For small fish spikes in the throat, the treatment is as follows: 1. Cough hard, if the fish spike is not deeply embedded, the small fish spike can be coughed out with airflow by coughing and other means, usually for 3-5 times, and if this is not effective, a consultation is required to remove the fish spike in the hospital. For fish spines located in the oropharynx, they are usually detected by pressing the tongue with a tongue depressor and removed with gunny forceps without surface anesthesia of the oropharynx.2. For small fish spines in the larynx, they are usually detected with the help of indirect laryngoscopy and require intraoral spray of 1% bupivacaine hydrochloride to reduce the sensitivity of the pharynx, and can be removed under indirect laryngoscopy or fiberoptic laryngoscopy. No food or drink is usually allowed for half an hour after removal to avoid choking and coughing, but no medication is usually required.