Removal of a triple-barbed fishhook from the hypopharynx with microlaryngoscopy.

Objectives: To review the literature involving removal of sharp foreign bodies from the hypopharynx and to present a case of a triple-barbed fishhook removed from the hypopharynx with suspension microlaryngoscopy.

Study Design: Literature review and case presentation.

Methods: Review of the literature was done using a MEDLINE search with the keywords hypopharynx, foreign bodies, and laryngoscopy.

Results: Review of the literature revealed no prior description of either foreign body removal using microlaryngoscopy or report of the removal of a triple-barbed fishhook from humans.

Conclusion: Removal of sharp foreign bodies from the aerodigestive tract always presents a technical challenge, and this case of a hypopharyngeal triple-barbed fishhook introduces new operative techniques. By using microlaryngoscopy and bimanual instrumentation to manipulate and remove the fishhook, an open surgical procedure was avoided.