Bronchoscopy and tracheotomy removal of bronchial foreign body.
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.
Fraga
José Carlos
JC
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.
Neto
Amarílio M
AM
Seitz
Elizabeth
E
Schopf
Luciano
L
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*