Foreign Body Sensation In Throat Research Articles

An interesting case of extraluminal migrating fish bone

Hypopharyngeal and oesophageal foreign bodies are usually intraluminal but sharp foreign bodies can get impacted submucosally or extraluminally due to inadvertent attempt of removal by patient. Foreign body impaction is a common condition in Asian populations, with fish bone being the most common, often migrating to the lateral neck space or related organs. This case report emphasizes the significance of proper history and awareness among clinicians about the migration of fish bones, aiming to prevent diagnosis delays and potential complications. The present case depicts an unusual presentation of fish bone in case of 71 year old male patient farmer by occupation presented with chief complains of difficulty in deglutition, right side diffuse neck swelling associated with foreign body sensation in throat. The patient underwent clinical and radiological examination, which was diagnostically confirmed that fish bone present in retropharyngeal space. In management we had done tracheotomy followed by endoscopic examination and SOS removal but foreign body not found intraluminally. Patient started on higher antibiotics to decrease septic foci. Patient improved drastically and managed the patient conservatively. To our knowledge such a case has not been reported in literature.

A CLINICAL STUDY OF THE PATIENTS WITH STYLOID NEURALGIA

INTRODUCTION Eagle syndrome is a rare disorder produced on by the styloid process lengthening or the stylohyoid ligament being calcified. Eagle syndrome patients frequently experience dysphagia, dysphonia, cough, voice changes, otalgia, sore throat, face pain, a feeling of a foreign body, headache, vertigo, and neck pain. When a patient experiences unilateral idiopathic pain, especially in adult women, and the pain is not relieved by analgesics, Eagle's syndrome should always be taken into account. For symptoms that are not identifiable, patients see multiple doctors with varied outcomes. MATERIAL & METHOD This study was performed as a retrospective study in Asian institute of medical sciences on 68 patients with elongated styloid process between January 2022 to October 2022 with symptoms of throat pain, otalgia, foreign body sensation in throat and neck pain.In these situations, a multidisciplinary approach and early radiological evaluation, particularly an x-ray of the styloid process, are necessary. CONCLUSION This study was conducted to establish a correct diagnosis, determine the underlying reason of the patient's ambiguous symptoms, and evaluate the effectiveness of gabapentin and carbamezapine. Keywords: Styloid Neuralgia, Styalgia, styloid process

Rare Presentation of Venous Malformation in Parapharyngeal Space.

Venous malformations are commonly seen in muscles like masseter, temporalis, tongue musculature, oral and airway mucosa in the head and neck region but is rarely seen in parapharyngeal space. We report a case of a 60 year female patient who presented with foreign body sensation of throat, sticky sensation and dysphagia to solids for 2 years. She was subjected to relevant investigations including MRI and USG guided FNAC. Following which she underwent endoscopic parapharyngeal space tumour excision and specimen was sent for HPE. Post operatively patient is doing well and symptomatically better. She is being followed up on regular basis. Parapharyngeal space tumours accounts for only 0.5% of head and neck tumours, of which 70 to 80% are benign and the rest are malignant. Out of the benign tumours of parapharyngeal space we should also keep in mind rare tumours like venous malformations.

Correlation and Influencing Factors Between Laryngopharyngeal Reflux Disease and Sleep Status in Patients.

ObjectiveTo observe the correlation between laryngopharyngeal reflux disease (LPRD) and patients' sleep status, and to explore the related factors of LPRD.MethodsFour hundred and sixteen patients who visited the otorhinolaryngology clinic in our hospital from June 2019 to June 2021 were selected as the research subjects. According to the scale of reflux symptom index, the subjects were divided into a patients group (120 patients) with an the reflux symptom index (RSI) > 13 and a control group (296 patients) with an RSI ≤ 13 according to the RSI scale score. General patient information was collected. The sleep state and emotional state of patients in the two groups were evaluated, and the related influencing factors for LPRD were also evaluated. The correlation between sleep state and depression in LPRD patients was analyzed.ResultsFour hundred and sixteen patients were divided into patients group and control group according to RSI score, the ratio of the two groups was 1:2.47. In the patients group, the common symptoms of RSI score and the top three of the total score were as follows: Foreign body sensation in throat in 112 patients, 438 points; Keep voice clear in 108 patients, 381 points; Excessive phlegm or nasal discharge reflux in 101 patients, 348 points. The PSQI and HADS scores in the patients group were higher than those in the control group (t = 19.990, 13.007, 14.690, P all <0.001). Logistic regression analysis showed that high-fat diet and high PSQI score were the risk factors for the development of LPRD (P = 0.012, P = 0.007). According to the PSQI score, the patients in the patients group were divided into 35 patients with abnormal PSQI score, 85 patients with normal PSQI score, and the HADS scores of those with abnormal PSQI score were all lower than those with normal PSQI score (P > 0.05). The PSQI score of the patients in the patients group was positively correlated with the HADS score (r = 0.714, P = 0.013).ConclusionSleep disorder may lead to the occurrence or aggravation of anxiety and depression in patients with LPRD, and it is an independent risk factor for the development of LPRD. Clinical attention to the treatment of sleep disorders in patients with LPRD may be conducive to improving the efficacy of LPRD.

