Migratory foreign body in the neck
1 Department of Otorhinolaryngology, Hospital Teluk Intan, Jalan Changkat Jong, 36000 Teluk Intan, Perak, Malaysia
2 Department of Otorhinolaryngology – Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan, Malaysia
3 Department of Otorhinolaryngology, Hospital Raja Permaisuri Bainun, Jalan Hospital, 30990 Ipoh, Perak, Malaysia
Correspondence: Associate Prof. Dr Irfan Mohamad, Department of Otorhinolaryngology, Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan, Malaysia, tel.: +6097676420, fax: +6097676424, e-mail: irfankb@usm.com
Pediatr Med Rodz 2019, 15 (4), p. 416–418
DOI: 10.15557/PiMR.2019.0072
ABSTRACT

Ingestion of foreign body is a very common reason for referral in otolaryngology practice. In most cases, it is removed in the clinic setting or under general anaesthesia. However, migratory foreign body in the throat is rare and can cause serious complications depending on the route of migration. We present a case of a migratory fish bone, which was found embedded in the right scalene muscle and was successfully removed through an external approach. The aim of this case report is to highlight the importance of a thorough history and physical examination in a patient with a foreign body in the throat, especially if the patient is still symptomatic and laryngo-oesophagoscopy findings are unremarkable. Imaging is vital to aid in the diagnosis and precisely locating the migrated foreign body eventually to avoid fatal complications.

Keywords: migratory foreign body, neck, fish bone