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<p>Advancements in endoscopy, anaesthesia, radiology, and surgical techniques have reduced paediatric airway foreign body mortality. Despite this, children aged 0–3 years are particularly susceptible to airway obstructions due to immature swallowing coordination and inability to distinguish edible from non-edible items. Foreign body aspiration often presents with coughing, wheezing, and respiratory distress but can be challenging to diagnose without a witnessed event. This case report describes a 16-month-old who aspirated a pork bone, requiring tracheostomy and emergency bronchoscopy. Foreign body was successfully removed from the subglottic region using a paediatric bronchoscope. Subglottic foreign bodies, though rare, pose significant risks. Prompt intervention, proper training, and effective team coordination are crucial for successful management and preventing complications.</p>

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Challenges and Considerations in Managing Subglottic Foreign Bodies

  • 期刊论文

  • 发表日期：

    2025年4月22日

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  • Shruti Agarwall,
  • Sauradeep Das,
  • Manu Coimbatore Balakrishnan,
  • Suvamoy Chakraborty

摘要

Advancements in endoscopy, anaesthesia, radiology, and surgical techniques have reduced paediatric airway foreign body mortality. Despite this, children aged 0–3 years are particularly susceptible to airway obstructions due to immature swallowing coordination and inability to distinguish edible from non-edible items. Foreign body aspiration often presents with coughing, wheezing, and respiratory distress but can be challenging to diagnose without a witnessed event. This case report describes a 16-month-old who aspirated a pork bone, requiring tracheostomy and emergency bronchoscopy. Foreign body was successfully removed from the subglottic region using a paediatric bronchoscope. Subglottic foreign bodies, though rare, pose significant risks. Prompt intervention, proper training, and effective team coordination are crucial for successful management and preventing complications.