A giant tonsillolith: An unusual cause for longstanding foreign body sensation in throat

Foreign body sensation in throat is a common complaint by patients at the outpatient department in routine clinical practice. Long-standing tonsillolith is an uncommon cause for foreign body sensation in throat. Tonsilloliths are also called as tonsillar calculi or tonsillar stones or throat stone which form in the crypts of the faucial or palatine tonsils. They are usually small in size. The exact etiopathogenesis for the formation of tonsillolith is not known. It may protrude out of the tonsillar crypt and provide foreign body sensation in throat and usually not harmful to the body. It is a common cause for bad breath or halitosis in adult patients with tonsillolith. Finding giant tonsilloliths is rare in clinical practice. Here, we report a case of a giant tonsillolith in left palatine tonsil which was associated with long standing foreign body sensation in throat. Here, we report a 62-year-old man presenting for giant tonsilloliths with complaint of long-standing foreign body sensation in throat.

A Retrospective Study of Oesophageal Foreign Bodies using Rigid Oesophagoscopy from Mandya, Karnataka, India

Introduction: Foreign bodies in the oesophagus is one of the commonly seen conditions in the Department of OItorhinolaryngology. Aim: To describe the clinical features and time delay of patients presenting with oesophageal foreign bodies. Materials and Methods: Present study was a retrospective study of case records of 60 patients who underwent rigid oesophagoscopy for foreign body removal at Mandya Institute of Medical Sciences Mandya, Karnataka, India, from January 2017 to December 2019. Details like age and sex of the patient, presenting symptoms, time delay in presentation to the hospital, the type of foreign body ingested, location of the foreign body in oesophagus, any complications were noted in a detailed case proforma. Preoperative X-ray of neck and chest was done in all patients. Descriptive statistical tests like percentage and mean were used to analyse the data. Results: Out of 60 patients, 36 (60%) were children and 24 (40%) patients were adults. Coin was the most common foreign body seen in children (n=32/60, i.e., 53.3%) whereas meat bone was the most common foreign body in adults (n=16/60, i.e., 26.6%). Forty two patients out of 60 presented within 24 hours of foreign body ingestion. Two patients presented after 72 hours of foreign body ingestion. Thirty one patients presented with foreign body sensation in throat, dysphagia was present in 21 patients and two patients presented with fever. Two patients who presented more than 72 hours after foreign body ingestion had mucosal oedema on rigid oesophagoscopy. There was mucosal injury in four patients intraoperatively, two were with dentures, one was with button battery and the other was with a sharp metal locket. Conclusion: Coin was the most commonly seen foreign body in children whereas meat bolus with or without bone was most commonly seen in adults. Timely diagnosis and early removal of the foreign body should be done to prevent complications.

Epiglottic dermoid cyst: a rare case report

&lt;p&gt;Epiglottis dermoid cysts are generally benign lesions, which can affect all the age groups. Dermoid cysts arising from the head and neck region are rare, slow growing, and well-circumscribed neoplasm. Symptoms are non-specific and usually related to the size and the location of the lesion. A dermoid cyst of the epiglottis is extremely rare. To the best of our knowledge, only one case has been previously reported in the English literature and a total of three cases were presented in Russian literature in two studies. In our report, a middle-aged male presented with foreign body sensation in throat for 1-year and difficulty in swallowing for three months, mainly for solids. Thorough history, clinical examination and relevant investigation were done. Direct laryngoscopy was done and complete surgical excision was done. The aim of the case report is to present a rare case of epiglottic dermoid cyst, its clinical presentation, radio-logical features and surgical management.&lt;/p&gt;

The Management of Foreign Body Sensation in the Throat after Stroke by Trigger Point Injection on Posterior Belly of Digastric Muscles

&lt;p&gt;Foreign body (FB) sensation in the throat is often a common symptom encountered in clinical practice. FB sensation in throat has numerous causes mainly caused by reflex diseases such as laryngopharyngeal reflux. Its treatment has been focused on organic problems or hysteria while musculoskeletal problem has been neglected. We hereby report a patient with dysphagia and complaint of FB sensation in the throat after nasogastric tube removal. It was relieved by trigger point injection on the posterior belly of digastric muscles.

