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Migrating Fish Bone a Deep Neck Abscess

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Author(s): Shih-Wei Yang | Tsung-Ming Chen | Tai-An Chen

Journal: Chang Gung Medical Journal
ISSN 2072-0939

Volume: 28;
Issue: 12;
Start page: 872;
Date: 2005;
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Keywords: fish bone | migratory | deep neck infection | abscess.

ABSTRACT
Deep neck infections are not uncommon; however, a migrating fish bone is seldom acause of a deep neck abscess. Fish bones are a sharp foreign body and can penetrate theoropharynx or esophagus. However, this rarely occurs. We report a case of deep neckabscess resulting from the intracorporeal migration of a fish bone. Initial radiography andesophagoscopy of the neck were both negative; migration of the bone was ultimately documentedby computed tomography. Surgical exploration was performed via a lateral neckincision, and the fish bone was successfully retrieved. Although fish bones are a rare etiologyof deep neck abscesses, should be kept in mind when a patient has the history of fishbone ingestion.
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