Foreign Bodies in the Lower Respiratory Tract

1967 ◽  
Vol 63 (sup224) ◽  
pp. 429-430 ◽  
Author(s):  
Erik Teig ◽  
Hans E. Grønås
1967 ◽  
Vol 63 (sup224) ◽  
pp. 423-428 ◽  
Author(s):  
E. A. Vaheri ◽  
T. Tammisto ◽  
L. Tarkkanen

2015 ◽  
Vol 11 (3) ◽  
pp. 18
Author(s):  
T. Avramov ◽  
P. Perenovska ◽  
M. Tsekova-Chernopolska ◽  
E. Naseva ◽  
Tz. Tsolov

New Medicine ◽  
2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Irina Drogobytska ◽  
Maciej Pilch ◽  
Lidia Zawadzka-Głos

Introduction. Foreign bodies in lower respiratory tract for many years are big challenge for otolaryngologists. These objects could present variability of clinical symptoms. Increase of infection and mortality due to delay of accurate diagnosis. Interview is the most important part of examination of patient with suspected foreign body in airways. Any suspicion of aspiration is qualification to diagnostic bronchoscopy. Aim. This paper refers occurrence assessment, clinical course, diagnostic process and treatment of the pediatric patients with suspected foreign body in lower respiratory tract hospitalized in referral Academic Department of Pediatric Otolaryngology. Material and methods. Retrospective analysis of 74 patients with suspected foreign body in lower respiratory tract, who were hospitalized in Clinical Department of Pediatric Otolaryngology in Warsaw Medical University in 2016-2018. Analysis includes demographic data, occurrence frequency, localization and the type of foreign body, diagnostic process and treatment. Results. This study includes 42 boys (57%) and 32 girls (43%) in age of 8 months to 16-year-old. The episode of choking occurs in interview in 71 patients (96%). Foreign bodies in lower respiratory tract were confirmed and evacuated in bronchoscopy procedure in 44 cases (59.5%). In 30 cases (40.5%) there were any foreign body in airways. The most common group of patients admitted to Clinic with suspected foreign body in airways was children in age between 1 to 3-year-old, which accounted for 22 cases (50%). Coughing was the most commonly reported symptom (54.5%), wheezing (27.5%) and dyspnea (15.9%). Twenty-three patients were presenting wheezing and whirring in physical examination. Air trap found in thorax x-ray were in 22 patients (45%). The right main bronchus was the most common place of foreign body retention – 22 patients (50%). The organic foreign bodies were in 32 cases (72.7%) and non-organic in 12 (27.3%). The nuts were the most common foreign body aspirated to airways. Conclusions. Foreign body aspiration should be suspected in every patient, not only those with choking episode but also with patients who presents ambiguous change in physical examination and x-ray scan. In pediatric patient with suspected foreign body in lower respiratory tract, in every time the bronchoscopy is needed to be done, even in patients with no abnormalities in physical examination and x-ray scan.


2019 ◽  
Vol XXIV (141) ◽  
pp. 40-48
Author(s):  
Ana Paula F. R. Loureiro ◽  
Raquel C. S. Siqueira ◽  
Andrei Kelliton Fabretti ◽  
Victor Furlan ◽  
Winni Alves Ladeia ◽  
...  

Pyothorax is the accumulation of exudade in the pleural cavity. Affected patients are often presented with acute dyspnea. We report a case of pyothorax associated with the presence of a bone fragment in the lower respiratory tract of an adult domestic cat. We presume that the bone fragment reached the respiratory tract by either aspiration or migration from the abdominal cavity. The patient presented abdominal distension and acute dyspnea. Bloodwork revealed neutrophilic leukocytosis with left shift and lymphocytosis. Thoracic fluid analysis confirmed septic exudate. The patient was unresponsive to the treatment and died within 24 hours of admission. Necropsy revealed the presence of a bone fragment in the lower respiratory tract. We suggest that foreign bodies should be considered as a rule-out cause of pyothorax and sepsis in domestic cats.


2003 ◽  
Vol 117 (2) ◽  
pp. 143-144 ◽  
Author(s):  
W. V. Jesudason ◽  
D. A. Luff ◽  
M. P. Rothera

Aspiration of a foreign body is a recognized cause of accidental death in children. Paediatricians are aware of the symptoms of inhaled foreign bodies in the lower respiratory tract. However, symptoms which suggest impaction in the larynx do not appear to raise the same index of suspicion of a foreign body. One case of laryngeal foreign body is described with a delay in diagnosis of five days. The clinical presentation, investigations and management are discussed.


2006 ◽  
Vol 70 (11) ◽  
pp. 1949-1955 ◽  
Author(s):  
I. Rouillon ◽  
J.B. Charrier ◽  
D. Devictor ◽  
F. Portier ◽  
I. Kerurien Lebret ◽  
...  

2009 ◽  
Vol 56 (3) ◽  
pp. 127-130 ◽  
Author(s):  
A.B. Ugrinovic ◽  
V.B. Djukic ◽  
Lj.V. Erdevicki ◽  
S.D. Arsenijevic ◽  
J.P. Milovanovic ◽  
...  

Aspiration of foreign bodies of the lower respiratory tract is the most common cause of accidental death in children under 6 years of age in the United States. The aim of the study was to actualize the problem of foreign bodies in modern society, to determine the most common types of foreign body, who and why usually aspires foreign body, whether the incidence is changing, and to define principles for optimal prevention. During our five-year study, we had 166 cases of aspiration of foreign bodies of the lower respiratory tract. The incidence is highest in children under three years of age (54.8%). Cough (94.6%) and breathing difficulties (78.9%) were the dominated symptoms. The majority of aspirated objects were grain (peanuts, walnuts, sunflower seeds) - 29.5%. Localization of foreign bodies was mainly in the right and left main bronchus, and the most common complications were atelectasis and emphysema. All patients had undergone a rigid upper tracheobronchoscopy and foreign body was found in 80 patients (48%). There was no need to perform neither tracheotomy, nor any further surgical treatment, as for example thoracotomy, in any patient. Good education is the best prevention.


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