The removal of foreign bodies from the bronchial tree is a never-ending study. New types of foreign bodies are continually presenting themselves, the removal of which is difficult despite previous experience in the removal of similar objects and despite a vast array of instruments. The Jacksons1 have described a variety of glass beads and have suggested the use of the ball or fenestrated forceps for round beads and the four-jawed forceps for oval, square, conoid or pyriform beads.
In one case which I recently observed the bead was almost cylindric, too long to be grasped safely by any of the aforementioned instruments and too well impacted in the bronchus to permit the passage of a hook beyond its distal end. When first aspirated by the 3 year old child, the bead was loose in the trachea. Attempts to
Fig. 1.—Roentgenogram showing location of cylindric bead in the main bronchus
SALINGER S. INSTRUMENT FOR THE REMOVAL OF A BEAD FROM THE BRONCHUS. Arch Otolaryngol. 1935;22(4):492–493. doi:10.1001/archotol.1935.00640030508013
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