Utility of Optical Forceps and Tracheotomy for Tracheobronchal Foreign Body

Area of Science:

• Otolaryngology
• Pediatric Surgery
• Emergency Medicine

Background:

• Tracheobronchial foreign bodies pose life-threatening risks requiring rapid intervention.
• Preparedness and appropriate instrumentation are crucial for managing airway foreign bodies.

Purpose of the Study:

• To assess the preference and utility of optical versus conventional (standard) foreign body forceps.
• To analyze the role of flexible fiberoptic bronchoscopes in foreign body extraction.

Main Methods:

• Retrospective analysis of 109 bronchoscopies performed between 2016 and 2021.
• Evaluation of optical forceps, standard forceps, and flexible fiberoptic bronchoscopes for foreign body removal.
• Review of cases requiring tracheotomy for foreign body extraction.

Main Results:

• Optical forceps were used in 90 cases, successfully managing 86% of foreign bodies.
• Flexible fiberoptic bronchoscopes aided in locating foreign bodies in 10 cases and extraction in 2 adult cases.
• Standard forceps were utilized in 13 pediatric patients (<1 year old).
• Two postoperative mortalities occurred; tracheotomy was performed in 6 patients.

Conclusions:

• Optical forceps are highly effective for tracheobronchial foreign body removal.
• Standard forceps remain valuable, and flexible fiberoptic bronchoscopes are now essential.
• Tracheotomy is recommended for large, swollen foreign bodies obstructing the glottis/subglottis.
• A comprehensive armamentarium including various forceps and scopes is vital for otolaryngologists.