Laryngeal lipoma: case series- successful microlaryngeal surgery

&lt;p class="abstract"&gt;Lipoma of the larynx is a very rare entity. In this study, we report two cases of lipoma of the larynx. The first case presented to us with hoarseness of voice and choking sensation and was diagnosed using a flexible fibreoptic video laryngoscopy and a computerised tomography (CT) of the neck. The lesion was excised surgically using microlaryngoscopic method. The diagnosis was confirmed histopathologically. Follow-up after 2 years showed no residual or recurrent lesions. The second case was a middle aged man with change in voice, burning sensation and foreign body sensation in throat. Flexible fibreoptic videolryngoscopy showed a small ventricular swelling on the right side in the anterior part. We considered the provisional diagnosis of a benign tumor and proceeded with microlaryngoscopic excision without any radiological investigation. Diagnosis of Lipoma was revealed after the histopathologic examination. We are reporting this case to highlight the rare location of the lesions and the successful use of microlaryngoscopic surgery.&lt;/p&gt;

A Case of Supraglottic Inverted Papilloma

Inverted papilloma is a rare benign tumor which usually arises from sinonasal mucosa. We experienced a case of 62-year-old male who presented with foreign body sensation in throat. A round mass was found at right false vocal cord in laryngoscopic examination. It was excised in laryngeal microsurgery. The pathologic diagnosis was inverted papilloma of false vocal cord. Recurrence or complication did not occur during the follow up period of three months. Key words: Papilloma, Inverted ㆍ Laryngeal neoplasms ㆍ Vocal cords 핵심용어: ë°˜ì „ì„± ìœ ë‘ì¢ ã† 후두 ì¢ ì–‘ ㆍ 성대

Evaluation of Eagle's Syndrome and Assessment of Post-operative Outcome of Excision of Elongated Styloid Process: A Prospective Study, in Tertiary Care Centre, India.

Eagle's syndrome is one of the commonly overlooked cause of foreign body sensation in throat with referred otalgia. Incidence of symptomatic cases was rare. Elongated Styloid process may present with myriad symptoms. The diagnosis needs a cautious approach and the management is mainly aimed at reduction of the length of elongated section. Prospective study in the Department of ENT Stanley Medical College, Chennai. Study period-January 2018 to September 2018. Clinical examination followed by radiological investigations done to confirm the diagnosis. Stylo-tonsillectomy was done in the selected 20 subjects and post-operative outcomes were compared with pre-operative questionnaires. The progression of symptoms were evaluated for resolution and studied. Pharyngeal symptoms are more common. The length of styloid is associated with symptom complex presentation. The incidence was 0.17% in general population coming to ENT OPD and more common among women with mean age of 43years. Bilateral presentation was more common and the longest length recorded in the study was 78mm. Single investigation is not enough to confirm the diagnosis. A minimum of two investigations are needed for planning surgical management. Intra-oral approach with stylo-tonsillectomy was done with no major complications in post-operative period. Pre-operative symptoms were recoreded by use of McGill's pain questionnaire and compared with post-operative scores. Dysphagia was the major post-operative early symptom which took a week minimum to subside. Clinical findings and atleast 2 imaging studies needed for diagnosis of the disorder. OPG though economical can be aided to great extent by use of Conebeam CT or 3D CT to study the elongated styloid process. Stylo-tonsillectomy is a safer approach with minimum complications and earlier relief of pre-operative symptoms. Surgical management with reduction of length of elongated styloid followed by adequate analgesia remains mainstay in treatment.

