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Ann Thorac Surg 1985;39:251-253
© 1985 The Society of Thoracic Surgeons

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Articles

Extraction of Large Tracheal Foreign Bodies through a Tracheostoma under Bronchoscopic Control

From the Departments of Anesthesia and Surgery, Divisions of Pediatric and Cardiothoracic Surgery, Virginia Commonwealth University Medical College of Virginia, Richmond, VA

^* Address reprint requests to Dr. Salzberg, Division of Pediatric Surgery, Medical College of Virginia, Richmond, VA 23298

Despite various technical manipulations through contemporary endoscopic equipment, large tracheal foreign bodies may be lost during bronchoscopic extraction, with a 1 to 2% in-hospital mortality. Recently, emergency tracheostomy was performed during bronchoscopy after a tracheal foreign body had become dislodged in the subglottic region causing blockage of the airway, and the results of this procedure provoked its deliberate application in a second patient. In 3 additional infants, aspirated tracheal T tubes (Montgomery tubes), which were producing acute respiratory distress, were brought from the carina to the preformed tracheostoma under bronchoscopic manipulation and were withdrawn. Elective application of this simultaneous approach—tracheostomy with bronchoscopy—may decrease morbidity and mortality from large tracheal foreign bodies.

This article has been cited by other articles:

				R. M. Esclamado and M. A. Richardson Laryngotracheal Foreign Bodies in Children: A Comparison With Bronchial Foreign Bodies Arch Pediatr Adolesc Med, March 1, 1987; 141(3): 259 - 262. [Abstract] [PDF]