scholarly journals Komplikasi Kronik Benda Asing Pada Percabangan Bronkus

2020 ◽  
Vol 1 (2) ◽  
Author(s):  
Russilawati Russilawati
Keyword(s):  
Foreign Body ◽  
Lower Lobe ◽  
Recurrent Infection ◽  
Major Complication ◽  
Bronchial Tree ◽  
Tracheobronchial Tree ◽  
Rigid Bronchoscopy ◽  
Small Object ◽  
Chronic Complication ◽  
Life Threatening

CHRONIC COMPLICATION OF FOREIGN BODY IN TRACHEOBRONCHIAL TREE : A CASE REPORT Foreign body aspiration in tracheobronchial could be life threatening particularly if the object large enought to cause nearly complete obstruction.  In the other hand small object could pass beyond carina and cause less severe sign and complication manifest. Chronic  symptoms with recurrent infection that lead to brochiectasis may occur in delayed of extraction. We presented a case of nail aspiration  by a 17 years old male patients who presented with  hemoptysis. The patient had history of nail aspiration six months ago and had no symptom until the last one week . First attempt of evacuating  used rigid bronchoscopy  under general anesthesia had failed. Fiber optic bronchoscopy (FOB) found the nail at the orificium of right lower lobe and chest computed tomography stated the  occurancy of bronchiectasis at distal of nail. The extraction was performed by FOB with local anesthesia succeeded to remove the nail to the laring that induced cough and nail threw out. There were no major complication and further symptoms after the extraction. Eventhough aspiration small object cause no symptom, it could lead  to chronic complication such as bronchiectasis. FOB for removing the object is supposed to perform carefully because the object could fall on another part of brochial tree when it was  pulled out. Keywords Foreign Body, Bronchial tree, complication, flexible bronchoscopy

scholarly journals Flexible bronchoscopy in foreign body removal in the pediatric population: A Systematic Review

2021 ◽  
Author(s):  
Anastasios-Panagiotis Chantzaras ◽  
Panagiota Panagiotou ◽  
Spyridon Karageorgos ◽  
Konstantinos Douros
Keyword(s):  
Systematic Review ◽  
Foreign Body ◽  
Pediatric Population ◽  
Bronchial Tree ◽  
Tracheobronchial Tree ◽  
Flexible Bronchoscopy ◽  
Safe Alternative ◽  
Gold Standard Method ◽  
Foreign Body Removal ◽  
The Right

Background: Foreign body aspiration (FBA) in the tracheobronchial tree is a common problem in the pediatric population. Rigid bronchoscopic procedure is currently the gold standard method for treatment in pediatric patients, whereas recent reports present flexible bronchoscopy as an alternative method. The aim of this study was to summarize all available evidence regarding the application and the success rate of flexible bronchoscopy in foreign body (FB) removal. Methods: Systematic review of the use of flexible bronchoscopy as the first-line treatment in FBA cases in PubMed from 2001 to 2021. Results: Out of 243 citations, 23 studies were included on the use of flexible bronchoscopic procedure as a treatment of choice in 2,587 children with FBA. The FBs were successfully removed in 2,254/2,587 (87.1%) patients with a low complication rate. The majority of FBs retrieved were organic materials 1,073/1,370 (78.3%), and they were most commonly lodged in the right bronchial tree 708/1,401 (50.5%). General anesthesia was applied in most studies (14/23) before proceeding to a flexible bronchoscopy and laryngeal mask airways (LMAs) were mostly used (10/23 studies) to secure the airway during the procedure. Ancillary equipment, usually forceps 1,544/1808 (85.4%) assisted in the FB retrieval. Conclusion: The use of flexible bronchoscopy is shown to be a feasible and safe alternative therapeutic procedure in FBA cases. There is a need for development of extraction equipment and techniques to assist the procedure. Finally, future studies focusing on the comparison between clinical outcomes of flexible and rigid bronchoscopies are necessary.

scholarly journals Broken metallic tracheostomy tube migrating into the tracheobronchial tree

2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Nilam U. Sathe ◽  
Ratna Priya ◽  
Sheetal Shelke ◽  
Kartik Krishnan
Keyword(s):  
Foreign Body ◽  
Tracheostomy Tube ◽  
Main Bronchus ◽  
Tracheobronchial Tree ◽  
Life Saving ◽  
Wear And Tear ◽  
Life Threatening ◽  
History Of ◽  
The Right ◽  
Periodic Replacement

