舌內異物 — 病例報告

Foreign Body in the Tongue - Case Report

林匯超(Hway-Chao Lin) ； 林弘揚(Hung-Yang Lin) ； 洪宣彥(Hsuan-Yen Hung)

《中華民國耳鼻喉科醫學雜誌》 36卷1期 (2001/02) Pp. 58-60

https://doi.org/10.6286/2001.36.1.58

摘要

上消化道異物是耳鼻喉科醫師常見之病例，但口腔由於構造及功能性的關係，滯留性異物很少出現在其組織內，機率大約介於0.3~2.8%之間；而又因舌頭對於疼痛的敏感度高，而且患者多可輕易的自行移除異物，故在其內的滯留異物更是少見。本科於1998年10月經歷一病例，病人為49歲女性，位於舌背中1/3處有一輕微疼痛的腫塊，半年來持續存在，並造成咀嚼疼痛的現象。電腦斷層掃描檢查顯示舌頭內有一高度顯影性的病灶。經手術切除，手術中意外發現其內包有2根魚刺。術後追蹤3個月，病人情況良好無復發及不適的情況。當臨床上看到一疼痛的舌頭腫塊，我們仍需要將滯留性異物列為鑑別診斷之一。

關鍵字

異物 ； 魚刺 ； 舌頭

並列摘要

Retained foreign bodies in the oral cavity are uncommon owing to its structural and functional features. The incidence quoted in the literature varies between 0.3% and 2.8%. Since the tongue is highly sensitive to pain and given the relative ease with which a foreign body can be removed by the patient, embedded foreign bodies are rarely seen. A 49-year-old woman presented with a six mouth history of a tender mass in the middle third of her tongue which had caused ongoing, mild pain during deglutition. CT scans showed a highly attenuated lesion in the tongue and the patient a greed to undergo excision of the mass. Surprisingly, two fish bones were found embedded within. After three mouths of routine follow-up, no recurrence of the mass was seen and the patient was pain free. The presented case serves to highlight the need to remember the possibility of a retained foreign body when evaluating patients that present with a tender mass in the oral cavity.

並列關鍵字

foreign body ； fish bone ； tongue