Hostname: page-component-77c89778f8-5wvtr Total loading time: 0 Render date: 2024-07-17T17:09:53.952Z Has data issue: false hasContentIssue false

Removal of a foreign body from the bronchial tree – a new method

Published online by Cambridge University Press:  29 June 2007

N. Umapathy*
Affiliation:
Departments of ENT, Basildon Hospital, Essex, UK.
J. Panesar
Affiliation:
Departments of ENT, Basildon Hospital, Essex, UK.
B. F. Whitehead
Affiliation:
Department of Cardiac TransplantGreat Ormond Street Hospital for Children, London, UK.
J. F. N. Taylor
Affiliation:
Department of Cardiology, Great Ormond Street Hospital for Children, London, UK.
*
Address for correspondence: Dr N. Umapathy, 61 Grange Rd,Birmingham B14 7RN.

Abstract

Tracheo-bronchial foreign bodies can be very difficult to remove. This may be related to the location and type of foreign body, the experience of the bronchoscopist and the availability of appropriate instruments.

We report a case of an uncommon foreign body in an unusual location in an adolescent in whom conventional attempts to remove it failed. The foreign body was eventually recovered using a flexible bronchoscope and an intravascular wire loop snare under fluoroscopic control. The patient was saved from thoracotomy and possible lobectomy.

To our knowledge, this combined fluoroscopic and endoscopic approach for the removal of a difficult tracheobronchial foreign body is the first reported case in the literature.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Banarjee, A., Subba Rao, K. S. V. K., Khanna, S. K., Narayanan, P. S., Gupta, B. K., Sellar, J. C., Retnan, C. R., Nachiappan, M. (1988) Laryngo-tracheo-bronchial foreign bodies in children. Journal of Laryngology and Otology 102: 10291032.Google Scholar
Hiller, C., Lerner, S., Varnum, R., Bone, R., Pingelton, W., Kerby, G., Ruth, W. (1977) Foreign body removal with the flexible fiberoptic bronchoscope. Endoscopy 9: 216222.CrossRefGoogle ScholarPubMed
Hughes, C. A., Baroody, F. M., Marsh, B. R. (1996) Paediatric tracheobronchial foreign bodies: Historical review from the John Hopkins Hospital. Annals of Otology, Rhinology and Laryngology 105: 555561.Google Scholar
Kim, G., Brummitt, W. M., Humphrey, A., Siomra, S. W., Wallace, W. B. (1973) Foreign body in the airway: a review of 202 cases. Laryngoscope 83: 347354.Google Scholar
Linegar, A. G., Von Oppell, U. O., Hegemann, S., de Groot, M., Odell, J. A. (1992) Tracheobronchial foreign bodies: Experience at Red Cross Children's Hospital, 1985–1990. South African Medical Journal 82(9): 164167.Google Scholar
McGuirt, W. F., Holmes, K. D., Feehs, R., Browne, J. D. (1988) Tracheobronchial foreign bodies. Laryngoscope 98: 615618.Google Scholar
Puhakka, H., Svedstrom, E., Kero, P., Valli, P., Iisalo, E. (1989) Tracheobronchial foreign bodies: A persistent problem in paediatric patients. American Journal of Diseases of Children 143(5): 543545.Google Scholar
Rothmann, B. F., Boeckman, C. R. (1980) Foreign bodies in the larynx of children. A review of 225 cases. Annals of Otology, Rhinology and Laryngology 89: 434436.Google Scholar
Strome, M. (1977) Tracheobronchial foreign bodies: an updated approach. Annals of Otology, Rhinology and Laryngology 86: 649654.Google Scholar
Weissberg, D., Schwartz, I. (1987) Foreign bodies in the tracheobronchial tree. Chest 91(5): 730733.Google Scholar
Wiseman, N. E. (1984) The diagnosis foreign body aspiration in childhood. Journal of Paediatric Surgery 19: 531535.Google Scholar
Wood, R. E., Gauderer, M. W. L. (1984) Flexible fiberoptic bronchoscopy in the management of tracheobronchial foreign bodies in children: The value of combined approach with open tube bronchoscopy. Journal of Pediatric Surgery 19(6): 693698.CrossRefGoogle ScholarPubMed