Removal Of Fish Bone Research Articles

Foreign-body Impaction in Oropharynx Region

Abstract Fish bone impaction in the oral cavity and oropharynx region involving the palatopharyngeus, tonsillar fossa, base of the tongue, and migration into the gastrointestinal tract has all the possibilities of causing no symptoms or life-threatening outcomes. Foreign-body impaction is very common in adults, especially in coastal areas and the eastern region of the India. The delay in the removal of fish bone can cause serious complications and rarely life-threatening consequences. Radiographs and conventional computed tomography may be needed in migrated fish bone in deeper soft tissue and further downward displacement in the gastrointestinal tract.

Fish Bone Removal From the Supraglottic Larynx with Flexible Channeled Laryngoscope.

Fish Bone Removal From the Supraglottic Larynx with Flexible Channeled Laryngoscope.

Removal of fishbone under local anaesthetic using flexible nasal endoscopy: a novel technique.

Removal of fishbone under local anaesthetic using flexible nasal endoscopy: a novel technique.

Liver abscess in the caudate lobe caused by a fishbone and treated by laparoscopy: a case report

BackgroundIngestion of fish bones leading to gastric perforation and inducing abscess formation in the caudate lobe of the liver is very rare.Case presentationA 67-year-old man presented to our hospital with a 2-day history of subxiphoid pain. There were no specific symptoms other than pain. Laboratory tests showed only an increase in the number and percentage of neutrophils. Contrast-enhanced Computerized tomography (CT) of the abdomen showed two linear dense opacities in the gastric cardia, one of which penetrated the stomach and was adjacent to the caudate lobe of the liver, with inflammatory changes in the caudate lobe. We finally diagnosed his condition as a caudate lobe abscess secondary to intestinal perforation caused by a fishbone based on the history and imaging findings. The patient underwent 3D laparoscopic partial caudate lobectomy, incision and drainage of the liver abscess, and fishbone removal. The procedure was successful and we removed the fishbone from the liver. The patient was discharged on the 9th postoperative day without other complications.ConclusionsLiver abscess caused by foreign bodies requires multidisciplinary treatment. Especially when located in the caudate lobe, we must detect and remove the cause of the abscess as early as possible. Foreign bodies that perforate the gastrointestinal tract can penetrate to the liver and cause abscess formation, as in this case. When exploring the etiology of liver abscesses, we should investigate the general condition, including the whole gastrointestinal tract.

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). 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.

Analysis of Clinical Feature and Management of Fish Bone Ingestion of Upper Gastrointestinal Tract.

ObjectivesFish bone impaction in the upper gastrointestinal tract is a common reason for patients to seek emergent care. The aim of this study was to find a clinical characteristics of patients with fish bone impaction in the upper gastrointestinal tract.MethodsThe study was conducted on 286 fish bone ingestion patients who complained of dysphagia and irritation after eating fish. The patients were treated according to the hospital protocol regarding the removal of fish bone. The parameters for the analysis included the age and sex of the patients, location and characteristics of the foreign body, method of removal, and type of fish.ResultsThe fish bone could be observed by the physical examination in the oral cavity and laryngopharynx in 198 patients (69.23%). For those patients in whom the foreign body could not be observed in oral cavity and laryngopharynx, noncontrast computed tomography (CT) (from nasopharynx to diaphragm) was performed. The fish bone was discovered in the esophagus of 66 patients (23.08%). The esophageal fish bone was successfully removed by transnasal flexible esophagoscopy (TNE) in 55 patients, the fish bone moved to the stomach in 10 patients and one fish bone was removed by rigid esophagoscopy due to esophageal abscess. The esophageal fish bone was mostly found in patients aged 50 years and older.ConclusionFish bone foreign body ingestion in the esophagus appeared to be more common in older patients. Incorporating noncontrast CT and TNE can facilitate decision-making and adequate treatment for patients with fish bone impactions.

