scholarly journals Karakteristik pasien benda asing trakeobronkial di bagian T.H.T.K.L Rumah Sakit Dr. Mohammad Hoesin Palembang

2018 ◽  
Vol 47 (2) ◽  
pp. 164
Author(s):  
Puspa Zuleika ◽  
Abla Ghanie
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Tracheobronchial Tree ◽  
Foreign Body Aspiration ◽  
The Body ◽  
X Rays ◽  
X Ray ◽  
Tracheobronchial Foreign Body ◽  
History Of ◽  
Chest X Ray

Latar belakang: Aspirasi benda asing ialah masuknya benda yang berasal dari luar atau dalam tubuh, ke saluran trakeobronkial. Aspirasi benda asing saluran trakeobronkial merupakan keadaan darurat yang memerlukan tindakan bronkoskopi segera untuk mencegah komplikasi yang lebih serius. Tujuan: Mengidentifikasi karakteristik klinis pasien aspirasi benda asing saluran trakeobronkial di bagian Telinga Hidung Tenggorok – Bedah Kepala Leher (T.H.T.K.L) Fakultas Kedokteran Universitas Sriwijaya/ Rumah Sakit Dr. Mohammad Hoesin Palembang. Metode: Penelitian ini merupakan penelitian observasional deskriptif. Sampel penelitian ini diambil dari data rekam medis pasien aspirasi benda asing pada saluran trakeobronkial di Rumah Sakit Dr. Mohammad Hoesin Palembang periode Januari 2012 - Desember 2016. Hasil: Didapatkan 20 pasien dengan riwayat teraspirasi benda asing di saluran trakeobronkial. Dijumpai 9 orang laki-laki dan 11 orang perempuan dengan perbandingan 1:1,2, di mana usia 0-15 tahun merupakan penderita terbanyak aspirasi benda asing ini. Benda asing yang paling banyak ditemukan adalah mainan dan benda plastik sebanyak 9 kasus, serta jarum pentul sebanyak 6 kasus. Sebanyak 19 pasien diketahui terdapat riwayat tersedak benda asing. Pemeriksaan foto toraks menunjukkan gambaran normal pada 12 pasien. Lokasi benda asing terbanyak ditemukan di trakea sebanyak 8 kasus. Kesimpulan: Aspirasi benda asing di saluran trakeobronkial sering terjadi pada anak-anak yang berusia kurang dari 15 tahun. Benda asing terbanyak adalah anorganik berupa mainan dan benda plastik. Pemeriksaan radiologi paru dalam 24 jam pertama setelah kejadian aspirasi pada umumnya menunjukkan gambaran normal. Lokasi benda asing di saluran trakeobronkial terbanyak pada penelitian ini adalah di trakea. Kata kunci: Aspirasi, bronkoskopi, foto toraks, benda asing, traktus trakeobronkial ABSTRACT Background: Foreign body aspiration is the entrance of foreign objects from outside or inside of the body into the tracheobronchial tract. Aspiration of foreign body in tracheobronchial tract is an emergency condition that needs immediate bronchoscopy procedure to prevent serious complications. Objectives: To identify clinical characteristics of foreign body aspiration patients in ENT Department Sriwijaya Medical Faculty / Dr. Mohammad Hoesin Hospital, Palembang. Method: This study was a descriptive observational study. The sample of this study was taken from the medical record of tracheobronchial foreign body aspiration patients at Dr. Mohammad Hoesin Hospital from January 2012 until December 2016. Result: There were twenty patients with the history of foreign body aspiration in tracheobronchial tract, consisted of 9 male and 11 female, with the ratio 1:1,2, in which 0–15 year-old children were the majority of the patients. The most common foreign bodies were toys and plastic objects in 9 cases and head veil pin in 6 cases. Nineteen cases of the patients had the history of choking as presenting symptom. Chest X-Ray showed normal imaging on twelve patients. The most common site in tracheobronchial tract where foreign bodies found was the trachea, in eight cases. Conclusions: Foreign body aspirations in tracheobronchial tract were most frequently happened in children less than 15 year-old. The most common foreign bodies were anorganic material, such as toys and plastic objects. Lung X-Rays on the first 24 hours commonly showed normal imaging. Foreign bodies in tracheobronchial tracts most frequently were found in the trachea. Keywords: Aspirations, bronchoscopy, chest X-Ray, foreign body, tracheobronchial tree

