Abstract
Pharyngeal foreign bodies are common problems seen at emergency rooms or ENT outpatient clinics, and fish bones are the most common foreign bodies encountered in East Asia and in Korea. One of the rare complications of a swallowed sharp fish bone is its migration from the site of entry into the subcutaneous tissues of the neck. We present four unusual cases of ingested fish bones that migrated out of the upper digestive tract to the neck. In the first case, this caused a recurrent deep neck infection for 2 years; in the second case, there was penetration of the facial artery; in the third case, there was a hematoma of the floor of the mouth; in the fourth case, there was a retropharyngeal abscess.
Similar content being viewed by others
References
Osinubi OA, Osiname AI, Pal A, et al (1996) Foreign body in the throat migrating through the common carotid artery. J Laryngol Otol 110:793–795
Lu PK, Brett RH, Aw CY, et al (2000) Migrating oesophageal foreign body—an unusual case. Singapore Med J 41:77–79
Lannigan FJ, Newbegin CJR, Terry RM (1988) An unusual subcutaneous neck lump. J Laryngol Otol 102:385–386
Chee LW, Sethi DS (1999) Diagnostic and therapeutic approach to migrating foreign bodies. Ann Otol Rhinol Laryngol 108:177–180
Ma DH, Lee YS, Lee MJ, et al (1989) A clinical study of foreign bodies in the food and air passages. Korean J Otolaryngol 32:923–938
Remsen K, Lawson W, Biller HF, et al (1983) Unusual presentations of penetrating foreign bodies of the upper aerodigestive tract. Ann Otol Rhinol Laryngol 105:32–44
Joshi AA, Bradoo RA (2003) A foreign body in the pharynx migrating through the internal jugular vein. Am J Otolaryngol 24:89–91
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Chung, S.M., Kim, H.S. & Park, E.H. Migrating pharyngeal foreign bodies: a series of four cases of saw-toothed fish bones. Eur Arch Otorhinolaryngol 265, 1125–1129 (2008). https://doi.org/10.1007/s00405-007-0572-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00405-007-0572-x