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Bronscoscopic Foreign Body Removal Tip of The Ball Pen cap by Flexible Bronchoscopy скачать в хорошем качестве

Bronscoscopic Foreign Body Removal Tip of The Ball Pen cap by Flexible Bronchoscopy 3 года назад

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Bronscoscopic Foreign Body Removal Tip of The Ball Pen cap by Flexible Bronchoscopy
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Bronscoscopic Foreign Body Removal Tip of The Ball Pen cap by Flexible Bronchoscopy

Four-years-old young boy presented with a one-month history of low-grade fever, left sided chest pain, dry cough and breathlessness on exertion. Clinical examination revealed signs of volume loss with decreased breath sounds on the left upper lobe areas, suggesting left upper lobe collapse with obstructed bronchus. Routine blood investigations were within normal limits. Chest X-Ray confirmed the left upper lobe collapse . Patient underwent fibreoptic bronchoscopy. It revealed a light green foreign body (A tip of ball point pen) tightly stuck granulation tissue in the left upper lobe bronchus. On probing the patient he admitted to accidentally swallowing the tip of a pen cap five months back. The foreign body was removed with Flexible bronchoscopy. But it's not so easy to remove. First we try to remove the tip with foreign body forceps and failed because of the granulation tissues are stuck the tip. Then we go for Argon Plasma Coagulation. After coagulating the granulation tissues we are success remove the foreign body. The 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_pen_cap #ball_pen_cap #pen_cap_foreign_body #lung_foreign_body_removal #chest_foreign_body_removal #pen_end_cap

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