Cryoprobe retrieval of an airway foreign body: A case report and literature review

Int J Pediatr Otorhinolaryngol. 2019 Oct:125:79-81. doi: 10.1016/j.ijporl.2019.06.030. Epub 2019 Jun 29.

Abstract

We report a case of a 7-year-old boy with clinical and radiographic evidence of foreign body (FB) aspiration with a 2-week delay in diagnosis. The retrieval of the pushpin with traditional bronchoscopic instrumentation was made difficult by granulation tissue formation. A cryoprobe through a flexible bronchoscope was used to successfully remove the FB. To our knowledge, this is the first report of interventional bronchoscopy with a cryoprobe to remove a pushpin in a child under suspension laryngoscopy and spontaneous ventilation. A high index of suspicion is crucial for identifying FBs early and minimizing granulation tissue development which complicates FB removal.

Keywords: Bronchoscopy; Cryoprobe; Foreign body; Pushpin.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Bronchi / diagnostic imaging
  • Bronchoscopes*
  • Child
  • Cryotherapy / instrumentation*
  • Foreign Bodies / diagnostic imaging
  • Foreign Bodies / therapy*
  • Granulation Tissue / pathology
  • Humans
  • Male
  • Respiratory Aspiration / complications*
  • Tomography, X-Ray Computed