scholarly journals Traheobronchial foreign bodies: evaluation and retrieval by rigid bronchoscopy

2019 ◽  
Vol 5 (6) ◽  
pp. 1552
Author(s):  
Kunzes Dolma ◽  
Anchal Gupta ◽  
Apurab Gupta ◽  
Padam Singh Jamwal
Keyword(s):  
Foreign Body ◽  
Clinical Examination ◽  
Foreign Bodies ◽  
Standard Procedure ◽  
Neck Surgery ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Female Ratio ◽  
Mortality And Morbidity ◽  
Delay In Diagnosis

<p class="abstract"><strong>Background:</strong> The foreign body aspiration is one of the commonest ENT emergencies. Delay in diagnosis and treatment may lead to significant morbidity and mortality.</p><p class="abstract"><strong>Methods:</strong> The current study was conducted at Department of Otorhinolaryngology and Head and Neck Surgery, SMGS Hospital, Government Medical College, Jammu, from November 2017 to October 2018. All symptomatic patients diagnosed with foreign body aspiration on the basis of history, clinical examination and radiological evaluation and who underwent rigid bronchoscopic retrieval were included in the study. Fifty patients were studied.  </p><p class="abstract"><strong>Results:</strong> The majority of patients 33 (66%) were between 1 and 3 years of age.12 (24%) patients were over 3 years of age with oldest of 57 years old age with male: female ratio of 2.1:1. The clinical features of these patients were mainly cough, respiratory distress, wheeze, fever, stridor, choking and cyanosis. On bronchoscopy, foreign body was identified in 46 (92%) patients and no foreign body was seen in 4 (8%) patients with suspected foreign body aspiration. The most common type of foreign body was organic (73.91%), with peanuts (47.82%) being the commonest. The most common site was left bronchus seen in 22 (47.83%) patients followed by right bronchus seen in 18 (39.13%) and trachea seen in 6 (13.04%) patients. Overall mortality and morbidity rates were 2.17% and 4.35% respectively.</p><p><strong>Conclusions:</strong> History and clinical examination should be more relied upon as diagnostic tool than radiological findings in diagnosing foreign body inhalation. Rigid bronchoscopic removal of foreign body is the standard procedure for removing tracheobronchial foreign bodies. </p>

scholarly journals A gyermekkori alsó légúti idegentest-aspiráció diagnosztikája a klinikai gyakorlatban

2018 ◽  
Vol 159 (51) ◽  
pp. 2162-2166
Author(s):  
Dániel Hajnal ◽  
Tamás Kovács
Keyword(s):  
Foreign Body ◽  
Standard Procedure ◽  
False Negative ◽  
Radiological Finding ◽  
Paediatric Population ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
X Ray ◽  
Co Morbidity ◽  
Chest X Ray

Abstract: Introduction and aim: Rigid bronchoscopic foreign body removal is the gold standard procedure for foreign body aspiration. We have analysed our results of bronchoscopies and the accuracy of diagnosis among the paediatric population in Southeast Hungary. Method: A retrospective study of children admitted because of suspected solid foreign body aspiration between 2006 and 2017 was performed. Results: From among 220 admitted patients, 86 were suspected of solid particle aspiration. Presenting history was certain in 68.6% (n = 59/86). Sudden choking-like symptoms were present in 61/86 patients (70.9%), coughing in 81/86 patients (94.2%). Thoracic auscultation was positive in 67/86 cases (77.9%), chest X-ray in 75/86 patients (87.2%), while fluoroscopy only in 12/75 cases (16%). 92 bronchoscopies in 86 patients were performed. In 57 bronchoscopies, solid foreign body was found (66.2%) and the removal was successful in 56 cases. Thoracic auscultation was negative in patients with foreign body only in 6/57 cases (10.5%). In the same group, chest X-ray was negative in 33/57 cases (57.9%) and fluoroscopy was positive only in 12/57 patients (21.1%). Pneumonia or prolonged bronchitis was present in 4/86 patients (4.6%). Severe bronchial bleeding occurred in 2/86 cases (2.3%). Mortality was 1.2%, a child with severe co-morbidity and chronic aspiration passed away. Bronchoscopy was negative in 29/86 patients (33.7%). Complications were significantly higher in chronic cases than in the acute ones. Conclusion: Rigid bronchoscopy is indicated if solid foreign body aspiration is suspected and positive anamnesis, typical symptoms (coughing, choking) or positive chest auscultations are present. Diagnosis predominantly based on radiological finding is controversial due to the high possibility of false negative results. Early intervention within the first 24 hours is recommended to avoid complications. Orv Hetil. 2018; 159(51): 2162–2166.

