Foreign bodies in the hypopharynx and upper esophagus are frequent emergencies in ENT practice, but their migration outside the aerodigestive lumen is rare and associated with an increased risk of morbidity and mortality. Sharp foreign bodies can perforate the hypopharyngeal or esophageal wall, migrating into the cervical spaces and generating significant diagnostic and therapeutic difficulties. We present the case of ingestion of a sharp foreign body (chicken bone), complicated by its migration initially into the deep spaces of the neck, and later into the peripheral spaces. The diagnosis was established by correlating clinical data with imaging investigations, and the treatment consisted of surgical extraction of the foreign body, associated with antibiotic therapy and careful monitoring. The evolution was favorable. These situations highlight the importance of clinical suspicion, early imaging explorations and individualized therapeutic conduct in the management of migrating foreign bodies of the hypopharynx and upper esophagus.
ISSN-online 2360-2473 / ISSN-print 1223-0472
