Ultrasound-guided thoracoscopic dental extraction

Recurrent pneumonias in children may be from an unrecognized aspirated foreign body. Our patient was a 10-year-old neurologically impaired child with an aspirated tooth in the right lower lobe segmental bronchus that was inaccessible to extraction using flexible bronchoscopy because of its extremely...

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Bibliographic Details
Published in:The American surgeon 2013-09, Vol.79 (9), p.891-892
Main Authors: Pandya, Samir R, Ruiz, Rodrigo, Brudnicki, Adele
Format: Article
Language:English
Subjects:
Bronchi - surgery
Bronchoscopy
Child
Diagnosis, Differential
Foreign Bodies - diagnostic imaging
Foreign Bodies - surgery
Humans
Intraoperative Period
Intubation
Lungs
Male
Radiography
Surgery, Computer-Assisted - methods
Thoracoscopy - methods
Tooth
Ultrasonography
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Summary:Recurrent pneumonias in children may be from an unrecognized aspirated foreign body. Our patient was a 10-year-old neurologically impaired child with an aspirated tooth in the right lower lobe segmental bronchus that was inaccessible to extraction using flexible bronchoscopy because of its extremely distal location. We used intraoperative ultrasound during thoracoscopy to locate the foreign body, a tooth, and to facilitate a wedge resection of the involved lung. This combined approach with ultrasound and thoracoscopy can be useful in managing an aspirated foreign body that cannot be extracted from the airway using conventional rigid or flexible bronchoscopy.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481307900923