Removal of plastic bullet from tracheobronchial tree with a bronchoscopic cautery.
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A method of cauterizing the posterior parts of the nose without damage to the anterior mucosa is presented. A silver nitrate stick was sheathed within a cut segment of a nasogastric (NG) tube and endoscopically advanced within the nose until the vessel was reached. The stick was then pushed until the silver nitrate protruded and the vessel was cauterized.
Intrathoracic hemorrhage from adhesions torn by a spontaneous pneumothorax is relatively uncommon. Continued hemorrhage from such adhesions after the evacuation of 1,500 ml of blood would usually require thoracotomy for control. Through a flexible fiberoptic bronchoscope, we confirmed the source of hemorrhage and cauterized the bleeding point. This case illustrates another application for pleuroscopic examination, further broadening the use of the flexible fiberoptic bronchoscope.
A 60-year-old man with nonresectable lung cancer underwent bronchoscopy which revealed a large squamous cell tumor mass narrowing the free airway to the left lung. A flexible quartz fiber connected to an argon ion laser was then inserted through a hollow channel of the fiberoptic bronchoscope. The laser was activated to heat the metal cap on the distal tip of the fiber to thermally dissolve the mass and relieve airway obstruction.
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