Pediatric Otolaryngology, Divisions of Otolaryngology Head & Neck Surgery and Pediatric Surgery, Department of Surgery, The Stollery Children's Hospital & University of Alberta Hospitals, 2C3.57 Walter MacKenzie Centre, Edmonton, Alberta, T6G 2R7, Canada.
Division of Otolaryngology - Head and Neck Surgery, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
J Otolaryngol Head Neck Surg. 2018 Apr 10;47(1):26. doi: 10.1186/s40463-018-0272-0.
Distally impacted chronic tracheobronchial sharp foreign bodies in children are a management challenge that presents with clinical subtlety and extreme variability. The use of image guided techniques, imaginative instrumentation, tracheotomy, thoracotomy, and even extracorporeal membrane oxygneation have been reported. Endoscopy is made difficult by the distal location, inflammatory reaction with granulation tissue formation, and bleeding obscuring the foreign body. Our aim is to describe our experience with two children who had removal of aspirated impacted sharp metallic foreign bodies from the distal airway using rigid bronchoscopy, preceded by maximal medical therapy.
儿童远端嵌顿性慢性气管-支气管尖锐异物是一种具有临床隐匿性和极端可变性的管理难题。已经报道了使用影像引导技术、富有想象力的器械、气管切开术、开胸术，甚至体外膜氧合的方法。由于异物位置远、炎症反应伴肉芽组织形成以及出血使异物模糊，因此内镜检查变得困难。我们的目的是描述我们使用硬性支气管镜在前驱最大药物治疗的情况下，从远端气道取出吸入性嵌顿尖锐金属异物的两名儿童的经验。