Role of virtual bronchoscopy in children with a vegetable foreign body in the tracheobronchial tree

2014 ◽  
Vol 128 (12) ◽  
pp. 1078-1083 ◽  
Author(s):  
G Behera ◽  
N Tripathy ◽  
Y K Maru ◽  
R K Mundra ◽  
Y Gupta ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Multidetector Computed Tomography ◽  
Diagnostic Tool ◽  
Foreign Bodies ◽  
Three Dimensional ◽  
Tracheobronchial Tree ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Virtual Bronchoscopy

AbstractObjectives:Multidetector computed tomography virtual bronchoscopy is a non-invasive diagnostic tool which provides a three-dimensional view of the tracheobronchial airway. This study aimed to evaluate the usefulness of virtual bronchoscopy in cases of vegetable foreign body aspiration in children.Methods:The medical records of patients with a history of foreign body aspiration from August 2006 to August 2010 were reviewed. Data were collected regarding their clinical presentation and chest X-ray, virtual bronchoscopy and rigid bronchoscopy findings. Cases of metallic and other non-vegetable foreign bodies were excluded from the analysis. Patients with multidetector computed tomography virtual bronchoscopy showing features of vegetable foreign body were included in the analysis. For each patient, virtual bronchoscopy findings were reviewed and compared with those of rigid bronchoscopy.Results:A total of 60 patients; all children ranging from 1 month to 8 years of age, were included. The mean age at presentation was 2.01 years. Rigid bronchoscopy confirmed the results of multidetector computed tomography virtual bronchoscopy (i.e. presence of foreign body, site of lodgement, and size and shape) in 59 patients. In the remaining case, a vegetable foreign body identified by virtual bronchoscopy was revealed by rigid bronchoscopy to be a thick mucus plug. Thus, the positive predictive value of virtual bronchoscopy was 98.3 per cent.Conclusion:Multidetector computed tomography virtual bronchoscopy is a sensitive and specific diagnostic tool for identifying radiolucent vegetable foreign bodies in the tracheobronchial tree. It can also provide a useful pre-operative road map for rigid bronchoscopy. Patients suspected of having an airway foreign body or chronic unexplained respiratory symptoms should undergo multidetector computed tomography virtual bronchoscopy to rule out a vegetable foreign body in the tracheobronchial tree and avoid general anaesthesia and invasive rigid bronchoscopy.

scholarly journals A Case of Whistle as Foreign Body in Trachea

2021 ◽  
Vol 6 (1) ◽  
pp. 1281-1286
Author(s):  
Puspa Zuleika
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Pediatric Patients ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Foreign Object ◽  
Case Presentation ◽  
Foreign Body Extraction ◽  
Tracheobronchial Foreign Body ◽  
History Of

Background. Most of foreign body aspiration cases are found in children under the age of fifteen. Pediatric patients often presents with non-food foreign body aspiration, such as toys. The most common clinical manifestation are history of choking following foreign object insertion into the mouth (85%), paroxysmal cough (59%), wheezing (57%) and airway obstruction (5%). Case presentation. Main principle of airway foreign body extraction is to do it immediately in the most optimal condition with slightest possible trauma. Rigid bronchoscopy is a suitable choice for tracheal foreign body extraction. We reported a case of seven years old male with tracheal foreign body presented with history of whistle ingestion five hours prior to admission. This patient was discharged from hospital after third days of rigid bronchoscopy procedure. Conclusion. History of foreign body aspiration in children should be suspected as a tracheobronchial foreign body. Rigid bronchoscopy is preferred to extract foreign bodies present in the trachea. The prognosis for tracheobronchial foreign body aspiration is good if the foreign body is treated early and without complications.

