Real-Time Video-Assisted Retrieval of Airway Foreign Body in Very Young Pediatric Patients
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Objectives. Advancements in medical endoscopy and techniques of rigid bronchoscopy for foreign body removal have en- abled higher diagnostic accuracy, reduced morbidity and precise manipulation. However, in pediatric patients, endo- scope-combined forceps may be too big to fit into the small sized airway. Here we present our method of endoscope assisted rigid bronchoscopy in pediatric patients and compare the clinical benefits with conventional naked-eye rigid bronchoscopy. Methods. We used a 2.7 mm, 0° straight endoscope and small caliber grasping forceps with 3.0 to 4.5 mm sized rigid bron- choscopy for very young (<3 years of age) patients of foreign body aspiration. As an assistant held the rigid broncho- scope in situ, the operator could manipulate the endoscope and forceps bimanually. With endoscopic guidance, the foreign body retrieval was performed carefully. The clinical advantages were compared between our endoscope-as- sisted method (n=29) and the conventional bronchoscopy method (n=33) in terms of operation time and recovery (hospital stay). Results. Bimanual endoscope-assisted rigid bronchoscopy method was technically feasible and safe. The operation time was less, compared to the conventional technique and the patients recovered more quickly. In all cases, our method com- pletely removed the foreign body without need of a second bronchoscopy procedure. Conclusion. Bimanual endoscope-assisted retrieval of airway foreign body in very young age pediatric patients was superi- or to the conventional naked-eye method concerning accurate manipulation and safety.
Abstract
Objectives. Advancements in medical endoscopy and techniques of rigid bronchoscopy for foreign body removal have en- abled higher diagnostic accuracy, reduced morbidity and precise manipulation. However, in pediatric patients, endo- scope-combined forceps may be too big to fit into the small sized airway. Here we present our method of endoscope assisted rigid bronchoscopy in pediatric patients and compare the clinical benefits with conventional naked-eye rigid bronchoscopy. Methods. We used a 2.7 mm, 0° straight endoscope and small caliber grasping forceps with 3.0 to 4.5 mm sized rigid bron- choscopy for very young (<3 years of age) patients of foreign body aspiration. As an assistant held the rigid broncho- scope in situ, the operator could manipulate the endoscope and forceps bimanually. With endoscopic guidance, the foreign body retrieval was performed carefully. The clinical advantages were compared between our endoscope-as- sisted method (n=29) and the conventional bronchoscopy method (n=33) in terms of operation time and recovery (hospital stay). Results. Bimanual endoscope-assisted rigid bronchoscopy method was technically feasible and safe. The operation time was less, compared to the conventional technique and the patients recovered more quickly. In all cases, our method com- pletely removed the foreign body without need of a second bronchoscopy procedure. Conclusion. Bimanual endoscope-assisted retrieval of airway foreign body in very young age pediatric patients was superi- or to the conventional naked-eye method concerning accurate manipulation and safety.
참고문헌 (15)
- Karakoc F, "Foreign body aspiration: what is the outcome?", Pediatr Pulmonol, 34(1), pp.30~36 (2002)
- Yildizeli B, "Effects of intrabronchial foreign body retention", Pediatr Pulmonol, 33(5), pp.362~367 (2002)
- Foltran F, "Foreign bodies in the airways: a meta-analysis of published papers", Int J Pediatr Otorhinolaryngol, 76(Suppl 1), pp.S12~S19 (2012)
- Foltran F, "Inhaled foreign bodies in children: a global perspective on their epidemiological, clinical, and preventive aspects", Pediatr Pulmonol, 48(4), pp.344~351 (2013)
- Eren S, "Foreign body aspiration in children: experience of 1160 cases", Ann Trop Paediatr, 23(1), pp.31~37 (2003)
- Oncel M, "Tracheobronchial aspiration of foreign bodies and rigid bronchoscopy in children", Pediatr Int, 54(4), pp.532~535 (2012)
- Chung MK, "Pulmonary recovery after rigid bronchoscopic retrieval of airway foreign body", Laryngoscope, 117(2), pp.303~307 (2007)
- Tomaske M, "Anesthesia and periinterventional morbidity of rigid bronchoscopy for tracheobronchial foreign body diagnosis and removal", Paediatr Anaesth, 16(2), pp.123~129 (2006)
- Pan H, "Similarities and differences in aspirated tracheobronchial foreign bodies in patients under the age of 3 years", Int J Pediatr Otorhinolaryngol, 76(6), pp.911~914 (2012)
- Zhijun C, "Therapeutic experience from 1428 patients with pediatric tracheobronchial foreign body", J Pediatr Surg, 43(4), pp.718~721 (2008)
- Aydogan LB, "Rigid bronchoscopy for the suspicion of foreign body in the airway", Int J Pediatr Otorhinolaryngol, 70(5), pp.823~828 (2006)
- Ozguner IF, "Clinical experience of removing aerodigestive tract foreign bodies with rigid endoscopy in children", Pediatr Emerg Care, 20(10), pp.671~673 (2004)
- Babin E, "How we do it: management of tracheobronchial foreign bodies in children", Clin Otolaryngol Allied Sci, 29(6), pp.750~753 (2004)
- Shubha AM, "Tracheobronchial foreign bodies in infants", Int J Pediatr Otorhinolaryngol, 73(10), pp.1385~1389 (2009)
- Rodrigues AJ, "Bronchoscopic techniques for removal of foreign bodies in children's airways", Pediatr Pulmonol, 47(1), pp.59~62 (2012)