title: Removal of a triple-barbed fishhook from the hypopharynx with microlaryngoscopy.
abstract: OBJECTIVE
  To review the literature involving removal of sharp foreign bodies from the hypopharynx and to present a case of a triple-barbed fishhook removed from the hypopharynx with suspension microlaryngoscopy.
  
  
  METHODS
  Literature review and case presentation.
  
  
  METHODS
  Review of the literature was done using a MEDLINE search with the keywords hypopharynx, foreign bodies, and laryngoscopy.
  
  
  RESULTS
  Review of the literature revealed no prior description of either foreign body removal using microlaryngoscopy or report of the removal of a triple-barbed fishhook from humans.
  
  
  CONCLUSIONS
  Removal of sharp foreign bodies from the aerodigestive tract always presents a technical challenge, and this case of a hypopharyngeal triple-barbed fishhook introduces new operative techniques. By using microlaryngoscopy and bimanual instrumentation to manipulate and remove the fishhook, an open surgical procedure was avoided.
authors.affiliation: Department of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
authors.forename: Paul B
authors.initials: PB
authors.lastname: Swanson
authors.forename: Sheila A
authors.initials: SA
authors.lastname: Apicella
authors.forename: Clark A
authors.initials: CA
authors.lastname: Rosen
mesh_terms: D000368:Aged; D005547:Foreign Bodies / Q000628:therapy*; D006801:Humans; D007013:Hypopharynx; D007828:Laryngoscopy / Q000379:methods*; D008297:Male