scholarly journals Expecting the unexpected, foreign body bronchus masquerading as subglottic stenosis: A Case Report

2021 ◽  
Author(s):  
Deepak Paudel ◽  
Raunak Dahal ◽  
Bajarang Sah ◽  
Shyam Chettri ◽  
Pravid Gajurel
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Rare Event ◽  
Rigid Bronchoscopy ◽  
Subglottic Stenosis ◽  
Suspected Case ◽  
Betel Nut ◽  
Prolonged Intubation ◽  
Foreign Body Bronchus ◽  
Partial Hanging

It is a rare event that a patient suspected to have a subglottic stenosis actually has a foreign body bronchus. We report a suspected case of subglottic stenosis secondary to partial hanging and prolonged intubation. However, surprisingly the rigid bronchoscopy revealed a betel nut at the level of carina.

scholarly journals Challenges in Management of Tracheobronchial Foreign Bodies with Delayed Presentation: An Institutional Experience

2021 ◽  
Author(s):  
Darwin Kaushal ◽  
Amit Goyal ◽  
Kapil Soni ◽  
Bikram Choudhury ◽  
Nithin Prakasan Nair ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Preoperative Planning ◽  
Rigid Bronchoscopy ◽  
Delayed Presentation ◽  
Betel Nut ◽  
Key Factors ◽  
Tracheobronchial Foreign Body ◽  
Institutional Experience ◽  
Definitive Management

Abstract Introduction Airway foreign bodies are emergencies involving multidisciplinary departments like Pediatrics, Aneasthesiology and Otorhinolaryngology. It is always a challenge to diagnose and manage patients who present late to our emergencies. Objective In the present study, we aim to analyze the various challenges faced during the management of tracheobronchial foreign bodies with delayed presentation. Methods A retrospective hospital record-based analysis of patients who presented to us with tracheobronchial foreign bodies from January 2017 to February 2020 was performed. All patients until the age of 16 years old were included in the present study. We assessed the demographics, preoperative, intraoperative and postoperative data of the patients. Results Seventeen patients were analyzed in the study. Among these, 44.4% of the patients had delayed presentation (> 1 month). The majority of the patients had an organic foreign body (Supari or betel nut). All patients underwent rigid bronchoscopy, followed by optical forceps-assisted removal of the foreign body. A total of 82% of the patients had granulations around the foreign body. Conclusion Management of delayed presentation tracheobronchial foreign body is a big challenge for Otorhinolaryngologists. The key factors for preventing complications in the definitive management of tracheobronchial foreign bodies are preoperative planning, multi-discipline teamwork, surgeon expertise and technique.

Chest Physiotherapy following rigid bronchoscopy for removal of vegetative foreign body bronchus

2010 ◽  
Vol 105 (eLetters) ◽  
Author(s):  
Shipra Aggarwal ◽  
Ronald Bathari ◽  
Anju Bhalotra ◽  
Gunjan Manchanda ◽  
Raktima Anand
Keyword(s):  
Foreign Body ◽  
Rigid Bronchoscopy ◽  
Chest Physiotherapy ◽  
Foreign Body Bronchus

scholarly journals A rare case of foreign body bronchus:- A case report

2020 ◽  
Vol 3 (2) ◽  
pp. 01-02
Author(s):  
KK Arora ◽  
Monika Gandhi ◽  
Neetu Gupta ◽  
Akanksha Choudhary ◽  
Jitendra Kaithwal
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Rare Case ◽  
Foreign Body Bronchus

Rigid Bronchoscopy and Surgical Airway Procedures, Foreign Body Aspiration, and Gastric Content Aspiration Management

2021 ◽  
pp. 75-94
Author(s):  
Audra Webber ◽  
John Faria
Keyword(s):  
Foreign Body ◽  
Difficult Airway ◽  
Premature Infants ◽  
Gastric Content ◽  
Rigid Bronchoscopy ◽  
Pediatric Airway ◽  
Prolonged Intubation ◽  
Surgical Airway ◽  
Perioperative Course ◽  
Invasive Techniques

The difficult airway in pediatric patients is most frequently anticipated because of anatomic anomalies from craniofacial pathology. With the increasing population of surviving premature infants who require prolonged intubation perinatally, chronic issues such as subglottic stenosis are also becoming more common. When dealing with the difficult pediatric airway, preparation and communication are key. It is essential to have a continuous dialogue between the otolaryngologist and the anesthesiologist throughout the perioperative course. When involved with a patient who is likely to have a difficult airway, it is best to involve or consult the pediatric otolaryngologist as early in the process as possible. This chapter outlines the most common invasive techniques for management of the pediatric non-normal difficult airway: rigid bronchoscopy and tracheostomy. This chapter will also review the management of an airway foreign body and aspirated gastric contents.

