Can fish bones still be removed after being stuck for more than ten years

Fish bones stuck in the throat for more than ten years may still be removed, requiring imaging localization combined with laryngoscopy or surgical treatment. Long term retention may lead to infection or tissue proliferation.

1. Imaging examination positioning: Fish bones that have been stuck for a long time may be wrapped in granulation tissue, and X-ray or CT can clearly locate the foreign body. Neck CT three-dimensional reconstruction can clearly display the adjacent relationship between fish bones and blood vessels and nerves, providing a basis for the extraction plan.

2. Removal under laryngoscope: Shallow fish bones can be directly clamped under local anesthesia using a laryngoscope. For foreign objects in the glottic area, the use of a laryngoscope and microscopic instruments can provide precise operation and avoid damaging the vocal cords. If the fish bone has penetrated deep into the mucosa, the surgical field of view should be expanded under general anesthesia.

3. Surgical intervention: Deep foreign bodies or accompanying abscesses require incision and drainage. Cervical incision is suitable for fish bones near large blood vessels, with real-time positioning using a C-arm machine during the operation. Open surgery can completely remove surrounding diseased tissue.

4. Complications management: Long term retention can easily lead to local fibrosis or fistula formation. postoperative anti infective treatment is required, commonly using cefuroxime combined with metronidazole. Patients with severe granulation hyperplasia can receive local injection of glucocorticoids to promote repair.

5. Postoperative recovery monitoring: After removal, a laryngoscope review is required to confirm that there are no residues. For those with abnormal swallowing function, esophagography should be performed. It is recommended to have a liquid diet for 3-5 days and avoid spicy foods that can irritate the wound.

When eating fish in daily life, it is recommended to focus on chewing it carefully. Children and the elderly are advised to consume fish chunks without prickling. If there is a puncture, do not forcefully swallow. Seek medical attention in a timely manner to avoid long-term complications. Regular oral examinations can help detect hidden foreign bodies, and those with long-term throat discomfort need to be screened for possible residual foreign bodies.