FIBER OPTIC ENDOSCOPY ASSISTED RETRIEVAL OF THORACIC OESOPHAGEAL FOREIGN BODY IN A PUP

ABSTRACT:Objective:Ventricular catheter placement is a common neurosurgical procedure often resulting in inaccurate intraventricular positioning. We conducted a comparison of the accuracy of endoscopic and conventional ventricular catheter placement in adults.Methods:A retrospective analysis of data was performed on 37 consecutive patients undergoing ventriculo-peritoneal shunt (VPS) insertion with endoscopy and 40 randomly selected, unmatched patients undergoing VPS insertion without endoscopy, for the treatment of hydrocephalus of varied etiology. A grading system for catheter tip position was developed consisting of five intraventricular zones, V1-V5, and three intraparenchymal zones, A, B, C. Zones V1 for the frontal approaches and V1 or V2 for the occipital approaches were the optimal catheter tip locations. Postoperative scans of each patient were used to grade the accuracy of ventricular catheter placement.Results:Seventy-six percent of all endoscopic ventricular catheters were in zone V1 and 100% were within zones V1-V3. No endoscopically inserted catheters were observed in zones V4, V5 or intraparenchymally. Thirty-eight percent of the conventionally placed catheters were in zone V1, 53% in zones V1-3 and 15% intraparenchymally. There was a statistically significant difference in the percentage of catheters in optimal location versus in any other location, favoring endoscopic guidance (p<0.001).Conclusion:We conclude that endoscopic ventricular catheter placement provides improved positioning accuracy than conventional techniques.

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BEAD; A DIFFICULT TRACHEOBRONCHIAL FOREIGN BODY TO RETRIEVE; BRONCHOSCOPIST PERSPECTIVE.

Journal of Saidu Medical College, Swat ◽

10.52206/jsmc.2014.4.1.404-408 ◽

1969 ◽

Vol 4 (1) ◽

pp. 404-408

Author(s):

ADNAN ◽

M. RIAZ AFRIDI ◽

M. SAEED ◽

METHEW K JOSEPH ◽

M. JAVAID ◽

...

Keyword(s):

Foreign Body ◽

Fiber Optic ◽

Main Bronchus ◽

Tracheobronchial Tree ◽

Clinical Findings ◽

Western World ◽

Left Main ◽

Female Age ◽

Tracheobronchial Foreign Body ◽

Tracheobroncheal Tree

To know the efficacy of different instruments in retrieval of bead from tracheobronchial tree.BACKGROUND: Bead is uncommon object in western world and therefore rarely recorded as aforeign body in tracheobronchial tree. No specific instrument being named for its retrieval. Our studyfocuses on different instruments we used and its outcome.MATERIAL AND METHODS: This was retrospective study of foreign body bead impaction intracheobronchial tree. All patients subjected to bronchoscopy with definite clinical findings of beadimpaction on radiology or bronchoscopic examination were recorded, with different instruments used. Inall cases Karlstorz rigid bronchoscopes of size 3.0 to 5.0 with fiber optic light used. Long bronchoscopicscrew forceps, malleable forceps. Large nasal killian forceps was used after tracheostomy in some cases.Study period: 1st January 2008 to December 2012.Site: ENT A unit Hayatabad Medical Complex Peshawar.RESULTS: In our study of 3 years 32 cases were recorded with bead impaction in tracheobronchealtree. 21(65.62%) were male and 11 (34.37%) female. Age ranges below 1 year was 1 (3%) case,between lyear and 2 years 6 (18.75%) cases, 2 years to 3 years 21(65.62%) and 3 years and above 4(12.5%) cases recorded. 21(65.62%) beads were retrieved with malleable forceps, 8 (25%) with longscrew forceps, 1 (3%) after tracheostomy with long killan nasal forceps and 2 (6.25%) impacted beadswere referred to cardiothoracic department for thoracotomy. 3 (9.37%) beads were impacted in maintrachea, 19 (59.53%) in right main bronchus and 10 (31.25%) in left main bronchus.CONCLUSION: Bead is one of the difficult foreign body tracheobroncheal tree and needs specialinstruments for its removal.KEY WORDS: Beeds, Boronchoscopy,

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Cricoid ossification mimicking an impacted foreign body

