Uncommon & Difficult Airway foreign body removal-SQUARE HOSPITALS LTD Dhaka Bangladesh

Very uncommon and difficult Foreign body in child’s airway…...
A-2 years 7month-old boy, suddenly developed cough and episodic respiratory distress for last 20 days, was treated as LRTI and pneumonia in primary health care facility without any improvement…
After admission in Bangladesh Shishu Hospital & Institute, X-ray chest revealed a radio-opaque substance in left main bronchus with hyperinflation of left lung. Then the child was referred to SQUARE HOSPITALS LTD Dhaka Bangladesh. The child and parents totally denied to have any episode of choking or aspiration…
during bronchoscopy the FB just over the opening of right main bronchus that was moving with respiration.
It was too slippery and smooth to hold with basket, 3 prong/raat-tooth forceps. Finally the FB removed by dormia basket with flexible bronchoscope.
It was a piece of stone (measuring 1.6x0.7cm) used for construction of road.

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The procedure performed by.............

Dr. Sarabon Tahura
MBBS, FCPS (Pediatrics)
Fellowship in Pediatric Interventional Pulmonology
Pediatric Interventional Pulmonologist
SQUARE Hospitals Ltd.


#bronchoscopic_foreign_body removal, #aspiration_plum_seed, #inheal_foreign_body removal, #airway_foreign_body_removal #chest_foreign_body_removal

Foreign body aspiration is common in children between the age group of 6 months to 5 years. The common foreign bodies are vegetable foreign bodies like pieces of peanuts, betelnut (supari), almond (badam), kaju, etc. Others can be small parts of toys, metallic objects (screws, nuts, etc).

The common symptoms are bouts of cough after eating a food item (peanut, etc), choking (breath hold, turning blue), unexplained difficulty in breathing, wheezing (a whistling sound from the chest). Doctor may find a difference in the breath sounds of the lungs and a wheezing sound on hearing with a stethoscope.

Some non-food items (metallic objects like pins, screws, other small metal pieces, etc. ) can be seen in the airway in a Xray Chest. However, most food, vegetable matter and plastic toys cannot be seen on a Xray. Other changes in the Xray might suggest a foreign body like collapse of a part of the lung. It should be remembered that many children with foreign body aspirations can have normal chest xrays.
The only method to confirm or refute the presence of a foreign body in the airway is to perform a flexible bronchoscopy. Large foreign bodies can be life threatening as they can block the voice box (larynx) or the windpipe (trachea). Small foreign bodies can lodge in the windpipe or the other smaller airways (bronchi). This can lead to obstruction of a portion of the lung, infections and later can cause serious long term damage to the lungs. In this video you can see how a foreign body removed from the airway.( Foreign Body Extraction from the child's airway).