Abstract
We herein report a case of an unusual tracheal foreign body in a 42-year-old patient who after having undergone surgery for a tongue base malignancy presented following discharge with progressively worsened intractable cough. A chest x ray revealed a foreign body (FB) extending from glottis through the trachea up to the right bronchi. Awake fiberoptic bronchoscopic FB removal was done and the tube was recovered as a whole delivered through the oral cavity. It was 2/3rd the length of an airway exchanger catheter (AEC) used during the trial of extubation.
Highlights
Foreign body (FB) in tracheobronchial tree is a serious and potentially fatal emergency. (1) Being more common in children, an adult with foreign body (FB) in bronchus is a comparatively rare occurrence
The procedure risked facing persistent laryngeal oedema and the trial was attempted using an airway exchange catheter (AEC) The patient was transferred to the OMF ward following successful extubation where he developed a persistent cough which was managed as a lower respiratory tract infection
(2) Historically FB removal from airway were mainly performed by otolaryngologists and the rigid bronchoscope was frequently utilized for this purpose, if this failed it was followed by tracheostomy and bronchoscopy
Summary
Foreign body (FB) in tracheobronchial tree is a serious and potentially fatal emergency. (1) Being more common in children, an adult with FB in bronchus is a comparatively rare occurrence. The procedure risked facing persistent laryngeal oedema and the trial was attempted using an airway exchange catheter (AEC) The patient was transferred to the OMF ward following successful extubation where he developed a persistent cough which was managed as a lower respiratory tract infection.
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