A Cross-Sectional Study of Clinical Profile and Outcome in Children with Foreign Body Aspiration at a Tertiary Care Centre in Telangana

2021 ◽  
Vol 8 (26) ◽  
pp. 2306-2310
Author(s):  
Sreelatha Martha ◽  
Nirmala Cherukuri ◽  
Usharani Thota ◽  
Prasanna Kumar Korvani ◽  
Keerti Neelgiri ◽  
...  
Keyword(s):  
Foreign Body ◽  
Clinical Features ◽  
Foreign Bodies ◽  
Main Bronchus ◽  
Tertiary Care ◽  
Foreign Body Aspiration ◽  
Clinical Profile ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Mortality And Morbidity

BACKGROUND Foreign body aspiration (FBA) in children is one of the major causes of death in developing countries, the diagnosis of which can be missed due to varied presentation. It is one of the causes of choking among children which, if not recognized early may lead to fatal consequences. Early recognition and prompt intervention may reduce the mortality and morbidity. In this study, we wanted to assess the clinical profile of children with foreign body aspiration/ingestion, determine the nature and location of foreign body and also determine the outcome among children with foreign body aspiration at a tertiary care centre. METHODS This cross-sectional study was taken up to analyse the clinical profile, to study the types, location and the outcome of children with foreign body aspiration. All children in the age group of 2 months to 12 years admitted to Niloufer hospital, Hyderabad from January 2018 to December 2019 with either history of FBA or clinical features suggestive of FBA even in the absence of history were included in the study. Age, sex, clinical features (C/F), duration of illness were noted. A chest X-ray was done in all cases, whereas a computed tomography (CT) scan was done in children where clinical features & chest X-rays were inconclusive. All children fulfilling the inclusion criteria were subjected to bronchoscopy under general anaesthesia by ENT surgeons. The findings like type and location of the foreign bodies were noted. Statistical analysis was done by statistical package for social sciences (SPSS) software version 10.0. RESULTS Of 108 children studied, 60 % of cases were males and 40 % were females. 55 % of cases were below the age of 3 years. Common symptoms were rapid breathing (68 %) and cough (38.8 %). Nuts & seeds were the common foreign bodies seen in 47.30 %, out of which groundnuts were the most common. Organic foreign bodies accounted for 58.11 % while inorganic was 41.89 %. The common site of lodgement of foreign body was right main bronchus (35.59 %), followed by left main bronchus (27.11 %) and sub-glottis (8.47 %). CONCLUSIONS Foreign body aspiration is difficult to diagnose in children and a delay in diagnosis can lead to mortality and morbidity. Early intervention by bronchoscopy goes a long way in improving survival. Clinical suspicion is the key to the diagnosis. KEYWORDS Foreign Body, Bronchoscopy, Children

scholarly journals An Unusual Case of Foreign Body Aspiration: A Case Report

2017 ◽  
Vol 6 (2) ◽  
pp. 47-49
Author(s):  
Kuntal Roy ◽  
Syed Khairul Amin ◽  
Mumtahina Setu ◽  
Tarannum Khondaker ◽  
Nandita Sur Chowdhury
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Young Children ◽  
Clinical Examination ◽  
Respiratory Symptoms ◽  
Unusual Case ◽  
Foreign Body Aspiration ◽  
Delay In Diagnosis ◽  
Medical College ◽  
Careful History

Foreign body aspiration most commonly affects young children, with respiratory symptoms such as wheeze and cough after a choking episode. A careful history and clinical examination can identify those children that need additional investigation including bronchoscopy. However foreign body aspiration can mimic other conditions. The link between choking and subsequent symptoms may not be made by parents. We present a case with a delay in diagnosis, and discuss the appropriate management of suspected foreign body aspiration.Anwer Khan Modern Medical College Journal Vol. 6, No. 2: July 2015, P 47-49

scholarly journals Scarf pin-related hijab syndrome: A new name for an unusual type of foreign body aspiration

