Akademik Veri Yönetim Sistemi
XI ESPES Annual Congress, Bellinzona, İsviçre, 15 - 18 Eylül 2021, ss.70
Aim: We report here, very uncommon foreign bodies in the respiratory tract in small children and some creative methods for removal.
Patients and Methods: Seven patients with uncommon foreign bodies underwent different, “creative” methods of removal. Each one patient had a pebble, a dice, a battery, an olive seed, a sharp edged piece of plexiglass, plastic cover of a pen and piece of walnut. In the 15 year old girl with a pebble in the right main bronchus, the removal was impossible by optical forceps. It was removed by a basket catheter. Classical removal of the plastic cover of a pen and a sharp edged piece of Plexiglas might have damaged the vocal cords. They were removed via a tracheotomy incision. Moreover they couldn't be grasped by classical optical forceps, because they were embedded in bronchus. They could only be grasped by a laparoscopic dissector inserted through the tracheotomy incision. A piece of walnut was embedded in the left main bronchus. It could only be removed by a Fogarty balloon catheter inserted behind the foreign body, inflated and pulled up. A battery in the trachea was removed by Magill forceps in one year old boy. A dice embedded within the right main bronchus in a 15 year old boy cannot be grasped by classical optical forceps. A Fogarty balloon catheter was inserted behind it, inflated and pulled to the carina. Immediately it was grasped by a basket catheter and removed. An aspirated olive seed in a 2 year old boy was removed by an optical forceps.
Conclusion: Foreign bodies with big size or sharp or too smooth edges impossible to grasp need challenging and creative methods for removal. Therefore ideal setting of an operating theater require a broad spectrum of surgical instruments and experienced multidisciplinary personal.