Removal Of Endobronchial Foreign Body Research Articles

Mini grasping basket forceps for endobronchial foreign body removal in pediatric patients.

Appropriate device selection is crucial for endobronchial foreign body removal using a bronchoscope. In pediatric patients, bronchoscopy requires the use of a thin device due to the narrow access to the airway, limiting the range of useful endobronchial devices. We herein review our experience in endobronchial foreign body removal with a focus on the type of bronchoscope and the instruments used in comparison with the literature, and investigate the utility of mini grasping basket forceps (FG-55D, Olympus® ; and Zero Tip™ , Airway Retrieval Basket, Boston Scientific). Between April 2008 and April 2016, foreign bodies were removed from the airway of 12 pediatric patients by bronchoscopy. These cases are reviewed in this study. The clinical presentation, location and characteristics of the foreign bodies, and the type of bronchoscope and instruments used were analyzed. A consecutive series of 12 pediatric patients was retrospectively reviewed, and the therapeutic characteristics investigated. Nuts were the most frequently observed foreign body. Seven of the 12 pediatric patients required an ultrathin bronchoscope (diameter, 2.8mm) for foreign body removal. Only one patient required a rigid scope in addition to flexible bronchoscopy. The most frequently used instrument was a mini grasping basket forceps (n=7; 58%), which was used with a 1.2mm instrument channel (n=4; 33%). The use of a mini grasping basket forceps in combination with an ultrathin flexible bronchoscope was useful for removing smooth, soft materials such as a nuts or beans in pediatric cases.

Retained Endobronchial Foreign Body Removal Facilitated by Steroid Therapy of an Obstructing, Inflammatory Polyp

Oral and topical steroids were used to induce regression in an inflammatory, obstructing endobronchial polyp caused by a retained foreign body. The FB (a peanut half), which had been present for over six months, was then able to be easily and bloodlessly retrieved with fiberoptic bronchoscopy.

Endobronchial Foreign Body Removal—Reply

In Reply .—I appreciate the remarks by Drs Schultz and Levit made in response to my article in theArchives(102:729-731, 1976). Otolaryngologists are faced with a diagnostic dilemma when confronted with a patient with cochleovestibular symptoms of obscure etiology, no historical evidence or hard physical findings of syphilis, and a persistent 1+ reactive or borderline FTA-ABS. Labeling the patient as having (had) syphilis may lead to profound, lifelong social and economic implications, as well as successfully won libel suits against physicians. Since the presence of Treponema pallidum has not been convincingly demonstrated in late syphilis, a definitive diagnosis cannot be made. In patients with adequately treated late syphilis, published reports of finding spirochetes in the anterior chamber of the eye by Smith, 1 in the perilymph by Wiet, 2 as well as unpublished accounts of independently demonstrating spirochetes in the perilymph by myself and by J. Clemis (oral communication presented at

Removal of endobronchial foreign body by fiberoptic bronchoscopy.

A relatively large foreign body (ham bone) was seen in the left upper lobe bronchus of a 25-year-old woman and was successfully extracted with the use of a standard fiberoptic bronchoscope. Although the removal of foreign bodies by the fiberoptic bronchoscope has serious technical limitations, the use of this instrument should be considered when the foreign body is not within range of the rigid bronchoscope.