Recurrent foreign body aspiration in the airways in a laryngectomized patient

Retrieval of inhaled foreign bodies in laryngectomised patients: Novel technique using a flexible nasendoscope under local anaesthetic

“…Traditional methods of extracting tracheobronchial FBs with rigid bronchoscopy are technically difficult in laryngectomised patients due to obstruction from the mandible and difficulty extending the neck to the required degree . The recommended procedure is therefore flexible bronchoscopy, but this instrument is often not readily available in an emergency (particularly out of hours) and is unfamiliar to most otolaryngologists.…”

“…These include speaking valves, cleaning brushes, laryngeal button devices and laryngeal tubes. All of these have been inhaled in case reports in the literature …”

“…All of these have been inhaled in case reports in the literature. 1,2 The described technique allows easy removal of inhaled foreign bodies from patients with laryngeal stomas under local anaesthetic with equipment that is familiar to any otolaryngology trainee or consultant in the United Kingdom (UK).…”

‘Speaking Valve’ Aspiration in a Laryngectomy Patient

“…There have been only 10 reported cases of various foreign bodies aspirated through the stoma in laryngectomy patients [2][3][4][5][6][7][8][9][10][11] . The foreign bodies reported included a safety pin, nails, a wooden stick and speaking valve cleaning brushes [2][3][4][5][6][7][8][9][10] . There has only been one previous case of a speaking valve aspiration 11 .…”

Bronchial beetle

“…1 Inhalation through the more conventional oral route is also rare in adults and is usually related to underlying predisposing factors such as neurological impairment of protective airway mechanisms. 2 Patients require education about the importance of ensuring adequate stoma care, even while asleep.…”