YE Fan,CHEN Jianfu,WU Xianmin, et al. A clinical analysis of otorhinolaryngologic complications induced by fish bone[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2016, 46(12): 919-922,926.
Abstract：Objective: To investigate the clinical features, diagnosis and treatment of otorhinolaryngologic complications caused by fish bone. Methods: The diagnosis and treatment of 10 cases of otorhinolaryngologic complications caused by fish bone were retrospectively analyzed from December 2009 to December 2015 in the First Affiliated Hospital of Wenzhou Medical University. Results: Six cases were neck abscess (including 3 cases of diabetes mellitus and serious condition, 1 case of positive pus culture), 1 case was laryngeal obstruction, 1 case was vocal cord granuloma, 2 cases were painless neck mass. Nine patients were diagnosed by CT of the neck and (or) B ultrasound, another by electronic laryngoscopy. Ten patients were treated by surgery, including 9 cases of foreign body removal and the prognosis is good, 1 case of failure of the first operation did not remove the foreign body, the second relapse after successful surgery; all patients were followed up for at least 6 months, no recurrence. Conclusion: Otorhinolaryngologic complications caused by fish bone are relatively rare, preoperative imaging and ultrasound can help to confirm the diagnosis, active surgical treatment can be able to effectively solution resolve complications, so that patients get good prognosis.
