Foreign body (FB) ingestion is very common in Malaysian population. The most commonly ingested FB is fish bone. Common presenting symptoms include FB sensation, odynophagia and or sharp pricking pain during swallowing. A careful history and physical examination is very important. Despite negative laryngoscopy and rigid esophagoscopy, persistent symptoms warrants further radiographic imaging studies. The FB can migrate extraluminally and involve other important adjacent structures of the neck and along the digestive tract. We report 3 cases of extraluminal migration of fish bone and their complications, which were successfully managed. One case with vascular complication which involve common carotid artery and the other two cases with neck abscess formation involving thyroid gland, retropharyngeal and parapharyngeal abscess.
Congenital glottic web results from the failure of complete canalization of the larynx during embryogenesis. It is an uncommon entity that characteristically presents with a high-pitched soft cry, stridor or dysphonia. The child may be comfortable at birth but a combination of weak cry with respiratory distress should alert the physician to look for possible laryngeal webs. Although rare, a physician should be mindful that congenital glottic web can occur in isolation or present with other synchronous airway anomalies. The choice of surgical approach often depends on the severity of laryngeal web. An endoscopic approach has been suggested for grade I – II webs while open airway reconstruction is used for grade III-IV webs. We hereby present 3 cases of congenital glottic web of different severity managed successfully with minimally invasive endoscopic approach.
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