Intraoperative CT Is Useful in Diagnosing a Fish Bone Foreign Body Buried in the Tongue: A Case Report

Chiyonobu, Kazuki; Ishinaga, Hajime; Otsu, Kazuya; Takeuchi, Kazuhiko

doi:10.3950/jibiinkoka.118.757

Cited by 8 publications

(7 citation statements)

References 8 publications

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“…larger probe) or in patients with more limited mouth opening, reduced tongue mobility, or a more posteriorly located fish bone. Intra-operative CT scanning is also a viable option and has been used successfully in one case [5], but this does come with additional risk from radiation exposure [11]. CT scanners are widely available but their usage during operative procedures is often limited to interventional suites in highly specialist centres.…”

Section: Discussionmentioning

confidence: 99%

“…Here, we present a rare case of a submucosal intraglossal fish bone impaction that required multidisciplinary input prior to a successful extraction in the operating theatre with the help of intra-oral ultrasound guidance. Only a few complicated cases like these have been reported in the literature [3][4][5], with varying management strategies. The focus of this case report will be on the investigation and management considerations of such a presentation to a well-resourced tertiary Oral and Maxillofacial Surgery (OMFS) Head and Neck unit.…”

Section: Introductionmentioning

confidence: 99%

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Submucosal Intraglossal Fish Bone Extraction: A Case for the Multidisciplinary Team

Olley¹,

Zhu²,

Ozbek³

et al. 2021

Cureus

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Most impacted fish bones in the aerodigestive tract are easily removed or managed in the emergency department. Occasionally, they present as a diagnostic and surgical challenge. We present a case of a submucosal intraglossal fish bone extraction in a 38-year-old male who presented with localized pain in his tongue. This case highlights several key factors contributing to the successful outcome, including multidisciplinary input from anaesthesiology, radiology, and the oral and maxillofacial surgical team. The use of a pre-operative computed tomography (CT) scan, nasal intubation, and intra-operative ultrasound scan potentially minimised the risk of associated complications.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Submucosal Intraglossal Fish Bone Extraction: A Case for the Multidisciplinary Team

Olley¹,

Zhu²,

Ozbek³

et al. 2021

Cureus

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show abstract

“…Furthermore, CT and PMCT can help determine the material and shape of foreign objects for better visualization by radiodensity measurements and 3-dimensional reconstruction, respectively [ 4 , 5 , 11 , 12 ].…”

Section: Discussionmentioning

confidence: 99%

Unusual foreign bodies visualized by postmortem computed tomography in a deceased with borderline personality disorder

Baumeister

Thali

2020

Radiology Case Reports

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The objective of this case report is the visualization and assessment of ingested or inserted foreign bodies by postmortem computed tomography and autopsy. The presence of foreign objects in the gastrointestinal tract involves, among many other medical subdisciplines, the fields of forensic medicine and psychiatry. We present a case of an 18-year-old female Caucasian with borderline personality disorder who was found unconscious in a closed psychiatric ward with suspected ingested foreign bodies. Cardiopulmonary resuscitation was unsuccessful. Postmortem computed tomography revealed several sharp foreign bodies in the intestine varying in radiodensity and shape but not perforating any anatomic structures. The autopsy showed well-preserved tablets in the intestine, a few inserted glass fragments and one metal fragment. Ultimately, fatal intoxication involving a mixture of opioids, benzodiazepines, neuroleptics and antidepressants resulted. This case illustrates the potential contribution of postmortem computed tomography in diagnosing, localizing and defining ingested and inserted foreign bodies in deceased as well as living individuals. Thus, diagnostic imaging might increase safety not only for the affected individuals but also for medical staff.

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“…A combination of radiography and ultrasonography (oral and/or an inter‐mandibular approach) often provides the most accurate information regarding the presence and localisation of foreign bodies in the tongue. If the diagnosis of a suspected foreign body in the mouth is not possible with either radiography or ultrasound, a CT or MRI examination of the head should be considered (Chiyonobu et al 2015; Demiralp et al 2018).…”

Section: Discussionmentioning

confidence: 99%

Removal of a metallic foreign body from the tongue of three horses

Blatter¹,

Thunig²,

Kretschmar³

et al. 2020

Equine Veterinary Education

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Summary The objective of this case report is to describe the diagnostic and surgical techniques for removal of a metallic foreign body in the tongue of three adult horses. The three horses were presented for evaluation and treatment of dysphagia and marked hypersalivation of 3–5 days duration. Radiographs of the head revealed the presence of a metallic foreign body in the tongue of each horse. The foreign bodies could be precisely localised under general anaesthesia using palpation and lingual ultrasonography and/or lingual radiography in combination with a forceps as a marker. The foreign bodies were successfully removed using laparoscopic instruments creating minimal soft tissue trauma. The use of long (43 cm) small laparoscopic (5 mm) instruments enabled good visualisation of the surgical field, providing optimal conditions for successful minimally invasive surgical treatment of horses with foreign bodies in the tongue. The three horses made uneventful recoveries and 12 months after surgery were eating normally and could be ridden with a bit as per usual routine. It was concluded that using long laparoscopic instruments in combination with palpation, ultrasonography and/or radiography allowed removal of the foreign body creating minimal soft tissue trauma and allowing optimal conditions for a fast recovery.

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Intraoperative CT Is Useful in Diagnosing a Fish Bone Foreign Body Buried in the Tongue: A Case Report

Cited by 8 publications

References 8 publications

Submucosal Intraglossal Fish Bone Extraction: A Case for the Multidisciplinary Team

Submucosal Intraglossal Fish Bone Extraction: A Case for the Multidisciplinary Team

Unusual foreign bodies visualized by postmortem computed tomography in a deceased with borderline personality disorder

Removal of a metallic foreign body from the tongue of three horses

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