Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, TX, USA.
Department of Otolaryngology Head and Neck Surgery, University of Rochester Medical Center, Rochester, NY, USA.
Ear Nose Throat J. 2021 Sep;100(5_suppl):691S-693S. doi: 10.1177/0145561320906329. Epub 2020 Feb 13.
We describe a novel and safe use of existing instrumentation in the removal of select foreign bodies in the upper aerodigestive tract to minimize health-care costs. A retrospective review of 4 cases involving visualized upper aerodigestive tract foreign bodies were identified via flexible laryngoscopy and extracted under local anesthesia from 2016 to 2018. All 4 patients were not in any airway distress and underwent successful removal of the foreign body, which included 2 fishbones, a sewing pin, and a wire bristle with a maxillary Heuwieser or giraffe instrument under flexible laryngoscopy visualizing using local anesthesia without complications. No foreign bodies were dislodged. The use of a maxillary Heuwieser and flexible laryngoscopy visualization is safe, allows for removal of otherwise difficult to reach foreign bodies at the bedside, improving patient comfort, obviates the need for general anesthesia to the patient, and minimizes health-care costs.
我们描述了一种新颖而安全的使用现有仪器的方法，用于清除上呼吸道的特定异物，以最大限度地降低医疗成本。对 2016 年至 2018 年间通过软性喉镜检查发现的 4 例涉及上呼吸道可见异物的病例进行了回顾性分析，并在局部麻醉下取出。所有 4 名患者均无气道窘迫，均成功取出异物，包括 2 根鱼骨、1 根缝衣针和 1 根带有上颌 Heuwieser 或长颈鹿器械的金属丝刷，在局部麻醉下使用软性喉镜可视化，无并发症。没有异物脱落。上颌 Heuwieser 和软性喉镜可视化的使用是安全的，可以在床边取出那些原本难以触及的异物，提高患者的舒适度，避免对患者进行全身麻醉，并最大限度地降低医疗成本。
