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- W2166957095 abstract "Foreign body aspiration is not uncommon in children and is a significant cause of childhood morbidity and mortality. Laryngotracheal foreign bodies, although less common than bronchial foreign bodies, are potentially more dangerous and require urgent recognition and treatment. Most of the aspirated foreign bodies are removed with the use of classic instruments like rigid bronchoscope and foreign body forceps, or more rarely with flexible fiberoptic bronchoscope, but sometimes we fail to remove them. We present a large nonasphyxiating, aspirated foreign body lodged in the subglottis of a a-year-old child, which was removed through a tracheotomy under bronchoscopic control, followed by primary suture and closure of the tracheotomy site. Under general anesthesia, bronchoscopy demonstrated a hollow conic-shaped plastic piece of a toy (Fig 2). Repeated attempts to extract the foreign body through the larynx failed because of the size of the foreign body, the fact that its larger diameter was upward, and the anatomic shape of the subglottic region. An attempt at rotation of the foreign body failed too, because of its length. The foreign body was therefore pushed to the right mainstem bronchus, and a tracheotomy was performed over the ventilating Stotz-Hopkins bronchoscope, using a superiorly based tracheal flap (Fig 3). The foreign body was then manipulated endoscopically to the stoma and removed without difficulty. The bronchoscope was replaced by an endotracheal tube, and the flap was returned to its original position and sutured to the tracheal wall." @default.
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- W2166957095 date "1997-09-01" @default.
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- W2166957095 title "Extraction of a large tracheal foreign body through a tracheotomy" @default.
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- W2166957095 doi "https://doi.org/10.1016/s0196-0709(97)90029-6" @default.
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