Zhi-Pan Teng, Qi Li, Xiao-Fei Shen
Department of Otorhinolaryngology, Children's Hospital of Nanjing Medical University, Nanjing, Jiangsu, China.
SAGE Open Med Case Rep. 2024 Mar 21;12:2050313X241241216. doi: 10.1177/2050313X241241216. eCollection 2024.
We present three novel cases of tracheobronchial foreign bodies (TFBs) in children caused by pen caps. One was removed by the rigid bronchoscopy successfully, the second was removed by rigid bronchoscopy combined with tracheotomy, and the last one was treated by bronchotomy from an external thoracic approach. Rigid bronchoscopy is the most widely used for treating TFBs in clinics, especially treating large and special foreign bodies, because rigid bronchoscopy can provide a good view for observation and operation. Successful removal of a foreign body under rigid bronchoscopy (an experienced doctor, suitable instruments, etc.) can obviate tracheotomy/tracheostomy or thoracotomy/bronchotomy.
我们报告了3例由笔帽引发的儿童气管支气管异物（TFB）的新病例。1例通过硬质支气管镜检成功取出，第2例通过硬质支气管镜检联合气管切开术取出，最后1例通过胸外入路支气管切开术治疗。硬质支气管镜检是临床上治疗TFB最常用的方法，尤其是治疗大型和特殊异物，因为硬质支气管镜检可为观察和手术提供良好视野。在硬质支气管镜检下（经验丰富的医生、合适的器械等）成功取出异物可避免气管切开术/气管造口术或开胸术/支气管切开术。
