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Case Reports
. 2023 Sep;58(9):2670-2674.
doi: 10.1002/ppul.26530. Epub 2023 Jun 2.

A "Cool" extraction technique for difficult pediatric airway foreign bodies: Report of two cases

Anshula Tayal  1 , Irfan Shekh  2 , A R Karthik  3 , Kana Ram Jat  1 , Nitin Dhochak  1 , Saurabh Mittal  2 , Nishkarsh Gupta  4 , Sushil K Kabra  1 , Karan Madan  2
Affiliations
Case Reports

A "Cool" extraction technique for difficult pediatric airway foreign bodies: Report of two cases

Anshula Tayal et al. Pediatr Pulmonol. 2023 Sep.

Abstract

Foreign body (FB) aspiration is a potentially life-threatening accident in children. Traditionally, rigid bronchoscopy has been the procedure of choice for FB removal, however it may miss distally lodged FBs. We report two pediatric cases with distal impacted FBs that could not be retrieved by rigid bronchoscopy (RB) and were mobilised using Fogarty balloon followed by flexible bronchoscopic cryoextraction. The advantage of a cryoprobe is lower risk of fragmentation of FB that may occur with forceps. Cryoextraction is particularly advantageous for removing water-containing FBs. In both patients, FB was removed more than 2 weeks following aspiration, leading to the formation of granulation tissue around the FB, which considerably hampered the process. Using a laryngeal mask airway to secure the airway, FB removal by flexible bronchoscopy may be a safe and effective technique in skilled hands, especially for FBs impacted in distal airways with granulation tissue where RB fails.

Keywords: bronchoscopy; central airway obstruction; cough; cryotherapy; foreign body aspiration.

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References

REFERENCES

    1. Divisi D, Di Tommaso S, Garramone M, et al. Foreign bodies aspirated in children: role of bronchoscopy. Thorac Cardiovasc Surg. 2007;55(4):249-252.
    1. Midulla F, de Blic J, Barbato A, et al. Flexible endoscopy of paediatric airways. Eur Respir J. 2003;22(4):698-708.
    1. Faro A, Wood RE, Schechter MS, et al. Official American thoracic society technical standards: flexible airway endoscopy in children. Am J Respir Crit Care Med. 2015;191(9):1066-1080.
    1. Rodrigues AJ, Scussiatto EA, Jacomelli M, et al. Bronchoscopic techniques for removal of foreign bodies in children's airways: bronchoscopy for foreign body removal in pediatrics. Pediatr Pulmonol. 2012;47(1):59-62.
    1. Schramm D, Freitag N, Kötz K, et al. Cryotherapy in the paediatric airway: indications, success and safety. Respirology. 2022;27(11):966-974.

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