Allergic tonsillar polyp: an uncommon lesion

&lt;p class="abstract"&gt;&lt;strong&gt;Background:&lt;/strong&gt; Tonsils are not so commonly affected by allergic lesions or polyps. In this study we attempt to elucidate the nature of tonsillar polyps.&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Methods:&lt;/strong&gt; The present study is a hospital based retrospective clinicopathological study in which a total of nine cases whose histopathological slides were reviewed and patient follow up was obtained. &lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Results:&lt;/strong&gt; There were 5 males and 4 females between the age group of 15 to 30 years. Most of the cases presented with complaints of repeated throat pain, difficulty swallowing, foreign body sensation in throat and dry irritating cough. On examination a pedunculated sessile mass in seen protruding from the surface of the palatine tonsil usually unilateral. The clinical differentials included were tonsillar lipoma, haemangioma, lymphangioma, inclusion cyst and neoplasm. Based on histopathological examination following tonsillectomy with polypectomy a conclusion of allergic polyp was made and clinical follow up information of patients were obtained post-operatively. In this series we examine the clinicopathological features of polypoidal lesions of tonsils whose specific diagnosis was obtained after histopathological examination.&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Conclusions:&lt;/strong&gt; A histopathological examination must be obtained in all cases of tonsillar polyps for proper post-operative management.&lt;/p&gt;

Isolated epiglottic rhinosporidiosis: a rare case report

&lt;p class="abstract"&gt;Rhinosporidiosis is a chronic granulomatous disease, caused by &lt;em&gt;Rhinosporidium seeberi&lt;/em&gt;. More than 70% of cases are nasal. Usually extranasal rhinosporidiosis is associated with nasal rhinosporidiosis. Isolated extra nasal variety of laryngeal and tracheal rhinosporidiosis are very rare, 7 cases has detected till date. A 45 years male of LSES with habit of pond bath presented to ENT OPD, VIMSAR, Burla, with chief complain of intermittent blood vomiting for last 30 days, associated with foreign body sensation in throat without any dysphagia or dyspnea. On ILE, there is polypoidal pinkish mass studded with white spots found at lingual surface of epiglottis. Ant and post rhinoscopic examination found to be normal. UGIE guided biopsy shows rhinosporiodic mass. Under GA, DL had done mass was excised and base cauterised with bipolar cautery and send for HPE. HPE confirmed the diagnosis. Post operative follow up upto 10 months showed no recurrence. Epiglottic rhinosporidiosis may be one of the differential diagnosis of epiglottic growths especially in endemic zone. Laryngeal involvement of rhinosporidiosis has diagnostic and therapeutic challenges, due to the potential risk of bleeding, aspiration and recurrence.&lt;/p&gt;

Adenoid cystic carcinoma of arytenoid: a rare tumor at a rare site

&lt;p&gt;Pedunculated primary adenoid cystic carcinoma of larynx is an uncommon form of malignant neoplasm. This case is an extremely rare entity and hence reported. Until today this type of carcinoma is not reported in medical literature. A 55 year old female patient came with 6 months history of dyspnoea and foreign body sensation in throat and occasional change of voice. Micro laryngeal surgical excision of the pedunculated polyp was done under general anaesthesia using diathermy cautery and specimen was sent for histopathological examination, perineural spread of the tumour is highlighted. The pedunculated polyp from the arytenoid looked like a benign lesion and histopathological examination showed the lesion to be adenoid cystic carcinoma. &lt;/p&gt;

Ayurveda Treatment Protocol in the Management of Galagraha (Pharyngitis)- A Case Study

Pharyngitis is inflammation of the pharynx, which affects in back of the throat. It is most often referred to simply as sore throat; it is one of the most common reasons for doctor visit. The condition is the usual phenomenon in paediatric population due to intake of cold drinks, junk food etc. This disease is more recurrent now a days than earlier As per ayurvedic classics the condition has close similarity with the disease Galagraha. Aim: In this article management of pharyngitis with ayurvedic modalities were discussed. Material &amp; Method: A 32 years male patient visited ENT OPD of Shalakya Tantra, I.P.G.T&amp;R.A Hospital on 16/12/2019 with complaints of pain and foreign body sensation of throat, Recurrent moderate cough, mild fever and head ache, difficulty in swallowing along with congestion in posterior pharyngeal wall aggravate since 10 days. He consulted a local hospital near his house but didn’t get a satisfactory relief. History reveals the reccurents of disease since 3 years. We started Triphala + Darvi kwatha kawala thrice/Day, Haritaki Kwatha pana Twice BD with honey (20 ml Before food), Khadiradi vati (2 Tab -4 times/ day) for Chushanartha, Sitopaladi churna -3gm +Yastimadhu 1 gm, Naradiya Lakshmi vilasa rasa-125 mg-2 times a day for 14 days Followed by Virechana and Nasya. Marked relief was found in signs and symptoms within 7 days and cured completly within 21 days of treatment. Conclusion: Study concluded that the above Ayurvedic treatment can prove to be an effective alternate management in Chronic Catarrhal Pharyngitis with proper diet and regimen.

