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  • Title: Extraction of large tracheal foreign bodies through a tracheostoma under bronchoscopic control.
    Author: Swensson EE, Rah KH, Kim MC, Brooks JW, Salzberg AM.
    Journal: Ann Thorac Surg; 1985 Mar; 39(3):251-3. PubMed ID: 3977466.
    Abstract:
    Despite various technical manipulations through contemporary endoscopic equipment, large tracheal foreign bodies may be lost during bronchoscopic extraction, with a 1 to 2% in-hospital mortality. Recently, emergency tracheostomy was performed during bronchoscopy after a tracheal foreign body had become dislodged in the subglottic region causing blockage of the airway, and the results of this procedure provoked its deliberate application in a second patient. In 3 additional infants, aspirated tracheal T tubes (Montgomery tubes), which were producing acute respiratory distress, were brought from the carina to the performed tracheostoma under bronchoscopic manipulation and were withdrawn. Elective application of this simultaneous approach--tracheostomy with bronchoscopy--may decrease morbidity and mortality from large tracheal foreign bodies.
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