Challenging Removal of Embedded Fishbone in Tongue: Multimodal Technique, Surgical Approach and Consideration of Migration

Fishbone ingestion is a common occurrence and patients present with various symptoms, posing challenges to the attending physicians. Here, we present two unique cases of patients with an unexpected rapidly migrating fishbone in the tongue. The first patient was operated transorally because of a fore...

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Main Authors: Fathiyah Idris, Foong Seong Kin, Faizah Binti Mohd Zaki, Marina Mat Baki
Format: Article
Language:English
Published: Galenos Yayincilik 2022-03-01
Series:Turkish Archives of Otorhinolaryngology
Subjects:
Online Access: http://turkarchotolaryngol.net/archives/archive-detail/article-preview/challenging-removal-of-embedded-fishbone-in-tongue/51871
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author Fathiyah Idris
Foong Seong Kin
Faizah Binti Mohd Zaki
Marina Mat Baki
author_facet Fathiyah Idris
Foong Seong Kin
Faizah Binti Mohd Zaki
Marina Mat Baki
author_sort Fathiyah Idris
collection DOAJ
description Fishbone ingestion is a common occurrence and patients present with various symptoms, posing challenges to the attending physicians. Here, we present two unique cases of patients with an unexpected rapidly migrating fishbone in the tongue. The first patient was operated transorally because of a foreign body embedded in the genioglossus muscle. In the second patient, CT scan located a fishbone embedded in the left hyoglossus muscle; however, the fishbone had to be relocated intraoperatively using bedside ultrasound guidance and was eventually found embedded within the mylohyoid muscle. The fishbone was successfully removed via transcervical approach following a failed transoral approach.
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spelling doaj.art-243630175faf49cebd5b04cd7460de6b2023-02-15T16:11:19ZengGalenos YayincilikTurkish Archives of Otorhinolaryngology2667-74742022-03-01601596210.4274/tao.2021.2021-6-513049054Challenging Removal of Embedded Fishbone in Tongue: Multimodal Technique, Surgical Approach and Consideration of MigrationFathiyah Idris0Foong Seong Kin1Faizah Binti Mohd Zaki2Marina Mat Baki3 Department of Otorhinolaryngology-Head and Neck Surgery, University Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia Department of Otorhinolaryngology-Head and Neck Surgery, University Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia Department of Radiology, Pusat Perubatan University Kebangsaan Malaysia, Kuala Lumpur, Malaysia Department of Otorhinolaryngology-Head and Neck Surgery, University Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia Fishbone ingestion is a common occurrence and patients present with various symptoms, posing challenges to the attending physicians. Here, we present two unique cases of patients with an unexpected rapidly migrating fishbone in the tongue. The first patient was operated transorally because of a foreign body embedded in the genioglossus muscle. In the second patient, CT scan located a fishbone embedded in the left hyoglossus muscle; however, the fishbone had to be relocated intraoperatively using bedside ultrasound guidance and was eventually found embedded within the mylohyoid muscle. The fishbone was successfully removed via transcervical approach following a failed transoral approach. http://turkarchotolaryngol.net/archives/archive-detail/article-preview/challenging-removal-of-embedded-fishbone-in-tongue/51871 foreign bodiestonguefloor of mouthforeign-body migrationsurgerycomputed tomographycase report
spellingShingle Fathiyah Idris
Foong Seong Kin
Faizah Binti Mohd Zaki
Marina Mat Baki
Challenging Removal of Embedded Fishbone in Tongue: Multimodal Technique, Surgical Approach and Consideration of Migration
Turkish Archives of Otorhinolaryngology
foreign bodies
tongue
floor of mouth
foreign-body migration
surgery
computed tomography
case report
title Challenging Removal of Embedded Fishbone in Tongue: Multimodal Technique, Surgical Approach and Consideration of Migration
title_full Challenging Removal of Embedded Fishbone in Tongue: Multimodal Technique, Surgical Approach and Consideration of Migration
title_fullStr Challenging Removal of Embedded Fishbone in Tongue: Multimodal Technique, Surgical Approach and Consideration of Migration
title_full_unstemmed Challenging Removal of Embedded Fishbone in Tongue: Multimodal Technique, Surgical Approach and Consideration of Migration
title_short Challenging Removal of Embedded Fishbone in Tongue: Multimodal Technique, Surgical Approach and Consideration of Migration
title_sort challenging removal of embedded fishbone in tongue multimodal technique surgical approach and consideration of migration
topic foreign bodies
tongue
floor of mouth
foreign-body migration
surgery
computed tomography
case report
url http://turkarchotolaryngol.net/archives/archive-detail/article-preview/challenging-removal-of-embedded-fishbone-in-tongue/51871
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AT foongseongkin challengingremovalofembeddedfishboneintonguemultimodaltechniquesurgicalapproachandconsiderationofmigration
AT faizahbintimohdzaki challengingremovalofembeddedfishboneintonguemultimodaltechniquesurgicalapproachandconsiderationofmigration
AT marinamatbaki challengingremovalofembeddedfishboneintonguemultimodaltechniquesurgicalapproachandconsiderationofmigration