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Removal of a foreign body by rigid bronchoscope after virtual reality-aided presurgical planning: A case report

Flexible bronchoscopy is becoming increasingly important for the removal of airway foreign bodies. However, in cases of risk of coughing during the procedure, rigid bronchoscopic intervention should be performed under general anesthesia. A 22-year-old man presented with history of several episodes o...

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Autores principales: Torii, Atsushi, Saka, Hideo, Clapp, Tod, Eitel, Chad, Honjo, Chisato, Anzai, Masaki, Oki, Masahide
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9260293/
https://www.ncbi.nlm.nih.gov/pubmed/35814034
http://dx.doi.org/10.1016/j.rmcr.2022.101698
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author Torii, Atsushi
Saka, Hideo
Clapp, Tod
Eitel, Chad
Honjo, Chisato
Anzai, Masaki
Oki, Masahide
author_facet Torii, Atsushi
Saka, Hideo
Clapp, Tod
Eitel, Chad
Honjo, Chisato
Anzai, Masaki
Oki, Masahide
author_sort Torii, Atsushi
collection PubMed
description Flexible bronchoscopy is becoming increasingly important for the removal of airway foreign bodies. However, in cases of risk of coughing during the procedure, rigid bronchoscopic intervention should be performed under general anesthesia. A 22-year-old man presented with history of several episodes of fever, for which he was administered antibiotics at a private clinic. In an annual chest X-ray and chest computed tomography examination, a foreign body, which appeared to be an orthodontic appliance, was discovered in the left main bronchus. It was deemed difficult to remove the foreign body using flexible bronchoscopy because of granulation tissue formation. Therefore, the patient was referred to our institution. We simulated the clinical situation using virtual reality, which indicated that the proximal and distal metallic parts of the appliance had grown into the bronchial mucosa. First, we inserted a rigid bronchoscope under general anesthesia and cut the granulation tissue using an insulation-tipped diathermic knife. Thereafter, we removed the appliance with grasping forceps under rigid bronchoscope guidance. In cases of risk of foreign body encroachment into the bronchial mucosa or granulation tissue development, rigid bronchoscopic intervention is effective. Furthermore, a VR-based intervention may be a useful option in such cases.
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spelling pubmed-92602932022-07-08 Removal of a foreign body by rigid bronchoscope after virtual reality-aided presurgical planning: A case report Torii, Atsushi Saka, Hideo Clapp, Tod Eitel, Chad Honjo, Chisato Anzai, Masaki Oki, Masahide Respir Med Case Rep Case Report Flexible bronchoscopy is becoming increasingly important for the removal of airway foreign bodies. However, in cases of risk of coughing during the procedure, rigid bronchoscopic intervention should be performed under general anesthesia. A 22-year-old man presented with history of several episodes of fever, for which he was administered antibiotics at a private clinic. In an annual chest X-ray and chest computed tomography examination, a foreign body, which appeared to be an orthodontic appliance, was discovered in the left main bronchus. It was deemed difficult to remove the foreign body using flexible bronchoscopy because of granulation tissue formation. Therefore, the patient was referred to our institution. We simulated the clinical situation using virtual reality, which indicated that the proximal and distal metallic parts of the appliance had grown into the bronchial mucosa. First, we inserted a rigid bronchoscope under general anesthesia and cut the granulation tissue using an insulation-tipped diathermic knife. Thereafter, we removed the appliance with grasping forceps under rigid bronchoscope guidance. In cases of risk of foreign body encroachment into the bronchial mucosa or granulation tissue development, rigid bronchoscopic intervention is effective. Furthermore, a VR-based intervention may be a useful option in such cases. Elsevier 2022-06-30 /pmc/articles/PMC9260293/ /pubmed/35814034 http://dx.doi.org/10.1016/j.rmcr.2022.101698 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Torii, Atsushi
Saka, Hideo
Clapp, Tod
Eitel, Chad
Honjo, Chisato
Anzai, Masaki
Oki, Masahide
Removal of a foreign body by rigid bronchoscope after virtual reality-aided presurgical planning: A case report
title Removal of a foreign body by rigid bronchoscope after virtual reality-aided presurgical planning: A case report
title_full Removal of a foreign body by rigid bronchoscope after virtual reality-aided presurgical planning: A case report
title_fullStr Removal of a foreign body by rigid bronchoscope after virtual reality-aided presurgical planning: A case report
title_full_unstemmed Removal of a foreign body by rigid bronchoscope after virtual reality-aided presurgical planning: A case report
title_short Removal of a foreign body by rigid bronchoscope after virtual reality-aided presurgical planning: A case report
title_sort removal of a foreign body by rigid bronchoscope after virtual reality-aided presurgical planning: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9260293/
https://www.ncbi.nlm.nih.gov/pubmed/35814034
http://dx.doi.org/10.1016/j.rmcr.2022.101698
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