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A potential danger of flexible endoscopy sheaths: a detached tip and how to retrieve it

Published online by Cambridge University Press:  03 April 2008

Z Awad  and
D D Pothier
Z Awad*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, St Bartholomew's Hospital, London, UK
D D Pothier
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Royal United Hospital, Bath, UK
*
Address for correspondence: Mr Zaid Awad, Specialist Registrar, Department of Otolaryngology, Head and Neck Surgery, St Bartholomew's Hospital, London EC1A 7BE, UK. Fax:  +44 (0)2076017172 E-mail: mail@zaidawad.com
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Abstract

Objective:

To report an unrecognised complication of fibre-optic nasendoscopy, and its management.

Case report:

A protective, transparent nasendoscopy sheath is often used to reduce nasendoscope ‘downtime’ and to prevent cross infection, with minimal effect on the obtained image quality. We report the case of a subcutaneous tracheostomy procedure during which, without undue strain, the tip of the sheath became detached and acted as a foreign body within the trachea. A urological stone retrieval basket was used to retrieve the sheath, after failure of conventional methods.

Discussion:

Clinicians should be aware that any instrument introduced into the airway has the potential to fail and in the process produce a foreign body which may cause serious complications. The urological stone retrieval basket may be a useful addition to the current set of instruments used to deal with difficult airway foreign bodies.

Keywords

TracheostomyForeign BodiesEndoscopes

Information

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 2 , February 2009 , pp. 243 - 244
Copyright
Copyright © JLO (1984) Limited 2008

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References

1Koitschev, A, Paasch, S, Plinkert, PK. Ciaglia percutaneous dilatation tracheotomy with endoscopic control. Analysis of complication-fraught steps [in German]. HNO 1998;46:678–83CrossRefGoogle ScholarPubMed
2EndoSheath endoscopic system. Health Devices 2000;29:7–13Google Scholar
3Vaz, F, Ripley, L, Lim, D, Kanegaonkar, R, Harries, M. Optical quality of the nasendoscope with and without the endosheath. J Laryngol Otol 2006;120:385–8CrossRefGoogle ScholarPubMed
4Colt, HG, Beamis, JJ, Harrell, JH, Mathur, PM. Novel flexible bronchoscope and single-use disposable-sheath endoscope system. A preliminary technology evaluation. Chest 2000;118:183–7CrossRefGoogle ScholarPubMed
5Hare, WS. Ureteral calculi: percutaneous removal using modified basket extractors and fluoroscopy. Radiology 1986;160:189–92CrossRefGoogle ScholarPubMed
6Dajani, AM. Bronchial foreign-body removed with a Dormia basket. Lancet 1971;i:1076–7CrossRefGoogle Scholar