2017 ◽  
Vol 45 (6) ◽  
pp. 2078-2084 ◽  
Author(s):  
Aram Baram ◽  
Fahmi H. Kakamad ◽  
Delan Ahmed Bakir
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Main Bronchus ◽  
Distinct Group ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Management Algorithm ◽  
History Of ◽  
Unusual Type

Background Foreign body aspiration refers to the inhalation of an object into the respiratory system and is a serious and potentially fatal event. A distinct group of patients has recently been recognized among Muslim nations. These patients include women who wear headscarves and place the safety pin in their mouth prior to securing the veils, leading to accidental foreign body aspiration. The aim of this study was to analyze the main presentation, diagnosis, treatment, and outcome of patients with scarf pin aspiration. Methods This prospective study involved patients with a history of scarf pin aspiration admitted to a single center during an 18-month period. Their main presentation, diagnosis, treatment, and outcome were analyzed. Results In total, 27 patients were included. The needle was extracted by flexible bronchoscopy in 12 (44.4%) patients, rigid bronchoscopy in 13 (48.1%), and thoracotomy in 2 (74%). One patient died during rigid bronchoscopy. All remaining 26 patients were satisfied with the postsurgical outcome at a mean follow-up of 1 week. Conclusions Scarf pin aspiration differs from other types of foreign body aspiration considering the specific population affected, and its management algorithm may thus differ from that of other foreign bodies. The left main bronchus is the most common site of pin impaction. Rigid bronchoscopy is the most commonly performed procedure for successful retrieval.

scholarly journals Tracheobronchial foreign body aspiration: A 13-year retrospective analysis

2014 ◽  
Vol 67 (suppl. 1) ◽  
pp. 69-74
Author(s):  
Danijela Dragicevic ◽  
Ljiljana Jovancevic ◽  
Rajko Jovic ◽  
Ljiljana Vlaski ◽  
Bojan Bozic
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Main Bronchus ◽  
Age Groups ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Radiological Findings ◽  
Tracheobronchial Foreign Body ◽  
The Moment ◽  
The Right

Introduction. Foreign body aspiration into the respiratory tract remains a diagnostic and therapeutic challenge in clinical practice, especially in young children, who are the most frequently affected age group. The aim of this study was to present the results of treating the patients with foreign body aspiration in all age groups. Material and Methods. The medical and radiological records of 64 patients with confirmed foreign body out of 146 patients with suspected foreign body aspiration were retrospectively analyzed during the period of 13 years (from 2001 to 2013). Results. A foreign body was found in 64 (44%) of the 146 patients of all age groups with suspected foreign body aspiration. The patients? age ranged between 11 months and 80 years. There were 84% children and 16% adults, and 63% of patients were male. Time between the moment of aspiration and admission to the Department ranged between 0.5 hours and 14 days, with majority of patients (70%) being admitted during the first 24 hour. History of respiratory drama was present in 92% of patients. Physical and radiological findings were positive in 66% and 47% of patients, rescpectively. Organic vegetable foreign bodies accounted for 75% of all cases, and they were most frequently found in the right main bronchus (63%). All foreign bodies were successfully extracted by rigid bronchoscopy, without serious complications and fatal outcomes. Conclusion. Bronchoscopy should be performed in any case of suspected foreign body aspiration, even if clinical and radiological findings are normal, in order to avoid serious and possible life-threatening complications. More should be done to raise awareness of this potentially preventable condition.

scholarly journals Experiences with management of foreign body airway presenting as dire emergency

2021 ◽  
Vol 7 (9) ◽  
pp. 1509
Author(s):  
Aishwarya Ullal ◽  
Arun P. Ajith
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Case Series ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Accidental Death ◽  
Detailed History ◽  
Common Causes ◽  
The World ◽  
To Come

