Rosow David E, Chen Si
Department of Otolaryngology, University of Miami, Miller School of Medicine, Miami, FL 33136, USA.
Case Rep Otolaryngol. 2013;2013:480676. doi: 10.1155/2013/480676. Epub 2013 Nov 27.
Objective. The presence of an upper airway foreign body is an emergent, potentially life-threatening situation that requires careful but rapid evaluation and management. Organic or nonorganic material may typically be found in the pyriform sinuses or tongue base or may be aspirated directly into the tracheobronchial tree. We present here an unusual case report of a patient who accidentally ingested a plastic bread clip that was lodged in his subglottis for 15 months and report successful removal in the office under local anesthesia. Methods. Mucosal anesthesia was achieved with inhaled 4% lidocaine spray. Flexible laryngoscopic removal of the foreign body was then successfully accomplished. Results. The patient's symptoms resolved completely following removal, with no sequelae. Conclusions. Office removal of airway foreign bodies is feasible and can be safely done with adequate topical anesthesia, but great caution and emergency planning must be exercised.
目的。上气道异物的存在是一种紧急的、可能危及生命的情况，需要仔细但迅速地进行评估和处理。有机或无机材料通常可能存在于梨状窦或舌根，或者可能直接被吸入气管支气管树。我们在此报告一例不寻常的病例，一名患者意外吞食了一个塑料面包夹，该面包夹卡在其声门下长达15个月，并报告了在局部麻醉下于门诊成功取出的情况。方法。通过吸入4%利多卡因喷雾实现黏膜麻醉。然后成功地通过软性喉镜取出了异物。结果。异物取出后患者症状完全缓解，无后遗症。结论。在门诊取出气道异物是可行的，在充分的局部麻醉下可以安全进行，但必须极其谨慎并做好应急预案。
