Abstract: Summary Fish bone impaction is common in upper gastrointestinal tract. We reported a case with fish bone impaction in carotid triangle area, which was rarely reported in the literatures. CT scanning clearly showed fish bone impaction completely entered into the carotid area and close to the carotid artery. The fish bone impaction was successfully removed through cervical approach, without injury to the carotid artery, internal jugular vein and trigeminal nerve.

Key words: Fish bone, Carotid artery, Surgical removal