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Office removal of a subglottic bread clip
1Department of Otolaryngology, University of Miami, Miller School of Medicine, Miami, FL 33136, USA.
Case Reports in Otolaryngology
|January 1, 2014
Summary
An unusual case of a plastic bread clip lodged in the subglottis for 15 months was successfully removed in an office setting. This case highlights the feasibility of office-based removal for airway foreign bodies with proper anesthesia and planning.
Area of Science:
- Otolaryngology
- Emergency Medicine
- Medical Case Reports
Background:
- Upper airway foreign bodies pose a significant, life-threatening risk requiring prompt evaluation.
- Common locations include the pyriform sinuses, tongue base, or tracheobronchial tree.
- Organic and nonorganic materials are frequently implicated.
Purpose of the Study:
- To report an unusual case of a subglottic foreign body.
- To describe the successful removal of a plastic bread clip lodged for 15 months.
- To demonstrate the feasibility of office-based removal under local anesthesia.
Main Methods:
- A patient with a 15-month subglottic foreign body (plastic bread clip) was treated.
- Local anesthesia was achieved using inhaled 4% lidocaine spray.
- Flexible laryngoscopy was employed for foreign body removal.
Main Results:
- Successful removal of the plastic bread clip was accomplished in the office setting.
- The patient experienced complete resolution of symptoms post-procedure.
- No adverse sequelae were observed.
Conclusions:
- Office-based removal of airway foreign bodies is a viable option.
- Adequate topical anesthesia is crucial for safe and effective removal.
- Meticulous caution and emergency preparedness are essential for such procedures.
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