Laryngeal manifestations in pregnancy: Our experiences at a tertiary care teaching hospital of eastern India

Background: There are several physiological changes seen in pregnant women and among them, laryngeal changes are quite important. The laryngeal manifestations in pregnant women are mainly due to changes of the sex hormones levels and these returns to normal in postpartum period. Objective: The objective is to study the laryngeal manifestations in pregnant women. Materials and Methods: This is a prospective observational study where 54 pregnant women participated in this study for laryngeal manifestations. A questionnaire was asked to all participants for assessing the laryngeal manifestations in pregnant women. Eighty-four pregnant women in the age group of 22–35 years participated in this study. They underwent complete laryngeal and obstetric examination. Indirect laryngoscopy and laryngeal endoscopic examinations were done in all cases for the evaluation of hearing loss. Results: The mean age of the pregnant women participated in this study was 26.23 years. The most common otological manifestation was foreign body sensation in throat and it common in first trimester of the pregnancy. Dysphonia was found in 22.22% of the cases. Other manifestations were laryngopharyngeal reflux and hoarseness of voice. Conclusion: The alteration of the hormonal milieu in pregnant women can lead to several laryngeal manifestations such as foreign sensation in throat, change in voice, and irritating cough. Although there are several laryngeal manifestations are seen in pregnant women, yet these manifestations often neglected in clinical practice.

Experience with the management of pediatric laryngopharyngeal reflux in an Indian teaching hospital

Aim: Laryngopharyngeal reflux (LPR) is the retrograde flow of gastric content to the larynx and pharynx where these materials come in contact to the upper aerodigestive tract. This clinical entity is less studied among the pediatric population. The objective of this study is to evaluate the impact of LPR in the pediatric population. Materials and Methods: This retrospective study was done in between December 2016 and January 2019. Clinical data such as associated symptoms, endoscopic findings, laboratory testing, therapeutic interventions, and outcome were analyzed. Endoscopic findings were considered to be consistent with LPR in the pediatric age included: Lingual tonsil hypertrophy, postglottic edema, true vocal fold edema and congested and swollen arytenoids, congested inter-arytenoids area. Results: There were 212 children evaluated for dysphonia. There were 38 girls (52.77) and 34 boys (47.22%), and mean age at presentation was 9.32 years with a male-to-female ratio of 0.89:1. Out of 212 children who underwent endoscopy, 72 had shown LPR disease. Five children (6.94%) showed vocal nodules, 3 (4.16%) showed vocal fold cyst, and 2 (2.77%) children showed subglottic edema along with LPR. All the children were treated with anti-reflux measures. By second follow-up visit on 1 month, 68 children (94.44%) had improved symptomatically. Conclusion: LPR appears to cause laryngeal manifestations more commonly in children. In this study, all the children were presenting dysphonia, intermittent cough, foreign-body sensation in throat, and throat-clearing habit. All of them showing congested arytenoids and inter-arytenoid membrane. Early diagnosis and treatment often result in the improvement of hoarseness of voice and prevent complications. LPR in the pediatric population is almost a new diagnosis.

