Due to all the aforementioned reasons, a bronchoscopy was programmed. The patient was diagnosed with foreign body aspiration status at critical stage which was compatible with symptom's evolution. The patient was at high risk of developing complications due to the fact that there were infectious processes of the lower airways, pulmonary damage as well as tracheal stenosis. All the aforementioned facts warranted performance of a bronchoscopy. A bronchoscopy was performed through the mouth. Glottal and sub-glottal structures appeared normal. Main bronchial bi-furcation was reached principal, where edema was found with normal characteristics.
Después de la extracción exitosa del cuerpo extraño, se mantiene en control, en donde se verifica que los estertores y ruidos pulmonares desaparecen, se mantiene bajo esquema antibiótico con clindamicina y nebulizaciones con fluticasona por cuatro días hasta su egreso hospitalario, continuando seis días más en casa, en donde se encuentra asintomático y tolerando adecuadamente la vía oral, su evolución es favorable; posteriormente, se programan citas en el servicio de estomatología pediátrica para su rehabilitación, donde se determina que el paciente es candidato a anestesia general para rehabilitación bucal completa.