Sikdar Abhik, Mahajan Avani, Nivsarkar Sameer, Phatak Shrikant, Agarwal Richa
Department of ENT, Choithram Hospital and Research Center, Flat No 902, Block A3, Avasa Housing, opp Phalbag, AB Road, Indore, MP 452012 India.
Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(4):469-475. doi: 10.1007/s12070-021-02847-8. Epub 2021 Sep 12.
A potentially life-threatening emergency in ENT practice is the aspiration of tracheobronchial foreign body. This commonly affects young children and requires early extraction. Successful removal provides immediate relief. However procedural complications can cause devastating morbidity like anoxic encephalopathy or instant death. The aim of this study is to describe the experience in our institution with two surgeons approach for removal of tracheobronchial foreign bodies by telescope and optical forceps. This is an observational study from the period of March 2010 to April 2021 in which 96 patients (59 males, 37 females; age range 3 months to 15 years) were diagnosed with foreign body aspiration. In all cases rigid bronchoscopy and FB removal under general anaesthesia was performed using the two surgeons technique. This technique was instituted once Storz make paediatric telescope (2.9 mm diameter 36 cm length), optical grasping forceps and optical suction were procured in March 2010. Aspirated material was inorganic or organic with varying location in right main bronchus, left main bronchus or the trachea. We highlight the OT setup, surgical algorithm and the advantages of this technique. Visual and tactile coordination between the two surgeons being the crux of this procedure; allows hands on mentoring of the next generation of budding surgeons in a real-life scenario without compromising patient safety.
The online version contains supplementary material available at 10.1007/s12070-021-02847-8.
耳鼻喉科实践中一种可能危及生命的紧急情况是气管支气管异物吸入。这常见于幼儿，需要尽早取出。成功取出可立即缓解症状。然而，手术并发症可能导致严重的发病率，如缺氧性脑病或猝死。本研究的目的是描述我们机构两位外科医生使用望远镜和光学镊子取出气管支气管异物的经验。这是一项从2010年3月至2021年4月的观察性研究，其中96例患者（59例男性，37例女性；年龄范围3个月至15岁）被诊断为异物吸入。在所有病例中，均采用两位外科医生技术在全身麻醉下进行硬质支气管镜检查和异物取出。该技术于2010年3月采购了史托斯小儿望远镜（直径2.9毫米，长度36厘米）、光学抓取钳和光学吸引器后开始应用。吸入物为无机或有机物质，位于右主支气管、左主支气管或气管的不同位置。我们重点介绍了手术室设置、手术流程以及该技术的优势。两位外科医生之间的视觉和触觉协调是该手术的关键；可在不影响患者安全的情况下，在实际场景中对下一代崭露头角 的外科医生进行实践指导。
在线版本包含可在10.1007/s12070-021-02847-8获取的补充材料。