Foreign body aspiration can be a life-threatening emergency. Broken tracheostomy tube in tracheobronchial tree is one of the rarest types of foreign body reported. Here we report two cases of fracture of metallic tracheostomy tube, leading to foreign body in tracheobronchial tree. A 14-year-old girl presented to our Emergency Department with history of respiratory distress and violent bouts of cough since 2 days. Chest X-ray showed that the broken part of the tube was lodged in the right main bronchus. The presence of Parkinson’s disease in the patient and restricted neck flexion offered a challenge both for the anaesthetist and the surgeon. We were successful in removing the broken tube in 13 small pieces. Check bronchoscopy was clear and the procedure went uneventful. We would like to conclude that broken tracheostomy tube presenting as foreign body bronchus is infrequent but it is a preventable complication of tarcheostomy. The patient must be kept on regular follow up to check for signs of wear and tear. Timely and periodic replacement of tracehostomy tube should also be done, otherwise such life-saving surgery can become lifethreatening.

scholarly journals Application of the Virtual Bronchoscopy in Children with Suspected Aspiration of the Foreign Body - Case Report

2016 ◽  
Vol 17 (4) ◽  
pp. 361
Author(s):  
Gordana Kostic ◽  
Marina Petrovic ◽  
Slavica Markovic ◽  
Jasmina Knezevic ◽  
Zoran Igrutinovic ◽  
...  
Keyword(s):  
Foreign Body ◽  
Fiber Optic ◽  
Inhaled Corticosteroids ◽  
Clinical Symptoms ◽  
Clinical Signs ◽  
Rigid Bronchoscopy ◽  
Virtual Bronchoscopy ◽  
Peripheral Airways ◽  
Life Threatening ◽  
Body Case

Abstract In diagnosing the aspiration of the foreign body (AFB) in children most important are: medical history, clinical signs and positive radiography of the lungs. Common dilemmas in the diff erential diagnosis are life-threatening asthma attacks or difficult pneumonia. Conventional rigid bronchoscopy (RB) is not recommended as a routine method. Virtual bronchoscopy (VB) can be a diagnostic tool for solving dilemmas. Fiber-optic bronchoscopy (FOB) has a therapeutic stake in severe cases. Herein, we describe a girl, at the age of 6, who was hospitalized due to rapid bronchoconstriction and based on the anamnesis, clinical symptoms and physical fi ndings the suspicion was that she aspirated the foreign body. Due to the poor general condition and possible sequel, the idea of RB was dropped out. Multidetector computed tomography of the chest and VB was performed and AFB was not found. Due to positive epidemiological situation, virus H1N1 was excluded. FOB established that the foreign body does not exist in the airways. During bronchoscopy numerous castings are aspirated from the peripheral airways which lead to faster final recovery. With additional procedures, the diagnosis of asthma was confirmed and for girl that was the first attack. Along with inhaled corticosteroids as prevention she feels well. Virtual bronchoscopy can be successfully used as a valid diagnostic procedure in suspected foreign body in the children’s lungs, but fiber-optic bronchoscopy remains most important diagnostic and therapeutic method.

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 Urgent bronchoscopy for foreign body aspiration: 48 children among 1096 patients

Acta Medica ◽  
2019 ◽  
Vol 50 (3) ◽  
pp. 38-43
Author(s):  
Alper Avcı ◽  
Onder Ozden ◽  
Zehra Hatipoglu ◽  
Serdar Onat
Keyword(s):  
Foreign Body ◽  
Postoperative Complications ◽  
Oxygen Saturation ◽  
English Literature ◽  
Length Of Hospital Stay ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Peripheral Oxygen Saturation ◽  
Life Saving ◽  
Life Threatening

Objective: Foreign body aspiration (FBA) is a potentially life-threatening emergency in children. Urgent rigid bronchoscopy (URB) should be performed when presentation includes severe respiratory failure with suspicion for FBA. To the best of the knowledge, this is the first study that evaluates URB in English literature. Methods: Forty-eight patients who underwent URB were included in this study. From the medical records, the patients’ demographic characters, endotracheal intubation status, peripheral oxygen saturation, bronchoscopy results, type and location of foreign body (FB), intra- and postoperative complications and mortality, X-ray, length of hospital stay were evaluated. Results: Twenty-four of the 48 patients were non-intubated. Peripheral oxygen saturation values were 60 ± 14.40 in the preoperative period. No statistical differences were found between intubated and non-intubated patients in terms of intra- and postoperative complications. There were no statistical differences between patients with negative and positive results for bronchoscopy in terms of intra- and postoperative complications. Conclusions: Bronchoscopy is not without risk; however, it is a life-saving procedure. Despite negative FB results, urgent bronchoscopy should be performed in suspicious cases.