A clinical study on etiopathogenesis of hoarseness of voice

PURPOSE: To analyse the clinical profile of hoarseness of voice and to find out the common etiological factors and associated pre disposing factors. METHODS : 100 patients with hoarseness of voice were selected for the study based upon the inclusion and exclusion criteria. A thorough clinical history along with examination with indirect and video laryngoscopy, if necessary with direct laryngoscopy with /without biopsy were performed. Histo-pathological examination was performed for the needful. DISCUSSION: In our present study incidence of hoarseness voice was 0.27 % of total ENT cases. Maximum number of cases (31%) were in the age group of 41-50 years, among males common age groups was 41-50 years and among females is 31-40 years of age group. Hoarseness was commonly found in labourer class (48%). Both among males and females this was commonest group. Lower socio economic group was commonly noted among patients (40.00%), also both in males and females. Majority patients were from rural area (59%). Smoking was commonly encountered substance abuse among males (30.00%) and no substance abuse among females. Along with hoarseness (100%) other symptom with which patient presented were dysphagia (25%), neck swelling (14%), dry cough (10%), foreign body sensation in throat (10%), stridor (5%) and Hemoptysis (5%). Maximum number of patients presented with hoarseness of voice with duration of <1 month. On indirect laryngoscopic examination commonest finding was ulcero proliferative growth (33.33%).Indirect laryngoscopic examination done in 97% and video laryngoscopic examination in 41%. Among 73% patients of histo-pathological studies, commonest finding was squamous cell carcinoma (45.2%). Laryngeal malignancy was the commonest cause of hoarseness of voice (33%) and males were commonly affected. Smoking was noted in all male patients with malignancy (80%), along with alcohol consumption in 70% and chewing tobacco preparation in 65% of cases. Vocal cord nodules were found in 22% of patient and was the second most common disease with male to female ratio 1:2. Vocal cord palsy was found in 15% of cases and was common in females (29%). Chronic laryngitis and GERD was found in 10% and was found in 23% among males and 18% among females, with male to female ratio 1:1. Tuberculosis was found in 8%, all cases were males, with pulmonary tuberculosis. Vocal cord papilloma presented in 5% of cases and females were commonly affected (66%) with male to female ration 1:2. Vocal fold polyp was found in 3% of cases, each one in male (33%) and two in female (67%). Vocal cord cyst was presented in 2% of cases. Two cases (2%) presented with laryngeal trauma. CONCLUSION: Thus from this study, we conclude that, the symptom of hoarseness of voice should never be ignored as it is the most common symptom in laryngeal malignancy. Any patient with hoarseness should be thoroughly investigated to rule out malignant conditions and conditions that might cause respiratory distress leading to life threatening complications.

Laryngopharyngeal reflux- diagnosis and management at a tertiary care centre

&lt;p class="abstract"&gt;&lt;strong&gt;Background:&lt;/strong&gt; Laryngopharyngeal reflux (LPR) disease is a clinical entity due to the retrograde flow of gastric contents into the pharynx. It can be considered as an extraesophageal syndrome of gastroesophageal reflux disease (GERD). The objective of the present study is to study the clinical profile of LPR and their response to treatment.&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Methods:&lt;/strong&gt; 100 consecutive patients attending the outpatient department of ENT, presenting with a clinical profile of LPR were selected in the present study. The patients’ symptoms were evaluated based on the reflux symptom index (RSI) and was followed by an endoscopic examination of larynx and a scoring was made based on reflux finding score (RFS). An RSI score of ≥13 and RFS of &amp;gt;7 were considered for starting patients on LPR treatment. The patients were then put on treatment and followed up for 3 months. &lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Results:&lt;/strong&gt; In our study population the most common symptom was foreign body sensation in throat (52%). The most common sign noted on endoscopic examination of larynx was hyperemia/erythema of laryngeal tissue particularly bilateral arytenoids. Majority of our patients responded well to combination of pantoprazole (40 mg) and domperidon (30 mg) for 4 weeks. This was evaluated in terms of reduction in the RSI and RFS scores.&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Conclusions:&lt;/strong&gt; LPR is more commonly encountered clinical entity and the otorhinolaryngologist should bear it in mind while treating patients for chronic complaints of throat pain, change in voice etc. Appropriate diagnosis and management of LPR can prevent unwarranted use of antibiotics and surgeries in these patients.&lt;/p&gt;

An unusual cause of long-standing foreign body sensation in throat

Foreign body (FB) sensation in the throat is often a common symptom encountered in clinical practice. FB sensation in throat has numerous causes. Long-standing FB in the soft tissue of the neck is sometimes asymptomatic and presents only with throat irritation or FB sensation, although it is an extremely rare incidence. The diagnosis of this clinical event is based on the clinical presentations and imaging. The treatment is done by securing the airway, removal of FB, and antibiotic coverage. Here, we report the case of a 16-year-old boy presenting with chicken bone embedded in the soft tissue of the posterior pharyngeal wall and retropharyngeal space for 2 months in the throat without any major symptoms except FB sensation. Imaging confirmed the diagnosis of chicken bone in the retropharyngeal space with mild abscess formation, which was removed by transoral approach.