Video-Laryngoscopy-Assisted Fishbone Removal from the Upper Digestive Tract; a Letter to the Editor

Fish bones are frequently lodged in the upper digestive tract, usually at the palatine tonsils, tongue base, valleculae, and pyriform sinuses. The otorhinolaryngologist represents the first point of contact in such cases, which may in fact account for a sizeable percentage of ENT emergencies (1). Pe...

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Main Authors: Petros Vlastarakos, Konstantinos Chondrogiannis
Format: Article
Language:English
Published: Shahid Beheshti University of Medical Sciences 2021-01-01
Series:Archives of Academic Emergency Medicine
Subjects:
Online Access:https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/1068
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author Petros Vlastarakos
Konstantinos Chondrogiannis
author_facet Petros Vlastarakos
Konstantinos Chondrogiannis
author_sort Petros Vlastarakos
collection DOAJ
description Fish bones are frequently lodged in the upper digestive tract, usually at the palatine tonsils, tongue base, valleculae, and pyriform sinuses. The otorhinolaryngologist represents the first point of contact in such cases, which may in fact account for a sizeable percentage of ENT emergencies (1). Persistent sharp pain in the throat, experienced by the patient following eating fish, indicates that a fishbone has stuck. If the bone is not removed in a timely manner, it may result in serious septic complications (2). Fishbone removal requires dexterity on the part of the ENT Surgeon and co-operation on the part of the patient. Removal of fishbones in the oro-pharynx or base of tongue is usually easy; bones lodged further down may require a three-hand technique, i.e. the patient or an assistant holding the tongue, and not infrequently, turn out to be an intolerable task in the outpatient setting. We Have succeeded in managing such cases under general anaesthesia without intubation, with the use of a rigid anaesthetic video-laryngoscope and a pair of Magill forceps.
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spelling doaj.art-ce731e9d4e894af0bb595ac1777742002022-12-21T19:58:50ZengShahid Beheshti University of Medical SciencesArchives of Academic Emergency Medicine2645-49042021-01-019110.22037/aaem.v9i1.10681068Video-Laryngoscopy-Assisted Fishbone Removal from the Upper Digestive Tract; a Letter to the EditorPetros Vlastarakos0Konstantinos Chondrogiannis1MITERA InfirmaryMITERA InfirmaryFish bones are frequently lodged in the upper digestive tract, usually at the palatine tonsils, tongue base, valleculae, and pyriform sinuses. The otorhinolaryngologist represents the first point of contact in such cases, which may in fact account for a sizeable percentage of ENT emergencies (1). Persistent sharp pain in the throat, experienced by the patient following eating fish, indicates that a fishbone has stuck. If the bone is not removed in a timely manner, it may result in serious septic complications (2). Fishbone removal requires dexterity on the part of the ENT Surgeon and co-operation on the part of the patient. Removal of fishbones in the oro-pharynx or base of tongue is usually easy; bones lodged further down may require a three-hand technique, i.e. the patient or an assistant holding the tongue, and not infrequently, turn out to be an intolerable task in the outpatient setting. We Have succeeded in managing such cases under general anaesthesia without intubation, with the use of a rigid anaesthetic video-laryngoscope and a pair of Magill forceps.https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/1068Laryngoscopyvideo-assisted surgeryhypopharynxfishesforeign bodies
spellingShingle Petros Vlastarakos
Konstantinos Chondrogiannis
Video-Laryngoscopy-Assisted Fishbone Removal from the Upper Digestive Tract; a Letter to the Editor
Archives of Academic Emergency Medicine
Laryngoscopy
video-assisted surgery
hypopharynx
fishes
foreign bodies
title Video-Laryngoscopy-Assisted Fishbone Removal from the Upper Digestive Tract; a Letter to the Editor
title_full Video-Laryngoscopy-Assisted Fishbone Removal from the Upper Digestive Tract; a Letter to the Editor
title_fullStr Video-Laryngoscopy-Assisted Fishbone Removal from the Upper Digestive Tract; a Letter to the Editor
title_full_unstemmed Video-Laryngoscopy-Assisted Fishbone Removal from the Upper Digestive Tract; a Letter to the Editor
title_short Video-Laryngoscopy-Assisted Fishbone Removal from the Upper Digestive Tract; a Letter to the Editor
title_sort video laryngoscopy assisted fishbone removal from the upper digestive tract a letter to the editor
topic Laryngoscopy
video-assisted surgery
hypopharynx
fishes
foreign bodies
url https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/1068
work_keys_str_mv AT petrosvlastarakos videolaryngoscopyassistedfishboneremovalfromtheupperdigestivetractalettertotheeditor
AT konstantinoschondrogiannis videolaryngoscopyassistedfishboneremovalfromtheupperdigestivetractalettertotheeditor