Endoscopic removal of a fish bone foreign body in the hypopharynx with the modified Killian's method. Issue 5 (October 2021)

• Record Type: Journal Article
• Authors: Kikuchi, Daisuke; Ikeda, Masakazu; Murono, Shigeyuki
• Is Part Of: Auris nasus larynx. Volume 48:Issue 5(2021)
• Page Start: 1035
• Page End: 1037
• Publication Date: 2021-10
• Subjects: Modified Killian's method -- Hypopharynx -- Foreign body -- Fish bone; Otolaryngology -- Periodicals; Electronic journals; 616
• DOI: 10.1016/j.anl.2020.06.010
• Languages: English
• ISSNs: 0385-8146

Abstract

Abstract: Observing the entire circumference of the hypopharynx is usually difficult because most of the area is anatomically closed in the resting state. The modified Killian's method, consisting of a combination of the modified Killian position, head torsion, and the Valsalva maneuver, is a recently proposed procedure to improve the endoscopic view of the hypopharynx. A fish bone, which was invisible under regular endoscopy but was identified by CT, was successfully observed and removed under the modified Killian's method in a 71-year-old female. This method can be applied to diagnose and treat benign hypopharyngeal disease such as fish bone foreign body in addition to the detection of cancer.