scholarly journals Foreign body extraction through the rigid bronchoscopy

2011 ◽  
Vol 68 (10) ◽  
pp. 878-880 ◽  
Author(s):  
Stanko Mrvic ◽  
Milos Milosavljevic ◽  
Dragan Stojkovic ◽  
Slobodan Milisavljevic ◽  
Dragce Radovanovic ◽  
...  
Keyword(s):  
Foreign Body ◽  
Pediatric Population ◽  
Tracheobronchial Tree ◽  
Rigid Bronchoscopy ◽  
Middle Lobe ◽  
Lobe Bronchus ◽  
Segmental Bronchus ◽  
Foreign Body Extraction ◽  
The Right ◽  
High Level

Introduction. Foreign body aspiration into tracheobronchial tree represents an urgent condition at high level of risk. Etiology is different, and this condition is typical for all ages with highest incidence in pediatric population. Case report. A successful foreign body removal (partial denture) in a 34-year old man was presented. Radiography and computerized tomography of the chest showed a foreign body localized at the level of the right bronchus including the right middle lobe bronchus. By the use of rigid bronchoscopy, a foreign body was visualized and mobilized from the segmental bronchus in the first act, and then completely extracted. Conclusion. Efficient diagnostics and extraction are imperative for the aspirated foreign body preventing life-threatening complications.

scholarly journals A White Board Needle in the Trachea

2013 ◽  
Vol 12 (4) ◽  
pp. 449-452
Author(s):  
SBA Rahim ◽  
T Maruthamuthu ◽  
LL Chooi ◽  
A Singh ◽  
MRBM Yunus
Keyword(s):  
Foreign Body ◽  
Medical Science ◽  
Vital Signs ◽  
Tracheobronchial Tree ◽  
Foreign Body Aspiration ◽  
X Ray ◽  
White Board ◽  
Life Threatening ◽  
History Of

Foreign body aspiration often occurs amongst extreme age. Most of aspirated object are; nuts, nails, pins, coins, metal piece and dental appliances. Foreign body aspiration can be life threatening. Patients with foreign body aspiration may present with choking, coughing, wheezing, haemoptysis, asphyxia and even death. The symptoms and severity depend on the site of obstruction. This is a case of 9 year old boy provided the history of aspiration of white board needle. He had persistent cough but examination revealed normal vital signs. Radiological examination confirmed needle like radio opaque material in his trachea. This case report depicts the management and bronchoscope as diagnostic procedure of this case and role of X-ray and CT scan in dealing with foreign body in the tracheobronchial tree. DOI: http://dx.doi.org/10.3329/bjms.v12i4.16668 Bangladesh Journal of Medical Science Vol. 12 No. 04 October ’13 Page 449-452

scholarly journals 1640 Stridor in An Infant with Double Aortic Arch

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
Y Aladham ◽  
O Ahmed
Keyword(s):  
Foreign Body ◽  
Aortic Arch ◽  
Vascular Ring ◽  
Tracheobronchial Tree ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Double Aortic Arch ◽  
Normal Vaginal Delivery ◽  
External Compression ◽  
Surgical History

Abstract An eleven-month-old infant presented to our casualty with stridor that had been noticed by the parents a few weeks earlier and became increasingly evident lately. They did not recall a specific event when the infant “chocked”, but they denied any recent history of respiratory tract infection. The infant had no relevant medical or surgical history, and he was born full term with normal vaginal delivery. Examination of the infant showed moderate biphasic stridor with both suprasternal and intercostal recessions. Oxygen saturation on room air was 94% and temperature was 37.1°. Chest auscultation revealed bilateral equal air entry, though decreased, with transmitted stridor. No lung crepitations were appreciated. Suspicion of unwitnessed foreign body aspiration arose, and a decision of diagnostic rigid bronchoscopy was taken. Rigid bronchoscopy revealed no foreign body along the tracheobronchial tree, but evident circumferential constriction of the lower trachea was noted with tendency of the tracheal wall to collapse upon withdrawal of the bronchoscope. Following recovery, computed tomography with contrast of the neck and chest was done and a vascular ring, consisting of double aortic arch, was found compressing and narrowing the trachea. Further follow up over the following 6 months showed marked improvement of his distress, and active observation was continued. Conclusions Although foreign body aspiration is the commonest cause of stridor in infants and young children, external compression of the trachea, particularly with vascular rings, should be considered in children with otherwise unexplained stridor.