scholarly journals Ekstraksi Benda Asing pada Kavum Nasi Melalui Bronkoskopi

2018 ◽  
Vol 4 (2) ◽  
pp. 45
Author(s):  
Isnu Pradjoko ◽  
Chandra Jaya
Keyword(s):  
Foreign Body ◽  
Nasal Cavity ◽  
Upper Airway ◽  
The United States ◽  
Foreign Body Aspiration ◽  
Lower Airway ◽  
X Ray ◽  
Tracheobronchial Foreign Body ◽  
Chest X Ray ◽  
The Right

Background: Aspiration of a tracheobronchial foreign body is a serious and fatal event. Progress in terms of prevention, first aid, and endoscopic technology, caused a decline of almost 20% of deaths from foreign body aspiration that occurred in the United States. Statistically, the percentage of foreign body aspirations based on their respective location is: 5% hypopharynx, 12% larynx-trachea, and 83% bronchus. Most cases of foreign body aspiration occur in children aged <15 years old; about 75% of foreign body aspirations occur in children aged 1-3 years. The female-to-male ratio is 1.4:1. Case: A 11-year-old boy swallowed needles while playing flashlight about 2 hours before coming to Pulmonary Emergency Room of Dr. Soetomo General Hospital. Discussion: Chest X-ray examination found a shadow of metal density projected in the right lung. Fiber optic bronchoscopy (FOB) was performed for diagnostic and therapeutic indication to see the presence of a foreign body in the airway and remove the foreign body, but failed. When the needle was extracted, the patient coughed that the needle bounces to the supramaxilla area. FOB with nasal cavity approach successfully extracted the corpus alienum. Conclusion: Corpus alienum of airway sometimes is difficult to extract. FOB with nasal cavity approach can be done to manage corpus alienum in the upper airway that moved from lower airway when FOB was performed.

scholarly journals A Case of Whistle as Foreign Body in Trachea

2021 ◽  
Vol 6 (1) ◽  
pp. 1281-1286
Author(s):  
Puspa Zuleika
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Pediatric Patients ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Foreign Object ◽  
Case Presentation ◽  
Foreign Body Extraction ◽  
Tracheobronchial Foreign Body ◽  
History Of

Background. Most of foreign body aspiration cases are found in children under the age of fifteen. Pediatric patients often presents with non-food foreign body aspiration, such as toys. The most common clinical manifestation are history of choking following foreign object insertion into the mouth (85%), paroxysmal cough (59%), wheezing (57%) and airway obstruction (5%). Case presentation. Main principle of airway foreign body extraction is to do it immediately in the most optimal condition with slightest possible trauma. Rigid bronchoscopy is a suitable choice for tracheal foreign body extraction. We reported a case of seven years old male with tracheal foreign body presented with history of whistle ingestion five hours prior to admission. This patient was discharged from hospital after third days of rigid bronchoscopy procedure. Conclusion. History of foreign body aspiration in children should be suspected as a tracheobronchial foreign body. Rigid bronchoscopy is preferred to extract foreign bodies present in the trachea. The prognosis for tracheobronchial foreign body aspiration is good if the foreign body is treated early and without complications.

Radiological diagnosis of aspirated foreign bodies in children: Review of 343 cases

1990 ◽  
Vol 104 (10) ◽  
pp. 778-782 ◽  
Author(s):  
Liancai Mu ◽  
Deqiang Sun ◽  
Ping He
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Correct Diagnosis ◽  
X Rays ◽  
Endoscopic Removal ◽  
X Ray ◽  
Abnormal Chest ◽  
Mediastinal Shift ◽  
Plain Chest ◽  
Chest X Ray

