Sarafi Mehdi, Rouzrokh Mohsen, Sadr Saeed, Mahdavi Seyed Alireza, Mahdavi Nastaran Sadat, Ebrahimian Manoochehr
Pediatric Surgery Research Center, Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Pediatric Pulmonary Diseases, Mofid Children's Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Int J Surg Case Rep. 2022 Oct;99:107629. doi: 10.1016/j.ijscr.2022.107629. Epub 2022 Sep 10.
The unintended passage of foreign bodies into the airway, is a common problem among children which can lead to death. Prompt diagnosis and extraction of the entrapped object is the key of success in these cases. Unfortunately, in addition to various extraction methods, in some cases the bronchoscopy may not be successful, and exploratory thoracotomy is inevitable.
We describe the story of a 7-year-old preschooler boy who was taken to the emergency department complaining the sudden onset of cough and dyspnea. Initial investigations, showed an entrapped oval-shaped object in the right main bronchus. Several conventional bronchoscopic attempts were failed. We used a handmade magnet-powered instrument to extract the object.
Using the magnet-powered grasping forceps may be beneficial after repetitive failed attempts in the extraction process of airway foreign bodies. Although there is no specific evidence-based guideline for choosing the best removal technique, we recommend using this technique in round-shaped high weight metallic objects as the first removal technique.
异物意外进入气道是儿童常见问题，可导致死亡。及时诊断并取出被困异物是这些病例成功的关键。不幸的是，除了各种取出方法外，在某些情况下支气管镜检查可能不成功，开胸探查不可避免。
我们讲述一名7岁学龄前男孩的故事，他因突发咳嗽和呼吸困难被送往急诊科。初步检查显示右主支气管内有一个被困的椭圆形物体。多次常规支气管镜检查尝试均失败。我们使用自制的磁力驱动器械取出该物体。
在气道异物取出过程中多次尝试失败后，使用磁力抓取钳可能有益。尽管尚无选择最佳取出技术的具体循证指南，但我们建议将该技术用于圆形、重量较大的金属物体作为首选取出技术。
