{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:59:54Z","timestamp":1785419994758,"version":"3.56.0"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,9,1]],"date-time":"2016-09-01T00:00:00Z","timestamp":1472688000000},"content-version":"vor","delay-in-days":5814,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2000,10]]},"abstract":"<jats:sec><jats:title>INTRODUCTION<\/jats:title><jats:p>Fish bones are the most common aerodigestive foreign bodies in adults. Radiographic studies, often ordered for diagnosis, have questionable utility.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>With a laryngoscope, bones from 10 fish species were placed in a variety of positions in a human head and neck cadaver specimen. Plain films and CT scans were obtained and evaluated by blinded readers.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Plain radiography exhibited a sensitivity and specificity of 39% and 72%. Cooking did not grossly change radio\u2010opacity. The species of fish affected visibility in soft tissue, without correlation to the characteristic optical density of each species. Bones placed orthogonal to the film in the vallecula were most readily identified. CT scanning correctly identified 9 of 10 bones.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Plain radiography poorly visualizes fish bone foreign bodies in soft tissue; visibility varied with fish species, location, and orientation. CT is the test of choice to radiographically diagnose fish bone impactions.<\/jats:p><\/jats:sec>","DOI":"10.1067\/mhn.2000.99663","type":"journal-article","created":{"date-parts":[[2003,2,4]],"date-time":"2003-02-04T21:49:09Z","timestamp":1044395349000},"page":"435-438","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":94,"title":["Use of Plain Radiography and Computed Tomography to Identify Fish Bone Foreign Bodies"],"prefix":"10.1002","volume":"123","author":[{"given":"Allen J.","family":"Lue","sequence":"first","affiliation":[{"name":"Bobby Ray Alford Department of Otorhinolaryngology and Communicative Sciences Baylor College of Medicine Houston Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. Daniel","family":"Fang","sequence":"additional","affiliation":[{"name":"Department of Radiology Baylor College of Medicine Houston Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Spiros","family":"Manolidis","sequence":"additional","affiliation":[{"name":"Bobby Ray Alford Department of Otorhinolaryngology and Communicative Sciences Baylor College of Medicine Houston Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,9]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800650103"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199004000-00012"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/00325481.1948.11693698"},{"key":"e_1_2_8_5_2","first-page":"312","article-title":"The management of ingested foreign bodies in the upper digestive tract: A retrospective study of 46 cases","volume":"32","author":"Yang CY","year":"1991","journal-title":"Singapore Med J"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0009-9260(05)80316-2"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348949410300809"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/014107689608900109"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1995.tb01855.x"},{"key":"e_1_2_8_10_2","first-page":"311","article-title":"The role of CT imaging in the evaluation of cervical esophageal foreign bodies","volume":"22","author":"Braverman I","year":"1993","journal-title":"J Otolaryngol"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1038\/207094a0"},{"key":"e_1_2_8_12_2","article-title":"The new joy of cooking","author":"Rombauer I","year":"1997","journal-title":"Scribner"},{"key":"e_1_2_8_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/019459989110500503"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100140460"},{"key":"e_1_2_8_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348949910800717"},{"key":"e_1_2_8_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199912000-00011"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1067\/mhn.2000.99663","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1067\/mhn.2000.99663","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1067\/mhn.2000.99663","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T13:13:29Z","timestamp":1760966009000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1067\/mhn.2000.99663"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2000,10]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2000,10]]}},"alternative-id":["10.1067\/mhn.2000.99663"],"URL":"https:\/\/doi.org\/10.1067\/mhn.2000.99663","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2000,10]]},"assertion":[{"value":"2016-09-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}