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Fig 1.

Patient enrolment and the treatment of fish-bone foreign bodies.

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Fig 1 Expand

Fig 2.

Patients’ age distribution.

Patients aged 0–4 years formed the largest group and represented 25.9% of the study population.

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Fig 2 Expand

Fig 3.

Typical images of fish bones in each location.

A: herring bone in the palatine tonsil (upper pole), B: mackerel bone in the palatine tonsil (lower pole), C: flounder bone in the lingual tonsil (tongue base), D: amberjack bone in the posterior wall of hypopharynx, E: barracuda bone in the pyriform sinus, F: flounder bone in the cervical esophagus. Yellow arrows: fish bones.

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Fig 3 Expand

Table 1.

The locations of the fish-bone foreign bodies.

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Table 2.

The number of fish-bone foreign body cases and the ranking of household fresh fish consumption (weight/household/year in 2017–2019) in Japan (Statistics Bureau MoIAaC.

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Table 3.

Proportions of cases showing no fish bone or symptoms at the time of presentation.

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Fig 4.

The locations (mesopharynx or hypopharynx/esophagus) of the fish bones for each fish type.

The rate of hypopharynx/esophagus cases was significantly higher in the flounder group (flounder vs. the others, p = 0.0059).

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Fig 4 Expand

Fig 5.

The removal methods of fish-bone foreign bodies.

The proportion of cases involving direct removal was significantly lower in the flounder group (flounder vs. the others, p = 0.0278).

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Table 4.

The differences between pediatric patients (<12 years of age) and older patients in relation to sex, location (mesopharynx or other locations), removal methods (endoscopic removal/surgery or other methods), and fish species.

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