How to treat foreign body in throat?

Throat diseases bring great pain to the patient's body, and throat diseases can lead to other diseases, causing great pressure on the patient's health. For example, the sensation of foreign body in the throat is a common phenomenon. Usually, the foreign body sensation is not caused by a physical object stuck in the throat, but is a neurological foreign body sensation caused by disease. Let’s take a look at how to treat foreign body in the throat.

1. Treatment principles

The principle of treatment for foreign bodies in the throat is mainly to prevent the foreign bodies from falling further into the lower respiratory tract and to remove them as soon as possible after diagnosis to eliminate the risk of suffocation. It is divided into indirect laryngoscopic removal, direct laryngoscopic removal and external cervical diameter removal.

2. Indirect laryngoscopy

This method can be considered if the foreign body is located above the larynx and the patient cooperates well. First, use cicaine to anesthetize the mucosal surface, and under the guidance of an indirect laryngoscope, use curved forceps to grasp the foreign body and quickly remove it. The advantage of this method is that the patient suffers less pain, the operation is simple and quick, and it is suitable for rapid treatment in emergency cases. However, it is not suitable for glottic or subglottic foreign bodies to avoid pushing the foreign body deep into the trachea.

3. Direct laryngoscopic foreign body removal

This surgical method can be performed on both adults and children, but its disadvantage is that it requires strict preoperative preparation and surgical environment. Before the operation, a direct laryngoscope, a suction device, and laryngeal forceps need to be prepared. In addition, in order to prevent further intrusion of foreign objects, a bronchoscope, an esophagoscope, and corresponding foreign body forceps are also needed to facilitate tracking and removal to prevent further deterioration of the condition. The patient is placed in the supine position and a direct laryngoscope is inserted. If the foreign body seen is not large, it can be removed directly. If it is a flat foreign body, it needs to be rotated to be parallel to the glottal fissure before being removed to reduce resistance and avoid damaging the glottis. For long and sharp foreign bodies, forcible removal through direct laryngoscopy may damage surrounding tissues, and laryngeal or tracheotomy should be used instead for removal.