The lateral neck radiograph for an impacted fish bone in the aero-digestive tract: Going back to basics


Aim: To evaluate the radioopacity of fish bones from a number of species using digital radiography in order to establish whether advances in acquisition and interpretative techniques have affected the radiologist’s ability to detect impacted fish bones. Methods: The bones from six species of fish commonly consumed in the United Kingdom were radiographed using a soft tissue neck phantom by means of a digital radiographic X-ray tube. The images were looked at by 15 radiology consultants and registrars who determined whether the bones were visible or not using General Electric (GE) PACS workstations. Results: The radio-graphed bones from all six species of fish were visible by all 15 (100%) radiology registrars and consultants. Conclusion: Digital radiogramphy and modern PACS workstations have meant that fish bones can be visualized irrespective of species. The lateral neck radiograph therefore may still have an important role in the investigation of impacted fish bones in the aerodigestive tract.

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Shetty, D. and Gay, D. (2012) The lateral neck radiograph for an impacted fish bone in the aero-digestive tract: Going back to basics. Journal of Biomedical Science and Engineering, 5, 826-828. doi: 10.4236/jbise.2012.512A104.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Palme, C.E., Lowinger, D. and Peterson, A.J. (1999) Fish bones at the cricopharyngeus: A comparison of plain-film radiography and computed tomography. The Laryngoscope, 109, 1955-1958. doi:10.1097/00005537-199912000-00011
[2] Deeba, S., Purkayastha, S., Jeyarajah, S. and Darzi, A. (2009) Surgical removal of a tea spoon from the ascending colon, ten years after ingestion: A case report. Cases Journal, 2, 7532.doi:10.4076/1757-1626-2-7532
[3] Singh, B., Kanto, M., Har-El, G. and Lucente, F.E. (1997) Complications associated with 327 foreign bodies of the pharynx, larynx and oesophagus. Annals of Otology, Rhinology, and Laryngology, 106, 301-304.
[4] Sundgren, P.C., Burnett, A. and Maly, P.V. (1994) Value of radiography in the management of possible fish bone ingestion. Annals of Otology, Rhinology, and Laryngology, 103, 628-631.
[5] O’Flynn, P. and Simo, R. (1993) Fish bones and other foreign bodies. Clinical Otolaryngology, 18, 231-233. doi:10.1111/j.1365-2273.1993.tb00837.x
[6] Evans, R.M., Ahuja, A., Rhys, W.S. and Van Hasselt, C.A. (1992) The lateral neck radiograph in suspected im- pacted fish bonesdoes it have a role? Clinical Radiology, 46, 121-123. doi:10.1016/S0009-9260(05)80316-2
[7] Ell, S.R. and Sprigg, A. (1991) The radio-opacity of fish bonesspecies variation. Clinical Radiology, 44, 104-107. doi:10.1016/S0009-9260(05)80506-9
[8] Partridge, B.L. (1982) Structure and function of fish schools. Scientific American, 246, 114-123. doi:10.1038/scientificamerican0682-114
[9] Ell, S.R. (1989) Radio-opacity of fishbones. Journal of Laryngology and Otology, 103, 1224-1226. doi:10.1017/S0022215100111417
[10] Kirkham, N. and English, R. (1984) I have a bone stuck in my throat. British Journal of Medicine, 289, 423-424.
[11] Richardson, G.S. (1955) Unusual calcification of cricoid cartilage masquerading as a foreign body in the oesophagus. Archives of Otolaryngology, 62, 316-318. doi:10.1001/archotol.1955.03830030082015
[12] Zoller, H. and Bowie, E.R. (1957) Foreign body in the air and food passages versus calcifications of laryngeal cartilages. Archives of Otolaryngology, 65, 474-478. doi:10.1001/archotol.1957.03830230050010

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