Ergonomic risks in fish processing workers in Atlantic Canada

Background: The aquaculture industry is growing in Canada and is particularly strong in Atlantic Canada. Workers in the fish processing industry are required to complete a variety of tasks in a typical day and there is concern for musculoskeletal disorder. Objective: The purpose of this study was to examine the daily operations of fish processing workers to determine any musculoskeletal concerns. Methods: The ergonomic assessment consisted of several plant visits to observe the processing line and the requirements of the workers. Video recordings were made of each stage of the assembly lines. The video data was analyzed to determine high-risk jobs and to identify areas of concern. Cumulative loading was assessed using posture matching software and the video data. A Job Strain Index (JSI), Rapid Upper Limb Assessment (RULA) and the revised NIOSH lifting equation were used to identify high-risk tasks. Results: The data showed that six tasks were considered high risk; sorting fish, removal of fish bones, trimming of fish, pallet loading/conveyor operation, fish processing and cleaning of the trim machine. In addition, four categories of occupational health and safety (OHS) hazard concerns were identified (physical, chemical, biological, and psychosocial). Each category was then broken into their causative agents and potential health effects on the worker. Conclusions: Several areas for improvement were identified at this seafood processing plant. Six jobs were identified as high risk and in need of intervention. Changes in pace of work, workstation height, and new equipment would also help reduce the number of musculoskeletal injuries. The issue of job rotation should also be examined to determine its impact on musculoskeletal health. Implementation of strategies to reduce musculoskeletal disorders will help to improve the health of these workers.

Bimanual, intra-operative, fluoroscopy-guided removal of nasopharyngeal migratory fish bone from carotid space

We report a rare and unusual case of a patient with an ingested fishbone which migrated from the oropharynx to the anterior compartment of the retropharyngeal space and then to the deep neck space in the nasopharynx (i.e. the carotid space). This report aims to describe a successful, minimally invasive method of foreign body removal which avoided both major skull base surgery and any potential life-threatening complications. A secondary aim is to highlight the role of intra-operative fluoroscopy, an under-used tool. We present a 67-year-old man with a history of fish bone impaction but no fish bone visible on plain X-ray or flexible endoscopy. The diagnosis of fish bone lodged in the retropharyngeal space was confirmed by computed tomography. Surgical exploration of the anterior retropharyngeal space failed to locate the fish bone, as it had migrated to a new, unknown location. Intra-operative fluoroscopy was vital for the removal of the fish bone, as it was impossible to see with the naked eye and had migrated from its previously imaged position. The fish bone was finally retrieved bimanually using external pressure on the submandibular region, which displaced the fish bone, and fluoroscopic guidance, which assisted its removal from the nasopharyngeal lumen. To the best of our knowledge, this is the first reported case of bimanual, intra-operative, fluoroscopy-guided, intra-luminal removal of a migratory fish bone from the deep neck space in this region of the nasopharynx.

Removal of fish bones from the laryngopharynx: a novel technique using a sheathed nasopharyngoscope

Removal of fish bones from the laryngopharynx: a novel technique using a sheathed nasopharyngoscope

Removal of a Fish Bone in the Thyroid Gland without the Need for Thyroid Lobectomy

We report the first published case of the removal of a migratory fish bone from the thyroid gland that did not necessitate a thyroid lobectomy.

Laparoscopic Removal of Fish Bone

A patient swallowed a fish bone that perforated the stomach wall and embedded in the head of the pancreas. This was confirmed by computed tomographic imaging. We describe a case of successful fish bone removal using a laparoscopic technique, thus avoiding a laparotomy. The patient recovered well and was discharged from the hospital the next day. This is the first description of such a case.

Removal of fish bones from the throat.

Removal of fish bones from the throat.

LECTURES

Foreign bodies in the nasal passages. In the external ear. In the digestive tube. Removal of fish-bones from the throat. Impaction of bodies in the œsophagus. Foreign bodies in the stomach. Knife swallowing, and injurious bodies in the intestines. General treatment.