scholarly journals A Rare Case of Foreign Body Bronchus: A Case Report

2011 ◽  
Vol 63 (S1) ◽  
pp. 81-82 ◽  
Author(s):  
Irfan Iqbal ◽  
M. Lateef ◽  
Asif A. Wani ◽  
Sheikh Rafiq
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Rare Case ◽  
Foreign Body Bronchus

scholarly journals Diagnostic challenges in paediatric foreign body aspiration: a case report

2020 ◽  
Vol 49 (2) ◽  
Author(s):  
Inês Morais ◽  
Inês Sousa ◽  
Carolina Terra ◽  
Ana Martins ◽  
Tiago Pereira ◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Previous History ◽  
Bronchial Hyperresponsiveness ◽  
Clinical Signs ◽  
Paediatric Population ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Multidisciplinary Communication ◽  
History Of

Introduction: Foreign body aspiration (FBA) is a potentially fatal paediatric emergency. Our objective was to highlight the importance of a multidisciplinary approach to difficult/doubtful diagnosis. Case Report: 34-month-old girl referred for urgent rigid bronchoscopy after suspected metallic blade ingestion (found chewing on it). She had a previous recurrent history of wheezing. The physical examination revealed face/lip wounds, traces of powder on her teeth but no breathing difficulty. The plain X-Ray revealed radiopaque images of the upper pulmonary field and gastric chamber. In the absence of FBA clinical signs but considering a previous history of bronchial hyperresponsiveness, a direct digital radiographic study was performed. There were no images compatible with foreign bodies: the results were interpreted as artefacts and no bronchoscopy was performed. Conclusions: A careful pre-anaesthetic evaluation, a high level of suspicion and excellent multidisciplinary communication led to the recognition of false radiologic findings. A conservative approach was followed and invasive procedures in a remote location, with high anaesthetic risk for the paediatric population were avoided.

scholarly journals ROLE OF RIGID BRONCHOSCOPY IN MANAGEMENT OF TRACHEOBRONCHIAL FOREIGN BODY ASPIRATION

2020 ◽  
Vol 28 (4) ◽  
pp. 345-347
Author(s):  
Israr ud Din ◽  
Muhammad Hafeez ◽  
Muhammad Junaid ◽  
Arif Raza Khan ◽  
Imran Khan
Keyword(s):  
Foreign Body ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Foreign Body Bronchus ◽  
Number Of Patients ◽  
Tracheobronchial Foreign Body ◽  
History Of ◽  
Male Patients ◽  
One Year

Objective: To determine the role of Rigid Bronchoscopy in Management of Tracheobronchial Foreign Body Aspiration. Material and Methods: This study was conducted in otolaryngology department, Khyber teaching hospital, Peshawar of one year duration from January 2018 to December 2019. Total 90 Patients of age 4 months to 14 years on clinical suspicion of foreign body bronchus were included, while patients with history of bronchial asthma, pulmonary tuberculosis and radio opaque foreign body bronchus were excluded. Results: Total number of patients was 90 in which male patients were 60 (66.67 %) and female patients were 30 (33.33 %), patients with foreign body bronchus were 80 (88.89%). Male patients with foreign body bronchus was 53 (58.89%) and female 27 (30.00%). In age range from 4 months to 3 years, 35(39%) Patients underwent bronchoscopy in which foreign body bronchus retrieved in 30(37.5%) patients. Conclusion: Patients with history of repeated chest infection, relieved by medicines for some time should not be over look, as vegetative foreign body bronchus are radiolucent and patients usually present late in respiratory compromised state, the clinician must urge, for prompt treatment as rigid bronchoscopy.

scholarly journals Extraction of an Impacted Foreign Body Bronchus in an Adult Using Flexible Bronchoscopy

2021 ◽  
Author(s):  
Chandramouli M. T. ◽  
Nandakishore Baikunje ◽  
Rajesh Venkataram ◽  
Giridhar Hosmane
Keyword(s):  
Foreign Body ◽  
Main Bronchus ◽  
Balloon Catheter ◽  
Upper Airway ◽  
Clinical History ◽  
Rigid Bronchoscopy ◽  
Flexible Bronchoscopy ◽  
Foreign Body Bronchus ◽  
Impacted Foreign Body ◽  
High Index Of Suspicion

AbstractForeign body aspiration (FBA) can be potentially fatal if the object is large enough to cause nearly complete obstruction of the upper airway. The object causing obstruction beyond the carina can result in less severe clinical presentation. FBA is rare in adults than in children. If the clinical history is not suggestive of FBA, then a high index of suspicion and flexible bronchoscopy can ensure proper diagnosis and prompt intervention. We present a case of an adult with aspirated betel nut in the left main bronchus, removed using flexible bronchoscopy with the aid of a Fogarty balloon catheter following the failure of rigid bronchoscopy.

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