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A 5 years 2 months old girl having recurrent Pneumonia for last 3 years. A part of betel nut was found in left lower lobe bronchus The Betel Nut grasping with foreign body forceps and failed to extract. Then try again with dormia basket with flexible scope. The procedure performed 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_betel_nut #betel_nut #betel_nut_foreign_body #lung_foreign_body_removal #chest_foreign_body_removal #inhale_foregine_body