce the use of direct laryngoscope under general anesthesia.