title: Bronchoscopy and tracheotomy removal of bronchial foreign body.
abstract: On rare occasions, endoscopic extraction of airway foreign bodies is not feasible or may be associated with large risk for the patient; in those situations, open surgery is indicated. The authors report a case of an 8-year-old boy presenting with an airway foreign body that was too large to be extracted through the subglottic region. After several attempts, extraction was accomplished through a tracheotomy with bronchoscopic control. After removal, the cervical opening was closed. Since the tracheal suture was firm and without air leaks, a tracheostomy cannula was not placed. The tracheal tube was removed after 3 days. Follow-up 1 month after the procedure showed that all respiratory symptoms had disappeared.
authors.affiliation: Division of Pediatric Thoracic Surgery, Hospital de Clinicas de Porto Alegre and School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
authors.forename: José Carlos
authors.initials: JC
authors.lastname: Fraga
authors.forename: Amarílio M
authors.initials: AM
authors.lastname: Neto
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Seitz
authors.forename: Luciano
authors.initials: L
authors.lastname: Schopf
mesh_terms: D001980:Bronchi; D001999:Bronchoscopy / Q000379:methods*; D002648:Child; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000150:complications / Q000628:therapy*; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging; D008297:Male; D001261:Pulmonary Atelectasis / Q000000981:diagnostic imaging / Q000209:etiology; D011859:Radiography; D014140:Tracheotomy / Q000379:methods*