To the Editor.—In the February Archives (103:103-104, 1977), Drs Hunsicker and Gartner present a questionable solution to a difficult problem of endobronchial foreign body removal; fortunately, the outcome was successful. Their experience emphasizes the importance of adhering to two of the basic principles of foreign body removal: (1) establishing adequate forceps spaces around the foreign body and securing it with proper forceps and (2) the tendency for a foreign body to find its way into the contralateral bronchus when stripped off in the trachea. The greatest potential hazard occurred during extraction of the marble through the larynx. The lack of control could have been fatal and might have been avoided by using a Gordon bead or large "ball bearing" forceps to secure the globular object once it had been dislodged by the Fogarty catheter.
As the authors point out, the importance of restricting the use of the Fogarty catheter
HOLINGER LD, CALLINS WP. Endobronchial Foreign Body Removal. Arch Otolaryngol. 1977;103(9):564. doi:10.1001/archotol.1977.00780260094016