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A one years old girl presented at SQUARE HOSPITALS LTD. Dhaka Bangladesh with Choking during Feeding suji (Semolina) halwa 23 days back. Cough and stridor since then.Flexible Bronchoscopy a piece of foreign body (cinnamon? measuring 1.3cm x 1.2cm) was seen at the level of vocal cord. The foreign body was thin and sharp. Its sharp pointed upper part was invaded the mucus membrane. Foreign body was removed by rat tooth forceps. Vocal cord was inflamed, swollen and injured. Procedure : Foreign Body Removal Indication: H/O choking during feeding suji (Semolina) halwa 23 days back. Cough and Stridor since then Medication : Under G/A ROUTE: Trans LMA FINDINGS: VOCAL CORD: A piece of foreign body (cinnamon? measuring 1.3cm x 1.2cm) was seen at the level of vocal cord. The foreign body was thin and sharp. Its sharp pointed upper part was invaded the mucus membrane. Vocal cord was inflamed, swollen and injured. TRACHEA: Normal. CARINA: Normal and sharp. RIGHT LUNG: Normal. LEFT LUNG: Normal. IMPRESSION: Foreign body at the level of vocal cord (Please see the description also). THERAPEUTIC INTERVENTION: Foreign body was removed by rat tooth forceps. Procedure done by............................ Dr. Sarabon Tahura MBBS, FCPS (Pediatrics) Fellowship in Pediatric Interventional Pulmonology Pediatric Interventional Pulmonologist SQUARE Hospitals Ltd. For more videos please visit my You Tube channel BD ENDOSCOPY / @bdendoscopy3663 Foreign body aspiration is common in children between the age group of 6 months to 5 years. The common foreign bodies are vegetable foreign bodies like pieces of peanuts, betelnut (supari), almond (badam), kaju, etc. Others can be small parts of toys, metallic objects (screws, nuts, etc). The common symptoms are bouts of cough after eating a food item (peanut, etc), choking (breath hold, turning blue), unexplained difficulty in breathing, wheezing (a whistling sound from the chest). Doctor may find a difference in the breath sounds of the lungs and a wheezing sound on hearing with a stethoscope. Some non-food items (metallic objects like pins, screws, other small metal pieces, etc. ) can be seen in the airway in a Xray Chest. However, most food, vegetable matter and plastic toys cannot be seen on a Xray. Other changes in the Xray might suggest a foreign body like collapse of a part of the lung. It should be remembered that many children with foreign body aspirations can have normal chest xrays. The only method to confirm or refute the presence of a foreign body in the airway is to perform a flexible bronchoscopy. Large foreign bodies can be life threatening as they can block the voice box (larynx) or the windpipe (trachea). Small foreign bodies can lodge in the windpipe or the other smaller airways (bronchi). This can lead to obstruction of a portion of the lung, infections and later can cause serious long term damage to the lungs. In this video you can see how a foreign body removed from the airway.( Foreign Body Extraction from the child's airway). #bronchoscopic_foreign_body_removal #aspiration_of_cinnamon #cinnamon #cinnamon_foreign_body #lung_foreign_body_removal #chest_foreign_body_removal #vocal_cord_foreign_body_removal