Rigid bronchoscopy and balloon dilation for removal of aspirated thumbtacks: Case series and literature review

Objective: Aspirated thumbtacks can pose unique challenges during removal due to their shape. In particular, the flanges of the thumbtack can readily become trapped by the bronchial mucosa during extrication. We describe our experience of three children from whom aspirated thumbtacks were removed using rigid bronchoscopy following balloon dilation of the airway to reduce bronchial mucosa entrapment. Methods: This is a retrospective review of three pediatric otolaryngology cases. Results: In all three cases, the thumbtack was successfully removed from various sites within the lower respiratory tract. There were no iatrogenic complications, in particular bronchial wall injury leading to pneumothorax. Conclusion: In cases of complicated airway foreign bodies, such as thumbtacks, airway dilation is a useful and safe maneuver that may help facilitate removal. (C) 2015 Elsevier Ireland Ltd. All rights reserved.