Traqueotomia como complemento de la broncoscopia en la extraccion de cuerpos extraños traqueales
Tracheotomy as complementary technique to bronchoscopy for removal of tracheal foreign bodies
A. Cueto Ladron De Guevara*, J.M. Gonzalez De Vega San Roman**, F. Exposito Sequera***, A. Sanchez Robaina****, A. Gutierrez Sanchez***
* Jefe de Sección de Cirugía Torácica. Ciudad Sanitaria Virgen de las Nieves. Granada
** Médico Adjunto del Serviciode Neumologfa. Ciudad Sanitaria Virgen de las Nieves. Granada
*** Médico Residente de Cirugía General. Ciudad Sanitaria Virgen de las Nieves. Granada
**** Médico Adjunto del Servicio de Anestesia. Ciudad Sanitaria Virgen de las Nieves. Granada
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Ramirez" "autores" => array:1 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Ramirez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615319463?idApp=UINPBA00003Z" "url" => "/03002896/0000002300000004/v1_201509151109/S0300289615319463/v1_201509151109/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Traqueotomia como complemento de la broncoscopia en la extraccion de cuerpos extraños traqueales" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "203" "paginaFinal" => "205" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "A. Cueto Ladron De Guevara, J.M. Gonzalez De Vega San Roman, F. Exposito Sequera, A. Sanchez Robaina, A. Gutierrez Sanchez" "autores" => array:5 [ 0 => array:3 [ "nombre" => "A." "apellidos" => "Cueto Ladron De Guevara" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "J.M." "apellidos" => "Gonzalez De Vega San Roman" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "F." "apellidos" => "Exposito Sequera" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "A." "apellidos" => "Sanchez Robaina" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">****</span>" "identificador" => "aff0020" ] ] ] 4 => array:3 [ "nombre" => "A." "apellidos" => "Gutierrez Sanchez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Jefe de Sección de Cirugía Torácica. Ciudad Sanitaria Virgen de las Nieves. Granada" "etiqueta" => "*" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Médico Adjunto del Serviciode Neumologfa. Ciudad Sanitaria Virgen de las Nieves. Granada" "etiqueta" => "**" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Médico Residente de Cirugía General. Ciudad Sanitaria Virgen de las Nieves. Granada" "etiqueta" => "***" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Médico Adjunto del Servicio de Anestesia. Ciudad Sanitaria Virgen de las Nieves. Granada" "etiqueta" => "****" "identificador" => "aff0020" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Tracheotomy as complementary technique to bronchoscopy for removal of tracheal foreign bodies" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1986-09-29" "fechaAceptado" => "1986-12-01" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Presentamos un caso raro de aspiración de un cuerpo extraño al árbol traqueobronquial, de gran tamaño y forma especial con bordes y aristas cortantes, que no pudo ser extraído a través de las cuerdas vocales tras repetidos intentos con broncoscopio rígido, requiriendo una traqueotomía para su extracción definitiva. Comentamos las indicaciones de traqueotomía referidas en estos casos y la técnica empleada. Recomendamos su uso como complemento de la broncoscopia rígida en la extracción de cuerpos extraños traqueales que por su tamaño o forma hagan muy difícil y lesiva su extracción a través de las cuerdas vocales.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We present a rare case of aspiration into the bronchial tree of a big-sized foreign body with sharp edges that could not be removed through the vocal cords after several attempts using a rigid broncoscopy. Its removal required a tracheotomy. The indications for tracheotomy in such circumstances and the technique used in our case are discussed. We recommend its use as a complementary technique to rigid bronchoscopy for foreign bodies which removal through the vocal cords may be very difficult or even harmful because of the size or the shape of the foreign body.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:8 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pathologie respiratoire des fausses routes" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "E. Tuchais" 1 => "J.M. De Bray" 2 => "J. Desnos" 3 => "C. Pelle" 4 => "J.L. 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