scholarly journals Management of Respiratory Foreign Body- A Twelve Years Experience with 382 Cases

1970 ◽  
pp. 12-16
Author(s):  
Golam Mohiuddin Akbar Chowdhury ◽  
AKM Akramul Haque ◽  
Zillur Rahman ◽  
ARM Luthful Kabir ◽  
Ruhul Amin ◽  
...  
Keyword(s):  
Foreign Body ◽  
Economic Status ◽  
Late Presentation ◽  
Bronchial Tree ◽  
Rigid Bronchoscopy ◽  
Surgical Interventions ◽  
Chest Radiology ◽  
The Right ◽  
Physical Findings ◽  
Central Airway

Objectives: To evaluate the clinico-demographic profile and management of foreign body (FB) aspiration in hospitalized patients. Methodology: This was a retrospective study conducted at the National Institute of Diseases of the Chest and Heart (NIDCH), Dhaka during the period of October 1994 to February 2006. Medical records were used for collection of cases. The diagnosis of FB aspiration was made from documented presenting features, physical findings, investigations of chest radiology, CT scan whenever done and management outcome with rigid bronchoscopy and surgical interventions like bronchotomy or resection surgery. Results: Most of the patients 374 (97.5%) were children up to 15 years of age with the peak age of 1-10 years (81.3%). Males were affected more (63%) than females (37%). The majority of the patients (96%) were from poor socio-economic status. Most of the patients 297 (77.7%) presented early (within 7 days of aspiration) with cough and respiratory distress. There was late (after 7 days up to 12 years) presentation in 85 (22.2%) cases with respiratory complications. FB was found to be radio-opaque in 122 (31.9%) cases on chest imaging. Rigid bronchoscopy was attempted in all cases initially and it was successful to remove FB in 99.6% cases in patients who presented early. But it failed to remove the FB in 49 (57.6%) of cases when the patients presented late. Most of the FBs were of natural in origin 247 (64.6%) and the number of artificial FBs was less 135 (35.3%). FBs found impacted more on the right bronchial tree in 230 (60.2%), followed by left side in 121 (31.6%) and central airway in 31 (8.1%) cases. In failed cases, bronchotomy, lobectomy and pneumonectomy were the other modalities (57.6%) of management. Conclusion: Children of the age group 1-10 years were found most vulnerable for FB aspiration. FB of natural origin were common in our situation. FBs were impacted mostly on the right side. Removal of FB by rigid bronchoscopy was excellent when the patients presented early. Other difficult modalities of management like bronchotomy, lobectomy and pneumonectomy were needed in cases of late presentation. DOI: 10.3329/bjch.v30i1.6177 Bangladesh J Child Health 2006; VOL 30 (1/2/3): 12-16

Reducing the number of rigid bronchoscopies performed in suspected foreign body aspiration cases via the use of chest computed tomography: is it safe? A literature review

2014 ◽  
Vol 129 (S1) ◽  
pp. S1-S7 ◽  
Author(s):  
P Tuckett ◽  
A Cervin
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Gold Standard ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Review Of Literature ◽  
Chest Computed Tomography ◽  
Non Invasive ◽  
Life Threatening ◽  
Sensitivity Specificity

AbstractBackground:Foreign body aspiration is common and potentially life threatening. Although rigid bronchoscopy has the potential for serious complications, it is the ‘gold standard’ of diagnosis. It is used frequently in light of the inaccuracy of clinical examination and chest radiography. Computed tomography is proposed as a non-invasive alternative to rigid bronchoscopy.Objective:This study aimed to evaluate the accuracy and safety of computed tomography used in the diagnosis of suspected foreign body aspiration, and compare this with the current gold standard, in order to examine the possibility of using computed tomography to reduce the number of diagnostic rigid bronchoscopies performed.Method:The study comprised a review of literature published from 1970 to 2013, using the PubMed, Scopus, Web of Knowledge, Embase and Medline electronic databases.Results:The sensitivity for computed tomography ranged between 90 and 100 per cent, with four studies demonstrating 100 per cent sensitivity. Specificity was between 75 and 100 per cent. Radiation exposure doses averaged 2.16 mSv.Conclusion:Computed tomography is a sensitive and specific modality in the diagnosis of foreign body aspiration, and its future use will reduce the number of unnecessary rigid bronchoscopies.

Sign in / Sign up

Export Citation Format

Share Document