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Airway Management and Retrieval of a Large Ingested Foreign Body: A Case Report
Emma De Ravin1, Leonard E Estephan1, Dev Amin1
1Department of Otolaryngology-Head and Neck Surgery Thomas Jefferson University Philadelphia Pennsylvania USA.
Clinical Case Reports
|August 1, 2026
Summary
Large foreign body ingestion in patients with bulimia nervosa necessitates prompt airway intervention. Awake fiberoptic intubation and video-laryngoscopic extraction offer a safe, non-surgical approach, complemented by psychiatric care to prevent future occurrences.
Area of Science:
- Gastroenterology
- Otolaryngology
- Psychiatry
Background:
- Bulimia nervosa is associated with foreign body ingestion.
- Ingested foreign bodies can pose significant airway risks.
Purpose of the Study:
- To describe a minimally invasive technique for airway foreign body retrieval in bulimia nervosa patients.
- To highlight the importance of multidisciplinary care in managing these cases.
Main Methods:
- Awake fiberoptic intubation was employed.
- Video-laryngoscopic extraction was utilized for foreign body removal.
- Psychiatric evaluation was conducted.
Main Results:
- The described method safely avoided invasive surgery.
- Successful airway-focused retrieval was achieved.
- Psychiatric assessment provided insights into recurrence risk.
Conclusions:
- Awake fiberoptic intubation with video-laryngoscopic extraction is a safe and effective strategy for airway foreign bodies in bulimia nervosa.
- Multidisciplinary management, including psychiatric evaluation, is crucial for comprehensive patient care and preventing recurrence.
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