Removal of a Fish Bone from the Tongue Base Using Transnasal Endoscopy: Report of a Case

經鼻內視鏡移除舌根魚骨：一病例報告

鍾承軒(Chen-Shuan Chung) ； 陳建全(Chien-Chuan Chen) ； 王成平(Cheng-Ping Wang) ； 柯政郁(Jenq-Yuh Ko) ； 陳贈成(Tseng-Cheng Chen) ； 曾屏輝(Ping-Huei Tseng) ； 王秀伯(Hsiu-Po Wang) ； 李宜家(Yi-Chia Lee)

《臺灣消化醫學雜誌》 27卷3期 (2010/09) Pp. 296-300

https://doi.org/10.6557/GJT.201009_27(3).0009

摘要

魚骨卡在下咽或食道這樣的急症通常需要緊急適當的處理，然而對於腸胃科內視鏡醫師來說，當魚刺卡在舌根，尤其是發生在無法張口的病人身上時，這種牙科或耳鼻喉科醫師可能面臨的緊急狀況，魚刺的取出可說是一大挑戰。在這裡，我們報告一位魚骨卡在舌根的七十三歲女性病患，因牙關緊閉使得經口放入器械移除異物困難，而成功地藉由經鼻內視鏡取出舌頭底部魚刺的案例。

關鍵字

經鼻內視鏡 ； 異物誤食 ； 魚骨 ； 舌根

並列摘要

A fish bone lodged in the hypopharynx or esophagus is a medical emergency, which requires prompt treatment. However, it becomes a great challenge to both otolaryngologists and gastroenterologists when it happens in patients with difficulties in opening their mouths. Herein, we reported a 73-year-old woman with trismus who had a fish bone impacted at the tongue base. The limited mouth opening made insertion of instruments through oral cavity and removal of the foreign body challenging. The medical plight was resolved by using a transnasal esophagogastroduodenoscope and the fish bone was retrieved by a biopsy forceps through nasal cavity successfully.

並列關鍵字

transnasal esophagogastroduodenoscopy ； foreign body ingestion ； fish bone ； tongue base