Impacted fish bone in the larynx masquerading as laryngeal papillomatosis : report of a rare case

Abstract EN

The diagnosis of either impacted fish bone in laryngopharynx or laryngeal papillomatosis on their own may not be uncommon for otolaryngologists.

We report a rare case of impacted fishbone in the larynx that was first treated as suspected laryngeal papillomatosis based on direct laryngoscopy and histopathological findings.

However, during endoscopic laryngeal microsurgery with microdebrider, we found a fish bone embedded in the substance of polypoidal mass that was located at the left posterior commissure.

We believe that the fish bone was likely a migration from left hypopharyngeal area from fish bone ingestion 2 years ago, causing a polypoidal lesion.

The patient’s chief complaint of hoarseness resolved after the removal of impacted fish bone and debridement of the lesion