title: Migrating fish bone piercing the common carotid artery, thyroid gland and causing deep neck abscess.
abstract: Foreign body (FB) ingestion is very common in Malaysian population. The most commonly ingested FB is fish bone. Common presenting symptoms include FB sensation, odynophagia and or sharp pricking pain during swallowing. A careful history and physical examination is very important. Despite negative laryngoscopy and rigid esophagoscopy, persistent symptoms warrants further radiographic imaging studies. The FB can migrate extraluminally and involve other important adjacent structures of the neck and along the digestive tract. We report 3 cases of extraluminal migration of fish bone and their complications, which were successfully managed. One case with vascular complication which involve common carotid artery and the other two cases with neck abscess formation involving thyroid gland, retropharyngeal and parapharyngeal abscess.
authors.affiliation: Hafizah Husna Johari, Bee-Lian Khaw, Zulkifli Yusof, Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Sultanah Bahiyah, 05460 Alor Setar, Kedah, Malaysia.
authors.forename: Hafizah Husna
authors.initials: HH
authors.lastname: Johari
authors.affiliation: Hafizah Husna Johari, Bee-Lian Khaw, Zulkifli Yusof, Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Sultanah Bahiyah, 05460 Alor Setar, Kedah, Malaysia.
authors.forename: Bee-Lian
authors.initials: BL
authors.lastname: Khaw
authors.affiliation: Hafizah Husna Johari, Bee-Lian Khaw, Zulkifli Yusof, Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Sultanah Bahiyah, 05460 Alor Setar, Kedah, Malaysia.
authors.forename: Zulkifli
authors.initials: Z
authors.lastname: Yusof
authors.affiliation: Hafizah Husna Johari, Bee-Lian Khaw, Zulkifli Yusof, Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Sultanah Bahiyah, 05460 Alor Setar, Kedah, Malaysia.
authors.forename: Irfan
authors.initials: I
authors.lastname: Mohamad
keywords: Abscess; Carotid artery; Complication; Foreign body; Migrating; Thyroid gland