Abstract
Purpose
To illustrate the importance of tracheotomy in difficult cases of foreign body inhalation and to enumerate the indications of the same.
Methods
A retrospective analysis of 5 cases in which the standard rigid bronchoscopic approach had to be combined with the open surgical approach (tracheotomy) for the removal of the inhaled foreign body for different indications.
Results
Combining the two procedures lead to successful removal of foreign body and restoration of airway in all the cases. Tracheostomies whenever performed were temporary.
Conclusions
Foreign body aspiration is an otorhinolaryngologic emergency that can rapidly prove fatal if not well-handled. Though most cases can be dealt with by traditional approaches, a proportion of the cases may prove challenging and need a quick tailoring of response according to the situation at hand. An approach combining tracheotomy with the traditional bronchoscopic approach is one such way and in well-selected cases, can have a significant impact on the outcome; sometimes even in terms of life and death.
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The corresponding author* affirms that this manuscript is an honest, accurate, and transparent account of the study being reported; that no important aspects of the study have been omitted; and that any discrepancies from the study as planned (and, if relevant, registered) have been explained.
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Abbreviations
- CECT:
-
Contrast enhanced computed tomography
- ID:
-
Internal diameter
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All authors contributed to the study conception and design. The study was conducted under the supervision of Sunil Samdhani. Material preparation, data collection and analysis were performed by NKL, AS and AG. All authors read and approved the final manuscript.
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Samdhani, S., Lohar, N.K., Singh, A. et al. When bronchoscopy does not suffice for airway foreign body removal: a series of cases requiring tracheotomy. Eur Arch Otorhinolaryngol 280, 455–459 (2023). https://doi.org/10.1007/s00405-022-07626-x
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DOI: https://doi.org/10.1007/s00405-022-07626-x