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19 April 2026 : Case report  China

Retrieval of Dental Foreign Bodies via Bronchoscopy During Extracorporeal Membrane Oxygenation in a 9-Year-Old Boy

Unusual setting of medical care

Hanqing Shao E 1,2, Feizhou Zhang CD 1,2,3, Xiaowei Chen ORCID logo B 2,4, Fang Jin A 1,2,3, Hujun Wu BC 1,2,3, Xiaofen Tao D 1,2,3, Lei Wu BCDF 1,2,3, Tang Lanfang G 1,2*

DOI: 10.12659/AJCR.950847

Am J Case Rep 2026; 27:e950847

Table 1 Multidisciplinary consultation records.

SpecialtyKey findingsManagement recommendations
Radiology/
RespiratoryPost-fall pulmonary contusionsPneumothoraxPleural effusionEndobronchial foreign bodies
Heart Failure & Circulatory SupportPoor pulmonary status on chest CT, high ventilator requirements (meeting ECMO criteria)Recommend ECMO-supported foreign body retrieval once:
AnesthesiologyChild on high-parameter mechanical ventilation and norepinephrine (for blood pressure support) since admission; severe condition, high surgical/anesthetic risk
OtorhinolaryngologyTraumatic history, definitive endobronchial foreign body diagnosis
Thoracic SurgeryTraumatic rib fractures (no significant displacement/abnormal traumatic pulmonary hemorrhage)
NeurosurgeryTemporal/sphenoid bone fractures (no obvious intracranial hemorrhage)
General SurgeryTraumatic splenic contusion (no progressive massive bleeding); reduced peritoneal effusion on re-evaluation
StomatologyEndotracheal intubation status; absent upper incisors; maxillary/mandibular fractures; severe mandibular dislocationRecommend evaluating dental mobility, tooth loss, and oral bleeding after extubation
OphthalmologyEqual/round pupils (sluggish light reflexes); right orbital bone fracture (on maxillofacial CT); visual acuity assessment not feasible (poor cooperation)
Trauma Surgery

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923