The Journal of Laryngology & Otology ◽

10.1017/s0022215106002003 ◽

2006 ◽

Vol 120 (7) ◽

pp. 1-3 ◽

Cited By ~ 10

Author(s):

N Wakisaka ◽

T Miwa ◽

T Yoshizaki ◽

M Furukawa

Keyword(s):

Foreign Body ◽

Rare Case ◽

Gastrointestinal Endoscopy ◽

Cricoid Cartilage ◽

Plain Radiography ◽

Topical Steroids ◽

Impacted Foreign Body ◽

Subglottic Space ◽

Optic Endoscopy ◽

Systemic Antibiotics

A 54-year-old man complained of severe throat pain and showed subglottic oedema on fibre-optic endoscopy with a distinctly narrowed subglottic space on anteroposterior radiography of the neck and dense linear opacity at the level of the cricoid cartilage on lateral plain radiography. These findings suggested a foreign body just posterior to the cricopharyngeus, but a computed tomography (CT) scan demonstrated a dense calcified ridge on the posterior lamina of the cricoid cartilage but no foreign body.The patient improved symptomatically with systemic antibiotics and topical steroids, and gastrointestinal endoscopy did not detect any foreign body. This is a rare case of vertical ossification of the cricoid lamina masquerading as a foreign body.

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A Complete Anastomotic Stricture After Tracheoesophageal Atresia Repair: Exclusive Fiber-Optic Endoscopy and Dilatation Treatment

Pediatric Endosurgery & Innovative Techniques ◽

10.1089/pei.1998.2.27 ◽

1998 ◽

Vol 2 (1) ◽

pp. 27-30

Author(s):

MERROT THIERRY ◽

GRIMAUD JEAN-CHARLES ◽

ALESSANDRINI PIERRE

Keyword(s):

Fiber Optic ◽

Anastomotic Stricture ◽

Optic Endoscopy

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Fiber Optic Endoscopy: Gastroscopy

Rural Surgery ◽

10.1007/978-3-540-78680-1_7 ◽

2011 ◽

pp. 35-39

Author(s):

Matthias W. Wichmann ◽

Fritz W. Spelsberg

Keyword(s):

Fiber Optic ◽

Optic Endoscopy

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Application of the Virtual Bronchoscopy in Children with Suspected Aspiration of the Foreign Body - Case Report

Serbian Journal of Experimental and Clinical Research ◽

10.1515/sjecr-2016-0048 ◽

2016 ◽

Vol 17 (4) ◽

pp. 361

Author(s):

Gordana Kostic ◽

Marina Petrovic ◽

Slavica Markovic ◽

Jasmina Knezevic ◽

Zoran Igrutinovic ◽

...

Keyword(s):

Foreign Body ◽

Fiber Optic ◽

Inhaled Corticosteroids ◽

Clinical Symptoms ◽

Clinical Signs ◽

Rigid Bronchoscopy ◽

Virtual Bronchoscopy ◽

Peripheral Airways ◽

Life Threatening ◽

Body Case

Abstract In diagnosing the aspiration of the foreign body (AFB) in children most important are: medical history, clinical signs and positive radiography of the lungs. Common dilemmas in the diff erential diagnosis are life-threatening asthma attacks or difficult pneumonia. Conventional rigid bronchoscopy (RB) is not recommended as a routine method. Virtual bronchoscopy (VB) can be a diagnostic tool for solving dilemmas. Fiber-optic bronchoscopy (FOB) has a therapeutic stake in severe cases. Herein, we describe a girl, at the age of 6, who was hospitalized due to rapid bronchoconstriction and based on the anamnesis, clinical symptoms and physical fi ndings the suspicion was that she aspirated the foreign body. Due to the poor general condition and possible sequel, the idea of RB was dropped out. Multidetector computed tomography of the chest and VB was performed and AFB was not found. Due to positive epidemiological situation, virus H1N1 was excluded. FOB established that the foreign body does not exist in the airways. During bronchoscopy numerous castings are aspirated from the peripheral airways which lead to faster final recovery. With additional procedures, the diagnosis of asthma was confirmed and for girl that was the first attack. Along with inhaled corticosteroids as prevention she feels well. Virtual bronchoscopy can be successfully used as a valid diagnostic procedure in suspected foreign body in the children’s lungs, but fiber-optic bronchoscopy remains most important diagnostic and therapeutic method.

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