Organic vs. Inorganic Tracheobronchial Airway Foreign Body Aspiration: Does Type/Duration Matter?

Objective: To present a case of subglottic foreign body (FB) impaction in a 50-year-old woman diagnosed with bronchial asthma for 15 years. Methods: Design: Case Report Setting: Tertiary Public Hospital Patient: One Results: A 50-year-old woman with recurrent cough and dyspnea for 15 years that had been managed as bronchial asthma, developed stridor and halitosis in the last 5 years. Flexible laryngoscopy revealed a subglottic mass and CT scan confirmed a suspicious foreign body in the lumen of the subglottis. Signs and symptoms resolved after peroral endoscopic removal of the foreign body from the larynx. Histopathology of the extracted material from the airway confirmed it to be “bone tissue.” Conclusion: Foreign body aspiration can occur in adults without predisposing factors. Its diagnosis can be challenging as it can mimic respiratory disorders such as bronchial asthma. Endoscopy and computed tomography are valuable for correct diagnosis and management. An incorrect initial diagnosis should be considered in the light of unresolved symptoms and prompt referral to an appropriate specialist may prevent undue suffering and dangerous complications. Keywords: foreign body aspiration, occult airway foreign body

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Lower Airway Foreign Body Aspiration in Children

Clinical Pediatrics ◽

10.1177/000992287701600101 ◽

1977 ◽

Vol 16 (1) ◽

pp. 13-16 ◽

Cited By ~ 4

Author(s):

N. Shirazy Majd ◽

Howard C. Mofenson ◽

Joseph Greensher

Keyword(s):

Foreign Body ◽

Foreign Body Aspiration ◽

Lower Airway ◽

Airway Foreign Body

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Clinical features and treatment outcomes of airway foreign body aspiration in adults

Journal of Thoracic Disease ◽

10.21037/jtd.2018.12.130 ◽

2019 ◽

Vol 11 (3) ◽

pp. 1056-1064 ◽

Cited By ~ 2

Author(s):

Jeffrey Ng ◽

Seyoung Kim ◽

Boksoon Chang ◽

Kyungjong Lee ◽

Sang-Won Um ◽

...

Keyword(s):

Foreign Body ◽

Treatment Outcomes ◽

Clinical Features ◽

Foreign Body Aspiration ◽

Airway Foreign Body

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Foreign Body in the Airway

10.1093/med/9780199764495.003.0013 ◽

2013 ◽

Author(s):

Vidya Chidambaran ◽

Senthilkumar Sadhasivam

Keyword(s):

Foreign Body ◽

Young Children ◽

General Anesthesia ◽

Pediatric Anesthesia ◽

Foreign Body Aspiration ◽

Morbidity And Mortality ◽

Airway Foreign Body

Airway foreign body aspiration is associated with significant airway distress that can lead to morbidity and mortality, especially in young children. Children who inhale a foreign body into the airway and require bronchoscopy under general anesthesia present the anesthetist with some of the most difficult and demanding cases in pediatric anesthesia.

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Left Bronchial Foreign Body Is Always Left Rigid Bronchoscopy an Armour Beyond Barriers in Retrieval-A Case Series

Journal of Pediatrics & Neonatal Biology ◽

10.33140/jpnb.05.03.05 ◽

2020 ◽

Vol 5 (3) ◽

Keyword(s):

Foreign Body ◽

Food Item ◽

Foreign Bodies ◽

Case Series ◽

Clinical Situation ◽

Rigid Bronchoscopy ◽

Foreign Body Aspiration ◽

Bronchial Foreign Body ◽

Life Threatening ◽

Airway Foreign Body

Airway foreign bodies (AFBs) is an interdisciplinary area between, Pediatrics and Otolaryngology [1]. Foreign-body aspiration in the airway of children is a life-threatening clinical situation responsible for many deaths each year. Most airway foreign body aspirations occur in children younger than 15 years; children aged 1-3 years are the most susceptible [2]. Vegetable matter tends to be the most common airway foreign body; peanuts are the most common food item aspirated [5]. We present four interesting cases of bronchial foreign bodies that caused diagnostic and therapeutic challenges.

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Delayed Diagnosis of a Pediatric Airway Foreign Body: Case Report and Review of the Literature

Ear Nose & Throat Journal ◽

10.1177/014556130208100914 ◽

2002 ◽

Vol 81 (9) ◽

pp. 655-656 ◽

Cited By ~ 17

Author(s):

Christine B. Franzese ◽

John M. Schweinfurth

Keyword(s):

Case Report ◽

Foreign Body ◽

Foreign Bodies ◽

Delayed Diagnosis ◽

Foreign Body Aspiration ◽

Review Of The Literature ◽

Pediatric Airway ◽

Unexplained Symptoms ◽

Airway Foreign Body ◽

Body Case

Foreign body aspiration is a common pediatric problem that affects children of all ages, including those who are well into their adolescence. We describe the case of a 9-year old boy with an airway foreign body that had gone unrecognized for 3 months. We also review the literature on pediatric airway foreign bodies, with a focus on delayed diagnosis. A diagnosis of foreign body aspiration should be considered whenever a previously healthy child suddenly exhibits unexplained symptoms that are refractory to medical treatment and are consistent with airway obstruction.

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