Related Experiment Video
Updated: May 30, 2026

08:26
The Rigid Tube as an Alternative in Controlling the Problematic Airway
Published on: June 6, 2020
[Case report: removing the press through package (PTP) containing a tablet from the subglottic region]
Junko Ajimi1, Jun-Ichi Nishiyama, Yumi Nakahara
1Department of Anesthesiology, Tokai University School of Medicine, Isehara 259-1193.
Summary
A patient accidentally swallowed a tablet and its packaging, lodging it in the airway. Emergency surgery successfully removed the foreign body, and subsequent vocal cord granuloma resolved with conservative treatment.
Area of Science:
- Medicine
- Otolaryngology
- Emergency Medicine
Background:
- A 58-year-old female patient experienced a foreign body ingestion incident.
- The patient inadvertently swallowed a tablet along with its pharmaceutical packaging (press-through package or PTP).
Observation:
- The foreign material became lodged in the subglottic region of the airway.
- An emergency surgical operation was required for removal under neuroleptic anesthesia.
Findings:
- Successful removal of the foreign material was achieved.
- No immediate abnormal findings, such as vocal cord enlargement, were observed post-operation.
- Vocal cord granuloma developed three months after the procedure.
Implications:
- This case highlights the potential risks of accidental ingestion of medication packaging.
- Prompt surgical intervention is crucial for managing airway foreign bodies.
- Conservative management can be effective for post-procedural complications like vocal cord granuloma.
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