Medical Lasers

Korean Society for Laser Medicine and Surgery (대한의학레이저학회)
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Removal of a Bronchial Foreign Body by Bronchoscopic Cryotherapy: A Case Study

  • Kim, Hyoyeon (Department of Otolaryngology-Head and Neck Surgery, Dankook University College of Medicine) ;
  • Byun, Gwanghyun (Department of Otolaryngology-Head and Neck Surgery, Dankook University College of Medicine) ;
  • Lee, Sang Joon (Department of Otolaryngology-Head and Neck Surgery, Dankook University College of Medicine) ;
  • Woo, Seung Hoon (Department of Otolaryngology-Head and Neck Surgery, Dankook University College of Medicine)
  • Received : 2020.08.24
  • Accepted : 2020.11.04
  • Published : 2021.03.31
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Abstract

A foreign body in the airway can be a potentially life-threatening event. The diagnosis and treatment of foreign bodies in the airway are a challenge for otolaryngologists. Despite the improvements in medical care and public awareness, approximately 3,000 deaths occur each year from foreign body aspiration. A high degree of vigilance is required to ensure prompt treatment and avoid the complications of foreign body aspiration. The author encountered a case of a 77-year-old female patient who had aspirated an unknown foreign body that was fixed in her main bronchus. An initial attempt was made to remove it with a flexible bronchoscope but failed due to the patient's hypoxemic state during the procedure. Under general anesthesia, a rigid bronchoscopic examination was performed, but it was difficult to approach the object due to the bronchus curvature. Instead, a cryotherapy instrument of bronchoscopy was applied. The foreign body was frozen and removed to the carina, where a laryngoscope and laryngeal forceps were used to remove it.

Keywords

References

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