Impacted fish bone in the larynx masquerading as laryngeal papillomatosis: Report of a rare case

Publication date: Available online 28 August 2016
Source:Egyptian Journal of Ear, Nose, Throat and Allied Sciences
Author(s): Boon Chye Gan, Nor Shahida Abd Mutalib, Hamidah Mamat, Hisham Abdul Rahman
The diagnosis of either impacted fish bone in laryngopharynx or laryngeal papillomatosis on their own may not be uncommon for otolaryngologists. We report a rare case of impacted fishbone in the larynx that was first treated as suspected laryngeal papillomatosis based on direct laryngoscopy and histopathological findings. However, during endoscopic laryngeal microsurgery with microdebrider, we found a fish bone embedded in the substance of polypoidal mass that was located at the left posterior commissure. We believe that the fish bone was likely a migration from left hypopharyngeal area from fish bone ingestion 2years ago, causing a polypoidal lesion. The patient's chief complaint of hoarseness resolved after the removal of impacted fish bone and debridement of the lesion.



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