PMC6349973_01
(a) Arrow showing 1 cm long and short projection of the foreign body(star)
lodged in airway of child's sub-glottis in X-ray neck anteroposterior view
in case 1 and (b) a C-MAC  video-laryngoscope magnified monitor view of a
removal in progress of a blue plastic star lodged in glottis in case 1.. Watch Supplemental video here: https://drive.google.com/file/d/1IQpz-CctCbiUTp2Duqad6vFgcppjZDYc/view?usp = sharing
10.1177_2050313X18823088-fig1.jpg
PMC6349973_01_10.1177_2050313X18823088-fig1.jpg
fig1-2050313X18823088
A plain X-ray neck anteroposterior view (Figure 1(a)) showed a 1 cm long linear radio-opaque object. A flexible laryngoscopy was also attempted in the initial local hospital but due to non-compliance, the procedure could not be completed. Video-laryngoscope C-MAC  using a pediatric blade revealed a blue-colored plastic star with one of the projections lodged below glottis and one in between the vocal cords which was removed with a pediatric Magill's forceps (Figure 1(b)).
PMC6349973_02
X-ray neck anteroposterior and lateral view showing sharp radio-opaque
foreign body as shown by arrows in the crico-pharyngeal region at C5-C6
level overlapping the larynx in case 2. (c). a 2.2-cm long fish
bone with long and short projection post removal from child's sub-glottis in
case 2.
10.1177_2050313X18823088-fig2.jpg
PMC6349973_02_10.1177_2050313X18823088-fig2.jpg
fig2-2050313X18823088
A plain X-ray neck anteroposterior and lateral view revealed a 2.2-cm long linear radio-opaque object lodged in the crico-pharyngeal region at C5-C6 level overlapping the larynx with no retropharyngeal soft tissue enlargement (Figure 2(a) and (b)). The C-MAC  video-laryngoscope visualization showed a peculiar W shaped fish bone with sharp projections lodged between and below the vocal cords which was grasped and removed with a foreign body removal forceps (Figure 2(c)).