Ms Vishak, Surendran Adwaith Krishna, Raja Kalaiarasi
Department of Otorhinolaryngology, JIPMER, Puducherry, India.
JIPMER, Puducherry, India.
Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):1183-1186. doi: 10.1007/s12070-023-04206-1. Epub 2023 Sep 2.
Foreign Body Aspiration (FBA) is one of the paediatric emergencies which require timely diagnosis and management. The inherent tendency of children to explore small objects with their mouths often prove to be fatal as they are difficult to remove once aspirated.
We present the case of a 5-year-old boy who presented with dyspnea and vomiting following the aspiration of a pen cap. Chest radiograph and Rigid Bronchoscopy helped to identify the foreign body but it couldn't be removed by Rigid Bronchoscopy alone due it's wedge-shaped nature. Hence, an unconventional method of foreign body removal was performed by making a tracheostoma, pushing the foreign body to the level of tracheostoma and thereby taking it out from the tracheostoma under strict monitoring of anesthesia team.
Alternative approaches like this are required for prompt intervention in a difficult case as it helps to reduce complications produced by repeated failed attempts.
异物吸入（FBA）是需要及时诊断和处理的儿科急症之一。儿童有用嘴探索小物体的固有倾向，一旦吸入往往难以取出，常被证明是致命的。
我们报告一例5岁男孩，他在吸入笔帽后出现呼吸困难和呕吐。胸部X光片和硬质支气管镜检查有助于识别异物，但由于其楔形性质，仅通过硬质支气管镜无法取出。因此，在麻醉团队的严格监测下，通过做气管造口术，将异物推至气管造口水平，从而从气管造口取出，采用了一种非常规的异物取出方法。
对于疑难病例，需要这样的替代方法进行及时干预，因为它有助于减少因反复尝试失败而产生的并发症。
