{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T09:33:08Z","timestamp":1773480788457,"version":"3.50.1"},"reference-count":9,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,11,22]]},"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:p>Foreign body (FB) aspiration in children is a common emergency. Traditionally, rigid bronchoscopy has been considered to be the mainstay for removal. However, in certain cases, flexible bronchoscopy can prove to be a better option and avoid thoracic surgery and unnecessary morbidity. Here, we describe the case of a child with accidental aspiration of a 4\u2009cm long sewing needle, lodged in the lateral basal segment of the left lower lobe. Rigid bronchoscopy was unsuccessful as it could not access the distally placed needle. Instead, a flexible bronchoscopy performed through the endotracheal tube after sedating and paralysing the patient was effective and the needle could be grasped and removed using a wire basket. We describe our patient management protocol for paediatric airway FBs, which has been quite effective and prevents procedural delay. Expertise of the operator and a concerted team effort are the recipe for success.<\/jats:p>","DOI":"10.1136\/bcr-2024-262862","type":"journal-article","created":{"date-parts":[[2024,12,18]],"date-time":"2024-12-18T10:02:46Z","timestamp":1734516166000},"page":"e262862","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Difficult airway foreign body removal"],"prefix":"10.1136","volume":"17","author":[{"given":"Golla","family":"Ramakrishna","sequence":"first","affiliation":[{"name":"Pediatrics, All India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krishna Mohan","family":"Gulla","sequence":"additional","affiliation":[{"name":"AIIMS Bhubaneswar, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ketan","family":"Kumar","sequence":"additional","affiliation":[{"name":"Pediatrics, All India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rashmi Ranjan","family":"Das","sequence":"additional","affiliation":[{"name":"Pediatrics, All India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,12,18]]},"reference":[{"key":"2025082700530494000_17.12.e262862.1","doi-asserted-by":"crossref","DOI":"10.1136\/wjps-2021-000321","article-title":"Failures in emergency management of pediatric airway foreign bodies by rigid bronchoscopy: we have yet to complete our learning","volume":"5","author":"Moslehi","year":"2022","journal-title":"World J Pediatr Surg"},{"key":"2025082700530494000_17.12.e262862.2","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1097\/LBR.0000000000000319","article-title":"Management of Foreign Body Removal in Children by Flexible Bronchoscopy","volume":"24","author":"Tenenbaum","year":"2017","journal-title":"J Bronchol Interv Pulmonol"},{"key":"2025082700530494000_17.12.e262862.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2006.11.017"},{"key":"2025082700530494000_17.12.e262862.4","doi-asserted-by":"crossref","first-page":"1243","DOI":"10.1089\/lap.2018.0101","article-title":"Unique Challenges to the Approach and Management of Pediatric Headscarf Pin Aspiration","volume":"28","author":"Hamouri","year":"2018","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"2025082700530494000_17.12.e262862.5","doi-asserted-by":"crossref","first-page":"2078","DOI":"10.1177\/0300060517711086","article-title":"Scarf pin-related hijab syndrome: A new name for an unusual type of foreign body aspiration","volume":"45","author":"Baram","year":"2017","journal-title":"J Int Med Res"},{"key":"2025082700530494000_17.12.e262862.6","article-title":"Endobronchial removal of a metallic needle using a flexible diagnostic bronchoscope and biopsy forceps. A case report from Djibouti","volume":"28","author":"Seif","year":"2019","journal-title":"Respir Med Case Rep"},{"key":"2025082700530494000_17.12.e262862.7","doi-asserted-by":"crossref","first-page":"E5","DOI":"10.1002\/ppul.24653","article-title":"Removal of distal airway foreign body with the help of fluoroscopy in a child","volume":"55","author":"Goussard","year":"2020","journal-title":"Pediatr Pulmonol"},{"key":"2025082700530494000_17.12.e262862.8","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1007\/s12663-015-0815-0","article-title":"Anaesthestic Management of Removal of Aspirated Hypodermic Needle in Trachea: A Case Report","volume":"15","author":"Thomas","year":"2016","journal-title":"J Maxillofac Oral Surg"},{"key":"2025082700530494000_17.12.e262862.9","doi-asserted-by":"crossref","first-page":"1282","DOI":"10.1016\/j.jpedsurg.2007.02.022","article-title":"Metallic foreign body in the lung: a case report","volume":"42","author":"Dave","year":"2007","journal-title":"J Pediatr Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-262862","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:53:16Z","timestamp":1756281196000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-262862"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12]]},"references-count":9,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2024,12,18]]},"published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1136\/bcr-2024-262862"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-262862","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12]]}}}