AbstractIn our series of 400 Chinese children with foreign body aspiration (FBA),343 cases were evaluated by fluoroscopy and/or plain chest X-rays before endoscopic removal of the foreign bodies. The majority of the foreign bodies (FBs) were organic (378/400, 94.5 per cent). The results showed that mainstem bronchial foreign bodies were diagnosed correctly in 68 per centof cases compared with 65 per cent correct diagnoses with segmental bronchial foreign bodies, but only 22 per cent correct diagnoses with tracheal, and 0 per cent correct diagnosis in those with laryngeal foreign bodies. Eighty per cent (32/40) of the children with laryngotracheal FBs had normal X-ray findings, whereas 67.7 per cent (205/303) of the children with bronchial FBs had abnormal chest X-ray findings. The most common positive radiological signs in the children with tracheobronchial FBs were obstructive emphysema (131/213, 62 per cent) and mediastinal shift (117/213, 55 percent). The incidence of major complications was related not only to the size of the foreign body and its location but also the duration since aspiration. The most common types of bronchial obstructions by airway FBs are discussed.

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 Unusual case of nail in lung

2017 ◽  
Vol 4 (6) ◽  
pp. 1709
Author(s):  
Ashok P. Arbat ◽  
Sameer A. Arbat ◽  
Meenakshi S. Ghadge ◽  
Jayshree J. Upadhye
Keyword(s):  
Informed Consent ◽  
Foreign Body ◽  
Unusual Case ◽  
Age Groups ◽  
Foreign Body Aspiration ◽  
External Diameter ◽  
Lower Zone ◽  
X Ray ◽  
Tracheobronchial Foreign Body ◽  
History Of

Tracheobronchial foreign body aspiration is a health problem that can be seen in all age groups, and it requires urgent diagnosis and intervention. We report an unusual case of nail in lung. 45 years old male was referred to us with history of aspiration of nail 2 Days back and cough. X-ray Chest PA view showed radio-opaque foreign body in right lung-lower zone. Patient had undergone bronchoscopy 2 days ago with report stating, “Normal study; No foreign body Seen” Counselling of the patient and relatives was done. Informed consent was taken. Under general anaesthesia with intubation, fluoroscopy guided video bronchoscopy was performed with external diameter 5.6mm and working channel 2mm. Foreign body was localized and removed It’s an innovative technique with multi-disciplinary approach. Counselling of the patient and relatives is important. 

scholarly journals UTILITY OF CLINICAL AND RADIOLOGICAL SIGNS IN AIRWAY FOREIGNBODIES

2019 ◽  
Vol 3 (5) ◽  
Author(s):  
Deepchand . ◽  
Pooja D Nayak ◽  
Vivek Samor ◽  
Ramchandra Bishnoi
Keyword(s):  
Foreign Body ◽  
Physical Examination ◽  
Chest Radiograph ◽  
Gold Standard ◽  
Foreign Body Aspiration ◽  
X Ray ◽  
History Of ◽  
Chest X Ray ◽  
Grave Problem ◽  
Delays In Diagnosis

Background: Foreign Body Aspiration (FBA) is a grave problem in children and delays in diagnosis and management can be devastating. The history is very often vague, with subtle physical and chest radiograph abnormalities Aim: To assess the diagnostic accuracy of the triad: history of chocking, unilateral reduction in air entry to lungs, unilateral hyperinflation or collapse on chest X-ray. Results: In our study sensitivity of history of chocking in detection of FB was 80.47%, specificity was 20.45%. Sensitivity of examination finding of unilateral decrease in air entry to lungs in detection of FB was 71.59%%, specificity was 4.545%.  Sensitivity and specificity of chest radiograph in detection of FB was 54.43% and 47.72% respectively. When the triad of history of chocking, decreased air entry on examination and chest radiograph finding of hyperinflation or collapse was considered in detection of FB in airway sensitivity was 59.76% while specificity was 79.54%. Conclusion: Bronchoscopy is a gold standard in diagnosis of FBA. History, physical examination and radiologic studies have a very low specificity in detection of FBA. The triad of history of chocking, decreased air entry on examination and chest radiograph finding of hyperinflation or collapse has a better specificity in detection of FBA than individual parameters.

scholarly journals Case Report: Diagnosis and Management of Pin-Headscarf at The Bronchial Segment In RSUP Dr. M Djamil Padang

