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Flexible bronchoscopy for foreign body in airway
The Tokushima Journal of Experimental Medicine
|June 1, 1989
Summary
Flexible bronchoscopy is effective for removing airway foreign bodies, even in children. This technique achieved an 81% success rate, proving useful even after rigid bronchoscopy failure.
Area of Science:
- Pulmonology
- Pediatric Otolaryngology
- Medical Devices
Background:
- Flexible bronchoscopy is underutilized for airway foreign body removal, particularly in pediatric cases.
- Airway foreign bodies pose a significant risk, especially in young children, necessitating effective removal techniques.
Purpose of the Study:
- To evaluate the efficacy and safety of flexible bronchoscopy for airway foreign body removal.
- To assess its utility in cases where rigid bronchoscopy has failed and in young children.
Main Methods:
- Flexible bronchoscopy was performed on 27 patients with airway foreign bodies.
- Included were 22 patients with prior unsuccessful rigid bronchoscopy attempts.
- Nineteen of the patients were children, including 11 aged 2 years or younger.
Main Results:
- An overall success rate of 81% (22/27) was achieved.
- In patients with prior rigid bronchoscopy failure, the success rate was 77% (17/22).
- For children aged 2 years or less, the success rate was 82% (9/11).
- Biopsy forceps and Fogarty balloon catheters were effective tools for foreign body retrieval.
Conclusions:
- Flexible bronchoscopy is a valuable and effective tool for airway foreign body removal.
- It demonstrates high success rates, even in challenging cases involving young children and prior treatment failures.