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Published on: January 23, 2011
Title-Optical Forceps: The Real Boon for Surgeon, Residents and Patients with Foreign Body Aspiration
Neeraj Kumar Dubey1, Aparaajita Upadhyay2, Neha Raghuwanshi1
1Department Of E.N.T., M.G.M. Medical College, Indore, India.
Insights
Optical forceps significantly improve the safety and efficacy of rigid bronchoscopy for removing tracheobronchial foreign bodies in children, reducing procedure time and complications.
Area of Science:
- Pediatric Pulmonology
- Otolaryngology
- Medical Devices
Background:
- Management of aspirated foreign bodies in children presents significant challenges.
- Rigid bronchoscopy is a key intervention, with advancements improving its utility.
Purpose of the Study:
- To compare the efficacy and safety of optical forceps versus standard forceps in rigid bronchoscopy for pediatric tracheobronchial foreign body removal.
Main Methods:
- A study included 36 children under 16 with airway foreign bodies.
- Two groups were compared: optical forceps with Hopkins rod lens telescope (n=25) and standard forceps (n=11).
- Data on age, foreign body location, type, and procedural metrics were collected.
Main Results:
- The 1-5 year age group and males were most commonly affected.
- The right bronchus was the most frequent impaction site.
- Optical forceps demonstrated significantly fewer grasping attempts and shorter procedure times compared to standard forceps.
Conclusions:
- Optical forceps enhance rigid bronchoscopy by providing magnified views and improved tactile sensation, leading to more precise foreign body removal.
- This technology reduces complications and procedure duration, benefiting both surgeons and young patients.
Abstract:
Management of aspirated foreign bodies in children becomes very challenging in absence of most appropriate instruments. Rigid bronchoscopy has evolved in the long course of history. The advent of Hopkins rod telescope and optical forceps has enhanced the efficacy as well as the safety of removing tracheobronchial foreign bodies. Total 36 children of age less than 16 year with confirmed diagnosis of airway F.B. were included in the study. Two types of forceps were used: (1)Optical forceps combined with Hopkins rod lens telescope[n = 25] (2)Standard forceps [n = 11]. Most common age group was 1-5 year [n = 26] with male preponderance [n = 20]. Most common site was right bronchus in 13 cases (RMB-11, RBI-1, RLLB-1) followed by Left main bronchus in 11 cases, trachea in 10 cases, bilateral bronchus and sub-glottis each in 1 case. Vegetative F.B. were found in majority of cases [n = 26]. Mean grasping attempt, Mean bronchoscopic insertion and Mean time taken from insertion of forceps to removal of F.B. were less in optical forceps as compared to standard forceps with significant p-value. Optical forceps have advantage of high resolution & magnified view of airway, spring action in handle and better tactile sensation. These helps in correctly identifying the type, size and site of tracheobronchial foreign body. Precise grasping attempts with optical forceps reduces the chances of complications. Optical forceps have given the new dimension to the Rigid Bronchoscopy and proved to be the real boon for surgeons, residents and patients with F.B. aspiration.
