On August 14th, the Ho Chi Minh City Ear, Nose and Throat Hospital announced that they had surgically removed a fish bone, approximately 15 mm in size, from the floor of the mouth of a 17-year-old male patient, T.D.T., residing in Kien Giang province.
According to his medical history, six months ago, Mr. T. attended a party, got drunk, and experienced a swallowing problem. He subsequently went to a local hospital for examination, but no foreign object was found. Mr. T. did not experience significant pain when swallowing and was able to eat and drink normally.
The fish bone was removed from the patient's floor of the mouth.
One week before hospitalization, Mr. T. experienced swelling and pain in the area under his chin, so he sought treatment at several places before finally going to the Ho Chi Minh City Ear, Nose, and Throat Hospital. At the hospital, the doctor noted a hard, firm mass under his chin, slightly to the right, with a diameter of approximately 3 cm, and mild tenderness upon palpation.
CT scan results revealed a foreign body approximately 16 mm long in the right floor of the mouth, along with signs of inflammation of the right floor of the mouth and inflammation radiating under the chin. The patient was diagnosed with a foreign body in the floor of the mouth, complicated by a soft tissue abscess.
Ten days prior, the patient underwent an external incision in the floor of the mouth to remove a foreign body. During the surgery, the surgeon drained approximately 5 ml of cloudy pus and removed a fish bone measuring about 15 mm from the floor of the mouth.
After the surgery, the patient experienced reduced pain. As of today (August 14th), the surgical wound is dry, the stitches have been removed, and the patient has been discharged.
According to statistics, the Ho Chi Minh City Ear, Nose, and Throat Hospital receives approximately 3,000 cases of foreign body aspiration each year. The majority of cases involve foreign bodies lodged in the hypopharynx, larynx, or esophagus, but some foreign bodies migrate from the floor of the mouth to the skin or down to the thyroid gland, causing dangerous complications such as mediastinitis, blood vessel perforation, and abscesses.
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