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Flexible Bronchoscopy Combined with Rigid Bronchoscopy for Treatment of Scarring in the Bronchus Caused by a Foreign

Lei Wu1,2, Yuanjian Sheng1, Xuefeng Xu1

  • 1Department of Pulmonology, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Case Reports in Medicine
|July 19, 2019
PubMed

Insights

Foreign body aspiration in young children can cause rare bronchial scarring. This case report details successful removal of scar tissue using interventional bronchoscopy and cryotherapy.

Area of Science:

  • Pediatric Pulmonology
  • Interventional Bronchoscopy
  • Foreign Body Aspiration

Background:

  • Foreign body (FB) aspiration is a common pediatric emergency, especially in children under 3 years old.
  • Granulation tissue is a frequent complication of pediatric FB aspiration.
  • Bronchial scarring resulting from FB aspiration is an uncommon occurrence.

Observation:

  • This report details a rare case of bronchial scarring caused by aspiration of a plastic whistle toy in a child.
  • The patient presented with complications arising from the aspirated foreign body.

Findings:

  • The bronchial scar tissue was successfully removed using a minimally invasive approach.
  • Interventional bronchoscopy was employed, utilizing a flexible electrosurgery probe and carbon dioxide cryotherapy for scar removal.

Implications:

  • This case highlights a rare complication of foreign body aspiration and demonstrates an effective treatment strategy.
  • The successful application of interventional bronchoscopy with electrosurgery and cryotherapy offers a viable option for managing bronchial scarring.
  • This approach may reduce the need for more invasive surgical procedures in select cases.

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