Nitya Subramanian*, Shweta Gogia and Alok Agarwal

Department of ENT, Sir Ganga Ram Hospital, New Delhi, India

*Corresponding Author: Nitya Subramanian, Department of ENT, Sir Ganga Ram Hospital, New Delhi, India.

Received: August 10, 2021; Published: August 21, 2021

Abstract

  Foreign bodies of the airway present a life threatening situation especially in small children. The gold standard procedure for extraction of tracheo-bronchial foreign bodies has been rigid bronchoscopy. Certain foreign bodies with round and smooth surface pose a significant challenge to the bronchoscopist as these objects are tough to retrieve using conventional grasping forceps available. We present the case report of an 8 year old boy who aspirated a round plastic cylindrical bead lodged in the right main stem bronchus. Following unsuccessful attempts at removal by available instruments, the foreign body was removed safely using Fogarty balloon catheter with minimal trauma. We conclude that Fogarty catheters are an important and suitable alternative for removal of rounded foreign bodies in the airway. These catheters should be considered as an important part and asset of the armamentarium of a practicing bronchoscopist.

Keywords: Airway Foreign Body; Fogarty Catheters; Rigid Bronchoscopy; Pediatric Population

References

1. Saw HS., et al. “Fogarty catheter extraction of foreign bodies from tracheobronchial trees of small children”. Journal of Thoracic Cardiovascular Surgery2 (1979): 240-242.
2. Ashoor A and Al-Awami M. “Use of fogarty catheter to extract a foreign body from the left main bronchus”. Annals of Saudi Medicine3 (1988): 233-343.
3. Flint PW., et al. “Cummings Otolaryngology Head and Neck Surgery. Volume 1, 5^th edition (2010): 998-1008
4. Mehta AC and Rafanan AL. “How I do It”: Extraction of airway foreign body in adults”. Journal of Bronchology 8 (2001): 123-131.
5. Hunsicker RC and Gartner WS. “Fogarty catheter technique for removal of endobronchial foreign body”. Archives Otolaryngology2 (1977): 103-104.
6. Good GM and Deutsch ES. “Method for removing endobronchial beads”. Annals of Otology, Rhinology and Laryngology: SAGE Journals 107 (1998): 291-292.
7. Wadhera R., et al. “Combined use of a Fogarty Balloon Catheter, Bronchoscope, and Tracheostomy for the Controlled Retrieval of an Endobronchial Foreign Body: A Case Report”. International Journal of Science and Research11 (2014).
8. Elsharkawy H., et al. “Management challenges in the passing-through technique using a fogarty catheter to remove an endobronchial foreign body from an infant”. Ochsner Journal 15 (2015): 110.

Citation

Citation: Nitya Subramanian., et al. “Fogarty Catheters-An Important Asset in Rounded Airway Foreign Bodies-A Case Report".Acta Scientific Otolaryngology 3.10 (2020): 53-55.

Copyright

Copyright: © 2020 Nitya Subramanian., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.