スキンステープルを指標に摘出した舌迷入魚骨異物例

抄録

Ingested fish bone foreign bodies are not unusual, and in most cases, these foreign bodies are easily removed. However, it is difficult to diagnose and extirpate foreign bodies buried in the tongue, because there are no anatomical landmarks, such as bones, around the foreign bodies. We encountered a case with a fish bone foreign body buried in the tongue muscle. A 53-year-old woman developed pain in the tongue immediately after eating a cod, and presented with a persistent sore throat. CT imaging revealed a foreign body in the floor of the mouth and she was referred to our hospital. We attempted to remove the foreign body under local anesthesia, but it was difficult. Therefore, we performed surgery under general anesthesia. We inserted a skin staples into the tongue prior to the preoperative CT imaging, as an anatomical marker to identify the location of the foreign body in the tongue. As we were able to identify the accurate location of the fish bone buried in the tongue on CT due to our use of the skin staples as an anatomical marker, we could remove it easily.

It may be difficult to identify the precise location of a foreign body buried in the tongue. Our use of skin staples as an anatomical marker proved to be useful for removal of the foreign body buried in the tongue.