2021 ◽  
Vol 7 (3) ◽  
pp. 125
Author(s):  
Wahyu Julianda ◽  
Ade Asyari
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Thoracic Surgery ◽  
Foreign Bodies ◽  
Lower Lobe ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
X Ray ◽  
Video Assisted Thoracic Surgery ◽  
Chest X Ray

Introduction: Foreign body aspiration into the airway is a common case in children. Scarf pin aspiration often occurs in women who wear the hijab. A bronchoscopy is an option in the management of foreign body aspiration cases. However, other treatments such as thoracotomy can be considered, if the management of foreign body aspiration fails using rigid bronchoscopy. Case Report: Reported one case of a 12-year-old girl who complained of inhaling scarf pin 1 day before being admitted to hospital. Chest X-ray found radiopaque foreign body projection as high as spatium intercostal V with right lower lobe projection. The patient was diagnosed with foreign body pin scarf et right bronchus and was treated with a rigid bronchoscopy but it was not successfully extracted, one and a half months later the patient was performed Video-assisted thoracic surgery but failed to re-extract, then the foreign bodies were successfully extracted after the thoracotomy. Conclusion: Migration of pins into the bronchial segments as high as spatium intercostal V projections right lower lobe and left lower lobe will be difficult to locate and extract with rigid bronchoscopy. Thoracotomy is further management for scarf pin aspiration that fails to be treated by rigid bronchoscopy. Keywords: foreign body, scarf pin, bronchoscopy, segment bronchi, thoracotomy

scholarly journals Complications of tracheobronchial foreign body aspiration in children: report of 5 cases and review of the literature

2002 ◽  
Vol 57 (3) ◽  
pp. 108-111 ◽  
Author(s):  
Cláudio Flauzino de Oliveira ◽  
João Fernando Lourenço de Almeida ◽  
Eduardo Juan Troster ◽  
Flavio Adolfo Costa Vaz
Keyword(s):  
Foreign Body ◽  
Causes Of Death ◽  
Foreign Bodies ◽  
Early Recognition ◽  
Tracheobronchial Tree ◽  
Foreign Body Aspiration ◽  
Foreign Material ◽  
Acute Complications ◽  
Tracheobronchial Foreign Body ◽  
Successful Removal

Foreign body aspiration (FBA) is one of leading causes of death in children, especially among those younger than 3 years of age. The inhalation of a foreign body may cause a wide variety of symptoms, and early diagnosis is highly associated with the successful removal of the inhaled foreign material. Despite the great advances in endoscopic procedures and anesthesia, a large number of difficulties and complications still result from foreign body aspiration. We describe 5 cases of serious acute complications following aspiration of foreign bodies that became lodged in the tracheobronchial tree, including pneumomediastinum, pneumothorax, total atelectasis, foreign body dislodgment, and need for thoracotomy in children admitted into our intensive care unit in 1999 and 2000; these were all situations that could have been prevented with early recognition and prompt therapeutic intervention.

FOREIGN BODY ASPIRATION IN CHILDREN: RADIOLOGICAL EVALUATION OF PREOPERATIVE CHEST X-RAY

2021 ◽  
Vol 24 (04) ◽  
Author(s):  
Rasha Nadeem Ahmed ◽  
Bassam Khaleel Al-abbasi ◽  
Nashwan M-Al Hafidh
Keyword(s):  
Foreign Body ◽  
Foreign Body Aspiration ◽  
Radiological Evaluation ◽  
X Ray ◽  
Chest X Ray ◽  
Preoperative Chest

Respiratory disease in foreign body aspiration in children

1927 ◽  
Vol 23 (11) ◽  
pp. 1145-1150
Author(s):  
G. M. Lopatin
Keyword(s):  
Foreign Body ◽  
Respiratory Tract ◽  
Respiratory Disease ◽  
Foreign Bodies ◽  
Foreign Body Aspiration ◽  
The Body ◽  
Different Parts

Aspiration of foreign bodies into the windpipe usually results in respiratory damage. This lesion may be of varying intensity and may be localized in different parts of the respiratory tract or lungs. Both the intensity and the localization of the lesion may depend on a number of reasons and above all on the location of the foreign body and its type, but also on the constitutional characteristics of the body and on many other causes. Aspirated foreign bodies are found in the trachea or larynx and almost as often in the bronchi.

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