挑战性去除舌内嵌鱼骨:多模式技术,手术入路和对迁移的考虑

IF 0.7 Q4 OTORHINOLARYNGOLOGY
Fathiyah Idris, F. Kin, F. Zaki, M. Baki
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引用次数: 0

摘要

鱼骨摄入是一种常见的情况,患者会出现各种症状,这给主治医生带来了挑战。在这里,我们介绍了两个独特的病例,患者的舌头出现了意想不到的快速迁移的鱼骨。第一例患者因颏舌肌内有异物而经口手术。在第二例患者中,CT扫描定位了嵌入左舌舌肌的鱼骨;然而,鱼骨不得不在手术中使用床边超声引导进行重新定位,最终发现嵌入了下颌舌骨肌内。鱼骨在经口入路失败后通过经颈入路成功取出。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Challenging Removal of Embedded Fishbone in Tongue: Multimodal Technique, Surgical Approach and Consideration of Migration
Fishbone ingestion is a common occurrence and patients present with various symptoms, posing challenges to the attending physicians. Here, we present two unique cases of patients with an unexpected rapidly migrating fishbone in the tongue. The first patient was operated transorally because of a foreign body embedded in the genioglossus muscle. In the second patient, CT scan located a fishbone embedded in the left hyoglossus muscle; however, the fishbone had to be relocated intraoperatively using bedside ultrasound guidance and was eventually found embedded within the mylohyoid muscle. The fishbone was successfully removed via transcervical approach following a failed transoral approach.
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