Objective: To study the clinical application of Hopkins rod-lens coupled with gasping forceps sheaths in the extraction of tracheobronchial foreign bodies.
Methods: Sixty-two patients with tracheobronchial foreign bodies were operated on with Hopkins rod-lens coupled with grasping forceps sheaths under direct telescopic view or TV watching. High frequency jet ventilation was used and BPs ECGs SaO2 were monitored in all cases.
Results: Sixty-two patients were all successfully operated on. The extraction was primarily successful in 90% of the cases; and secondarily successful in 7% of the cases. No death and serious complication occurred.
Conclusion: Compared with conventional bronchoscopic foreign body extraction, this new instrument and technique make it possible for the operator to clamp and extract foreign body under direct telescopic view or TV watching. It has increased the accuracy and safety of bronchoscopic extraction of tracheobronchial foreign bodies.
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Pediatr Pulmonol
December 2024
All India Institute of Medical Sciences, New Delhi, India.
Background: The indications for pediatric airway endoscopy are expanding and a variety of therapeutic interventions are feasible for central airway obstruction (CAO) and other central airway pathologies, apart from foreign body removal.
Methods: In this retrospective chart review from four centers, we describe the indications, procedures, outcomes, and complications of therapeutic bronchoscopic interventions in children for non foreign-body removal indications.
Results: A total of 72 children (mean age:140 [60.
Monaldi Arch Chest Dis
October 2024
Translational Lung Research Center (TLRC), Department of Pneumology and Critical Care Medicine, Thoraxklinik University Hospital Heidelberg.
Aspiration of scarf pins is a common problem in specific geographical locations where the Muslim population is high, especially in countries like Egypt, Bangladesh, Middle Eastern countries, and certain regions in India. This condition is also referred to as hijab-pin syndrome. We discuss the largest experience of flexible bronchoscopic extraction of aspirated scarf pins from the tracheobronchial tree.
View Article and Find Full Text PDFCureus
September 2024
Pulmonology Department, Hassan II Regional Hospital, Souss-Massa University Hospital, LARISS Laboratory, Faculty of Medicine and Pharmacy of Agadir, Ibn Zohr University, Agadir, MAR.
Tracheobronchial foreign body (TFB) aspiration in adults is uncommon but can be life-threatening, often due to differences in airway sizes and reflexes. Symptoms associated with TFB are typically choking episodes followed by cough and dyspnea, but sometimes it can lead to acute asphyxiation. Chest radiography and computed tomography can provide information about the foreign body, its characteristics, and its location, however, bronchoscopy remains the preferred method for diagnosis and removal.
View Article and Find Full Text PDFJ Clin Med
September 2024
Head & Neck Surgery Unit, Department of Otolaryngology, Rebecca Ziv Medical Center, Safed 1311001, Israel.
The removal of foreign bodies (FBs) from the airways of children is a critical procedure that can avert serious complications. While both flexible and rigid bronchoscopy techniques are employed for this purpose, their comparative efficacy and safety remain subjects of debate. Therefore, we conducted this investigation to compare between both procedures.
View Article and Find Full Text PDFJFMS Open Rep
September 2024
Department of Veterinary Clinical Sciences, Iowa State University, Ames, IA, USA.
Case Series Summary: Two cats were referred to a veterinary teaching hospital with a cotton tip applicator (CTA) tracheobronchial foreign body (FB) after induction of anesthesia for an elective dental cleaning. In both cases, a lidocaine-saturated CTA, utilized to desensitize the larynx before endotracheal (ET) intubation, broke when introduced into the oropharynx and was subsequently aspirated into the tracheobronchial tree. Both CTAs were successfully removed bronchoscopically, and the cats survived with no short- or long-term complications noted.
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