Office Removal of a Subglottic Bread Clip
Objective. The presence of an upper airway foreign body is an emergent, potentially life-threatening situation that requires careful but rapid evaluation and management. Organic or nonorganic material may typically be found in the pyriform sinuses or tongue base or may be aspirated directly into the...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2013/480676 |
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| _version_ | 1849404071609368576 |
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| author | David E. Rosow Si Chen |
| author_facet | David E. Rosow Si Chen |
| author_sort | David E. Rosow |
| collection | DOAJ |
| description | Objective. The presence of an upper airway foreign body is an emergent, potentially life-threatening situation that requires careful but rapid evaluation and management. Organic or nonorganic material may typically be found in the pyriform sinuses or tongue base or may be aspirated directly into the tracheobronchial tree. We present here an unusual case report of a patient who accidentally ingested a plastic bread clip that was lodged in his subglottis for 15 months and report successful removal in the office under local anesthesia. Methods. Mucosal anesthesia was achieved with inhaled 4% lidocaine spray. Flexible laryngoscopic removal of the foreign body was then successfully accomplished. Results. The patient’s symptoms resolved completely following removal, with no sequelae. Conclusions. Office removal of airway foreign bodies is feasible and can be safely done with adequate topical anesthesia, but great caution and emergency planning must be exercised. |
| format | Article |
| id | doaj-art-911eed1fc7e34866845b9b2483c25921 |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-911eed1fc7e34866845b9b2483c259212025-08-20T03:37:06ZengWileyCase Reports in Otolaryngology2090-67652090-67732013-01-01201310.1155/2013/480676480676Office Removal of a Subglottic Bread ClipDavid E. Rosow0Si Chen1Department of Otolaryngology, University of Miami, Miller School of Medicine, Miami, FL 33136, USADepartment of Otolaryngology, University of Miami, Miller School of Medicine, Miami, FL 33136, USAObjective. The presence of an upper airway foreign body is an emergent, potentially life-threatening situation that requires careful but rapid evaluation and management. Organic or nonorganic material may typically be found in the pyriform sinuses or tongue base or may be aspirated directly into the tracheobronchial tree. We present here an unusual case report of a patient who accidentally ingested a plastic bread clip that was lodged in his subglottis for 15 months and report successful removal in the office under local anesthesia. Methods. Mucosal anesthesia was achieved with inhaled 4% lidocaine spray. Flexible laryngoscopic removal of the foreign body was then successfully accomplished. Results. The patient’s symptoms resolved completely following removal, with no sequelae. Conclusions. Office removal of airway foreign bodies is feasible and can be safely done with adequate topical anesthesia, but great caution and emergency planning must be exercised.http://dx.doi.org/10.1155/2013/480676 |
| spellingShingle | David E. Rosow Si Chen Office Removal of a Subglottic Bread Clip Case Reports in Otolaryngology |
| title | Office Removal of a Subglottic Bread Clip |
| title_full | Office Removal of a Subglottic Bread Clip |
| title_fullStr | Office Removal of a Subglottic Bread Clip |
| title_full_unstemmed | Office Removal of a Subglottic Bread Clip |
| title_short | Office Removal of a Subglottic Bread Clip |
| title_sort | office removal of a subglottic bread clip |
| url | http://dx.doi.org/10.1155/2013/480676 |
| work_keys_str_mv | AT daviderosow officeremovalofasubglotticbreadclip AT sichen officeremovalofasubglotticbreadclip |