title: [Bronchial Foreign Body Removed by Bronchotomy from the Anterior Side of the Pulmonary Hilum；Report of a Case].
abstract: Although many bronchial foreign bodies can be extracted by flexible bronchoscopy, it is sometimes difficult because of size and form of foreign bodies. A 78-year-old man who had been bedridden for 1 year presented to another hospital due to fever and hemoptysis. Chest X-ray showed a dental crown in the left inferior lobe bronchus. Although flexible bronchoscopic extraction was attempted 3 times, the dental crown could not be removed because it was tightly stuck in the bronchus. Open thoracotomy was performed on the next day in our hospital. After dissection of a severe adhesion, we reached the left inferior lobe bronchus from the anterior side of the pulmonary hilum and extracted the crown through a transverse incision of the bronchus. The patient was discharged 7 days after surgery without any complications. Surgical extraction of a bronchial foreign body can be managed safely even in bedridden patients suffering from a brain infarction.
authors.affiliation: Department of Thoracic Surgery, Sapporo City General Hospital, Sapporo, Japan.
authors.forename: Haruhiko
authors.initials: H
authors.lastname: Shiiya
authors.forename: Motoki
authors.initials: M
authors.lastname: Sakuraba
authors.forename: Akihiko
authors.initials: A
authors.lastname: Tanaka
authors.forename: Shinichi
authors.initials: S
authors.lastname: Kusudo
mesh_terms: D000368:Aged; D001980:Bronchi / Q000601:surgery*; D003442:Crowns; D005547:Foreign Bodies / Q000601:surgery*; D006801:Humans; D008297:Male; D013908:Thoracotomy