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Tracheotomy: an alternative for tracheobronchial foreign body removal
C L Tang1, S C Lee2, A Mohamad Lal3
1Sibu Hospital, Depertment of Otolaryngology-Head and Neck Surgery, Malaysia. chian_ling@hotmail.com.
The Medical Journal of Malaysia
|February 2, 2015
Summary
A child aspirated a plastic whistle, lodging it at the carina. Initial rigid bronchoscopy failed, necessitating a tracheostomy for foreign body removal.
Area of Science:
- Pediatric Otolaryngology
- Respiratory Medicine
- Emergency Medicine
Background:
- Airway foreign body aspiration is a common pediatric emergency.
- Plastic foreign bodies pose unique challenges due to their radiolucency and potential for fragmentation.
Purpose of the Study:
- To report a case of pediatric airway foreign body aspiration.
- To highlight the management challenges and successful surgical intervention.
Main Methods:
- Computed Tomography (CT) of the thorax for localization.
- Attempted rigid bronchoscopy under general anesthesia for extraction.
- Performance of tracheostomy for foreign body removal.
Main Results:
- A 6-year-old girl aspirated a plastic whistle.
- CT confirmed the foreign body at the carina.
- Rigid bronchoscopy failed to extract the whistle via the vocal cords.
- Tracheostomy successfully enabled foreign body removal.
Conclusions:
- Airway foreign body aspiration requires prompt diagnosis and management.
- Complex cases may necessitate advanced surgical procedures like tracheostomy.
- Early intervention is crucial to prevent airway compromise.
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