Foreign body in neck

Male patient 79 yo had foreign body on right neck. 4 days before of hospitalization, during dinner with stingrays, in sneezing, he took out some fish parts, and then feeling caught something in his throat but still eating. In the morning after he went to hospital he felt like head of bone at his right neck.

(Edited)
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This is not the kind of topic or case, which is to be restricted to discussing in forum only. I am strongly of the opinion case must be refered to ENT surgeon to do the needful. He is the best person to trackel the case like this.
Usg shows bone piece pearce through nasopharyngeal area down to neck seen externally Under GA you need to remove FB Than assess perforation and decide for closure
How??
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FB ( fish bone ) Perforating through upper tract and with force of contractions outside the skin. Further investigation and evaluation and surgical intervention.
Thanks Dr Kute Ankush
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IT'S A..CASE OF.. ? F.B. PERFORATION UPPER GI..TRACT.. TO..OUTSIDE..THROUGH SKIN... NEED'S .. SURGICAL INTERVENTION..
Tnx Dr Ashok Leel sir
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F B should be removed surgically
It looks like there is perforation external with involved skin. .need esophagescope under general anasthesia to remove the bone piece
Very unusual presentation of pharyngeal FB piercing and come out through skin surface . Need removal under GA
Perforated Fish bone through upper GIT Need ENT opinion and surgical management
ENT surgeon opinion needed.
Agreed with Dr.Ashok L
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