Open removal of pediatric airway foreign body: A case report and literature review

Abstract

Background Foreign Body Aspiration is a common finding in children diagnosed based on clinical signs and radiological studies so that timely diagnosis and successful removal of the foreign body is essential to reduce complications and mortality. Case presentation In this study, we described a case of a 7-year old boy with a foreign airway body whose bronchoscopy was not successful in removing the foreign body, and the removal required open surgery. We also review the literature on Pediatric airway foreign bodies. Discussion The patient was discharged in good condition after being monitored and receiving antibiotics in the pediatric ward for seven days. Conclusion Rigid bronchoscopy involves fewer complications and is more successful in removing the foreign body in children. However, a small percentage of children require open surgery for removal, which can be attributed to the size of the FB, its shape, how long the FB stays in the airways, and the changes that follow are involved and sufficient expertise in rigid bronchoscopy.

A Foreign Body Lodged in the Glottis of a Toddler for a Prolonged Time: Anatomical Considerations and Review of the Literature

“…In 17% of the cases of aspiration, a repeated procedure may be attempted when the first bronchoscopy was unsuccessful [ 3 ]. Nevertheless, bronchoscopy may be inadequate in 2% of cases, and thoracotomy for bronchotomy, segmentectomy, or pneumonectomy may become necessary subsequent interventions [ 20 ].…”

Child requiring tracheostomy for removal of an airway foreign body at the tracheal bifurcation

“…Trachea and carina foreign bodies account for 13% of cases 9. In a case series of AFBs, 17/196 (9.8%) cases had foreign bodies located in the carina 11. There have been a few reports of AFBs at the level of the carina.…”