Ingestion of a fish bone is a common complaint encountered in emergency room or clinic, but an embedded fish bone in the pharynx is uncommon. We present pictures of two cases of embedded fish bones that were detected more than 7 days after they were accidentally swallowed. One embedded fish bone was removed through transoral approach, and the other fish bone was removed by laryngeal forceps under general anesthesia in the operating room. Both cases showed uneventful course after the treatment. Most embedded fish bones and their complications were evaluated and diagnosed with the help of the computed tomography scans; however, the diagnosis can also be made through repeated flexible fiberoptic endoscopy. Embedded fish bones sometimes might cause no symptoms but, in some cases, fatal complications happened. An embedded fish bone should be considered if there is an erosive, granulomatous or tumor-like appearance at the mucosa of the alimentary tract, or any infection close to the alimentary tract. (J Taiwan Otolaryngol Head Neck Surg 2023; 58:22-26)
