Brooks Jennifer A, McKeon Mallory, Chow Jeanne S, Watters Karen
1 Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, MA, USA.
2 Department of Otology and Laryngology, Harvard Medical School, Cambridge, MA, USA.
Ann Otol Rhinol Laryngol. 2019 Jul;128(7):681-684. doi: 10.1177/0003489419838543. Epub 2019 Mar 21.
This paper reports the utilization of intraoperative ultrasound in the removal of an accidentally ingested wire grill-brush bristle from the pharyngeal space of a child.
Standard procedures for obtaining imaging of an accidentally ingested foreign body were performed, including radiograph, computed tomography (CT) imaging, and preoperative ultrasonography. Despite preoperative imaging, the object could neither be located nor removed. Ultrasonography was performed intraoperatively for real-time localization.
Intraoperative ultrasonography was required to successfully locate and remove the wire grill-brush bristle from the patient's oropharyngeal space.
Intraoperative ultrasound serves as a useful tool to guide surgical removal of aerodigestive foreign bodies and may offer an opportunity to reduce the need for CT imaging.
本文报告术中超声在一名儿童咽部取出意外摄入的钢丝烤架刷刷毛中的应用。
采用获取意外摄入异物影像的标准程序，包括X光片、计算机断层扫描（CT）成像和术前超声检查。尽管进行了术前成像，但该异物既无法定位也无法取出。术中进行超声检查以进行实时定位。
需要术中超声检查才能成功从患者口咽间隙定位并取出钢丝烤架刷刷毛。
术中超声是指导气道消化道异物手术取出的有用工具，可能为减少CT成像需求提供机会。