<p class="abstract">Aspiration of foreign bodies by children is a common problem around the world. Foreign body aspiration is a common cause of morbidity and mortality in children, especially between ages 18 months to 3 years. Laryngeal foreign bodies pose as a dire emergency lead to choking and accidental deaths. This is a case series of five cases of laryngeal foreign bodies presenting as a dire emergency to our casualty. Detailed history and examination was done. Radiological investigations were done. Rigid bronchoscopy was performed and the foreign body was extracted restoring the airway, preventing the accidental death of the patient. Foreign bodies of the airway are the most common causes of preventable deaths among children. Quick detailed history, examination and radiological investigations are required to come to the diagnosis and prompt management. This case series throws light on how to manage laryngeal foreign bodies.</p>

scholarly journals Prospective evaluation of tracheobronchial foreign bodies

2020 ◽  
Vol 6 (8) ◽  
pp. 1474
Author(s):  
Ihsan A. T. ◽  
Divya Ambooken
Keyword(s):  
Foreign Body ◽  
Young Children ◽  
Parent Education ◽  
Foreign Bodies ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Age Group ◽  
Common Site ◽  
Medical College ◽  
High Chance

<p class="abstract"><strong>Background:</strong> Foreign body aspiration is a condition that requires immediate and prompt management to avoid complications. Aim of this study was to find out proportion of tracheobronchial foreign bodies in under five age group, common sites of foreign body lodgement, types of tracheobronchial foreign bodies, and complications associated with this.</p><p class="abstract"><strong>Methods:</strong> This study was conducted in Department of ENT at Jubilee Mission Medical College and RI, Thrissur, during the period of January 2018 to June 2019 and comprises 24 cases. Rigid bronchoscopy under general anesthesia was done to remove these foreign bodies.  </p><p class="abstract"><strong>Results:</strong> Eighteen cases were in under 5 age group. Peanut was the most common foreign body aspirated followed by badam and vegetable seeds. Common site of lodgement was in bronchi with 10 cases in right bronchi and 9 cases in left bronchi. Complication seen associated with this was pneumonia in this study.</p><p class="abstract"><strong>Conclusions:</strong> Foreign body aspiration is common in young children and hence a positive history might be absent. Hence there is high chance of misdiagnosis and complications. Parent education is must and avoid giving ungrinded nuts to young children.</p>

scholarly journals A retrospective review of complicated foreign bodies of upper aerodigestive tract

2019 ◽  
Vol 5 (3) ◽  
pp. 734
Author(s):  
Ritesh Mahajan ◽  
Prashanth V.
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Removal Rate ◽  
Neck Surgery ◽  
Aerodigestive Tract ◽  
Upper Aerodigestive Tract ◽  
Diagnostic Challenge ◽  
Early Management ◽  
Female Ratio ◽  
Medical College

<p class="abstract"><strong>Background:</strong> Inhalation/aspiration of foreign bodies (FB) into upper aerodigestive tract are very commonly encountered by otorhinolaryngologists. Most foreign bodies in adults are manageable, but sometimes can lead to fatal consequences in children. However, despite significant advances in instrumentation, they remain a therapeutic and diagnostic challenge. The aim was to study the clinical presentation, site of impaction, complications and management of foreign bodies in upper aerodigestive tract.</p><p class="abstract"><strong>Methods:</strong> A retrospective study was conducted in department of ENT-Head and Neck Surgery, Rajarajeswari Medical College and Hospital, Bangalore. A total of 50 eligible patients were reviewed who got operated for foreign body in upper aerodigestive tract under general anaesthesia.  </p><p class="abstract"><strong>Results:</strong> History of foreign body was present in 86% of cases and 25% of the patients had complaints of difficulty in breathing. Nose being most common site in 74%, 70% of the patient belongs to 0-10 age group and male: female ratio was 1.7:1. Complications were seen in 12% of patients. Foreign body removal rate was 100%.</p><p class="abstract"><strong>Conclusions:</strong> Early diagnosis is the key to successful and uncomplicated management of FB in upper aerodigestive tract. An orderly and systematic approach along with proper history and clinical examination is keystone in diagnosis and early management.</p>

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