Foreign Body Throat

Last Updated on by FRCEM Intermediate

The most common foreign body to get stuck in the throat is a fishbone in the piriform fossa (sinus) or the valleculae on either side of the median glossoepiglottic fold. Direct visualisation with a good light and tongue depressor/laryngoscope may reveal the foreign body, which can then be removed with Tilley’s forceps. If no foreign body is seen, a soft tissue lateral neck X-ray may aid the diagnosis. X-ray may show prevertebral soft tissue swelling and the bone (if radio opaque). Referral to ENT is required for nasoendoscopy removal. A fishbone can scratch the pharynx causing sensation of a foreign body to persist after it has gone.

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