title: The proximal bronchoplasty retrieval technique for removal of embedded distal airway foreign bodies.
abstract: OBJECTIVE
  To describe a novel technique for removal of embedded distal airway foreign bodies with emphasis on procedural steps and management.
  
  
  METHODS
  The proximal bronchoplasty retrieval (PBR) technique is described including indications, rationale, surgical technique, and clinical decision making. Two representative cases are described in detail in order to demonstrate the technique.
  
  
  RESULTS
  The PBR technique was successfully used to remove the two described embedded distal airway foreign bodies after other attempts had failed.
  
  
  CONCLUSIONS
  Airway foreign bodies which have been present for several days or weeks are associated with edema and granulation tissue which often embeds the foreign body and may prevent removal due to proximal airway narrowing. We present a novel technique using endoscopic balloon dilation bronchoplasty to enlarge the airway proximal to the foreign body and enable removal with two example cases presented herein. The PBR technique allowed for removal of otherwise "stuck" distal airway foreign bodies.
authors: Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States; Northwestern University, Department of Otolaryngology-Head and Neck Surgery, Chicago, IL, United States. Electronic address: shoff@luriechildrens.org.
authors: Stephen R
authors: SR
authors: Hoff
authors: Lucile Packard Children's Hospital at Stanford, Stanford, CA, United States; Stanford University, Department of Otolaryngology-Head and Neck Surgery, Stanford, CA, United States.
authors: Kay W
authors: KW
authors: Chang
mesh_terms: D001980:Bronchi / Q000601:surgery*; D001999:Bronchoscopy / Q000379:methods*; D002675:Child, Preschool; D005260:Female; D005547:Foreign Bodies / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male
keywords: Airway foreign body; Bronchoplasty; Distal airway foreign body