台耳醫誌

雜誌專區 -第56卷第4期

病例報告 
Rare Pharyngeal Foreign Body (Octopus Leg) in a Patient with Oral Cancer Having Trismus-Case Report  僅供有效會員 登入會員查看全文
243~247 
英文 
foreign body、octopus、oral cancer、異物、章魚、口腔癌 
Feng-Chi Hsieh1 、Shiang-Fu Huang2,3 、Chi-Kuang Young4  
Department of Otolaryngology–Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou1 、Division of Head and Neck Surgery, Department of Otolaryngology–Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou2 、Graduate Institute of Clinical Medical Sciences, Chang Gung University, Kwei-Shan, Taoyuan3 、Department of Otolaryngology–Head and Neck Surgery, Chang Gung Memorial Hospital, Keelung4  
Foreign body impaction in the upper aerodigestive tract is commonly observed in otorhinolaryngological practice but seldom observed in patients with head and neck cancer. Radical surgery and postoperative adjuvant therapy are the mainstay treatments for advanced oral cancer. However, these treatments can have many adverse effects, including trismus, which leads to difficulty in biting, chewing, swallowing, speaking, and even foreign body removal. A 45-year-old man with trismus and right buccal cancer pT4aN1M0 status experienced impaction of a rare foreign body (octopus leg) after radical surgery and adjuvant concurrent chemoradiotherapy. Under local anesthesia with 10% xylocaine spray and videoendoscopic guidance, the octopus leg was completely removed from the narrow oral cavity by using Fraenkel laryngeal forceps. The patient had no complications during six months of follow-up.
(J Taiwan Otolaryngol Head Neck Surg 2021; 56:243-247)