Management of airway foreign body using flexible bronchoscopy: Experience with 80 cases during 2011–2013
Background: Foreign body aspiration (FBA) into the tracheobronchial tree is a serious problem necessitating prompt recognition and management. This study aimed to report our experience in airway foreign body removal by flexible bronchoscopy. Study design: Descriptive study. Methods: A total of 80 pa...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2015-01-01
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| Series: | Egyptian Journal of Chest Disease and Tuberculosis |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0422763814200124 |
| _version_ | 1818344624325918720 |
|---|---|
| author | Safy Kaddah Sabah Ahmed |
| author_facet | Safy Kaddah Sabah Ahmed |
| author_sort | Safy Kaddah |
| collection | DOAJ |
| description | Background: Foreign body aspiration (FBA) into the tracheobronchial tree is a serious problem necessitating prompt recognition and management. This study aimed to report our experience in airway foreign body removal by flexible bronchoscopy.
Study design: Descriptive study.
Methods: A total of 80 patients with FBA were included in the study. They were 61 pediatric cases and 19 adult cases. Sixty-four were females and 16 cases were males, their age ranged from 2 to 52 years. The clinical manifestations, radiological findings and bronchoscopic findings of the procedure were analyzed.
Results: Among the patients, only 88.8% had a definite history of FBA. The most frequent symptom was paroxysmal cough (61.3%), followed by expectoration, fever or wheezing, hemoptysis and dyspnea. Chest X-ray showed radiopaque foreign body in 78.8% of the patients, normal chest radiology in 8.8% and right lower lobe consolidation in 6.3%. The most common location of FB was either right or left lower lobe bronchus (16, 20%). Sixty-two (77.5%) of FB inhalation were pins, followed by seeds in 6 patients (7.5%), and plastic toys in 5 patients (6.3%). The gestures that lead to FBA by the patients were during laughter in 28 cases (35%), chalking (26.2%), talking (15%) and sneezing (8.8%). In 9 patients (11.2%) the acts that lead to FBA were not identified by the patients.
Conclusions: Flexible bronchoscopy is successful in retrieving airway foreign bodies (88.8%). With skilled personnel and perfect equipments, flexible bronchoscopy could be considered as the first choice for the removal of airway foreign body. |
| first_indexed | 2024-12-13T16:49:26Z |
| format | Article |
| id | doaj.art-15fd0f30dc6948ada21deabba4ccee19 |
| institution | Directory Open Access Journal |
| issn | 0422-7638 |
| language | English |
| last_indexed | 2024-12-13T16:49:26Z |
| publishDate | 2015-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Egyptian Journal of Chest Disease and Tuberculosis |
| spelling | doaj.art-15fd0f30dc6948ada21deabba4ccee192022-12-21T23:38:04ZengWolters Kluwer Medknow PublicationsEgyptian Journal of Chest Disease and Tuberculosis0422-76382015-01-0164126126710.1016/j.ejcdt.2014.11.020Management of airway foreign body using flexible bronchoscopy: Experience with 80 cases during 2011–2013Safy KaddahSabah AhmedBackground: Foreign body aspiration (FBA) into the tracheobronchial tree is a serious problem necessitating prompt recognition and management. This study aimed to report our experience in airway foreign body removal by flexible bronchoscopy. Study design: Descriptive study. Methods: A total of 80 patients with FBA were included in the study. They were 61 pediatric cases and 19 adult cases. Sixty-four were females and 16 cases were males, their age ranged from 2 to 52 years. The clinical manifestations, radiological findings and bronchoscopic findings of the procedure were analyzed. Results: Among the patients, only 88.8% had a definite history of FBA. The most frequent symptom was paroxysmal cough (61.3%), followed by expectoration, fever or wheezing, hemoptysis and dyspnea. Chest X-ray showed radiopaque foreign body in 78.8% of the patients, normal chest radiology in 8.8% and right lower lobe consolidation in 6.3%. The most common location of FB was either right or left lower lobe bronchus (16, 20%). Sixty-two (77.5%) of FB inhalation were pins, followed by seeds in 6 patients (7.5%), and plastic toys in 5 patients (6.3%). The gestures that lead to FBA by the patients were during laughter in 28 cases (35%), chalking (26.2%), talking (15%) and sneezing (8.8%). In 9 patients (11.2%) the acts that lead to FBA were not identified by the patients. Conclusions: Flexible bronchoscopy is successful in retrieving airway foreign bodies (88.8%). With skilled personnel and perfect equipments, flexible bronchoscopy could be considered as the first choice for the removal of airway foreign body.http://www.sciencedirect.com/science/article/pii/S0422763814200124Flexible bronchoscopyForeign bodyTracheo-bronchial tree |
| spellingShingle | Safy Kaddah Sabah Ahmed Management of airway foreign body using flexible bronchoscopy: Experience with 80 cases during 2011–2013 Egyptian Journal of Chest Disease and Tuberculosis Flexible bronchoscopy Foreign body Tracheo-bronchial tree |
| title | Management of airway foreign body using flexible bronchoscopy: Experience with 80 cases during 2011–2013 |
| title_full | Management of airway foreign body using flexible bronchoscopy: Experience with 80 cases during 2011–2013 |
| title_fullStr | Management of airway foreign body using flexible bronchoscopy: Experience with 80 cases during 2011–2013 |
| title_full_unstemmed | Management of airway foreign body using flexible bronchoscopy: Experience with 80 cases during 2011–2013 |
| title_short | Management of airway foreign body using flexible bronchoscopy: Experience with 80 cases during 2011–2013 |
| title_sort | management of airway foreign body using flexible bronchoscopy experience with 80 cases during 2011 2013 |
| topic | Flexible bronchoscopy Foreign body Tracheo-bronchial tree |
| url | http://www.sciencedirect.com/science/article/pii/S0422763814200124 |
| work_keys_str_mv | AT safykaddah managementofairwayforeignbodyusingflexiblebronchoscopyexperiencewith80casesduring20112013 AT sabahahmed managementofairwayforeignbodyusingflexiblebronchoscopyexperiencewith80casesduring20112013 |