Transoral Endoscopic-Assisted Retrieval of Extraluminal Parapharyngeal Foreign Body

The ingested fish bone (FB) is a common presentation for otolaryngologists in Asia. For FBs which could be identified by examinations with or without nasopharyngoscopy, direct removal would be an appropriate management. However, an ingested FB could occasionally perforate pharyngeal mucosa and migrate extraluminally. Otolaryngologists should be extremely careful while evaluation and management of extraluminal FBs to prevent life-threatening condition. In this case report, we present a patient with a parapharyngeal extraluminal FB for 2 days which was detected by computed tomography scan of the neck. A transoral endoscopic-assisted retrieval of fish bone was performed after right tonsillectomy.