scholarly journals A Cause of Asthma Misdiagnosis: Foreign Body Aspiration That Allows Air Passage Through

2021 ◽  
Author(s):  
Zeynep Reyhan Onay ◽  
Yetkin Ayhan ◽  
Nilay Baş İkizoğlu ◽  
Ersan Uzun ◽  
Gülay Bilgin ◽  
...  
Keyword(s):  
Foreign Body ◽  
Fiber Optic ◽  
Main Bronchus ◽  
Foreign Body Aspiration ◽  
Asthma Treatment ◽  
Left Main ◽  
Threatening Condition ◽  
Life Threatening ◽  
History Of ◽  
Air Passage

Foreign body aspiration is a life-threatening condition in childhood. Clinical and radiological diagnosis may be delayed in cases in which foreign body has a lumen and allows the air passage through and is also misdiagnosed as asthma or chronic cough. The delay in the diagnosis can cause morbidity and mortality. We have reported the case of an 11-year-old boy with foreign body aspiration who has been treated as asthma. His dry cough could not be controlled with the asthma treatment. He had swallowed a piece of pipette before the coughing started. Fiber optic bronchoscopy was applied. The piece of pipette was seen in the left main bronchus which allowed the air passage through its lumen. After the removal, his complaints disappeared. In conclusion, the patients with a history of aspiration and without signs of lateralization in physical or radiological examinations should be evaluated by fiber optic bronchoscopy in terms of foreign body aspiration.

scholarly journals Foreign Body Aspiration in Dentistry

2021 ◽  
pp. 8-14
Author(s):  
Drishti Dixit ◽  
Amit Reche ◽  
Kumar Gaurav Chabra ◽  
Priyanka Paul Madhu ◽  
Anura Saher Raza
Keyword(s):  
Foreign Body ◽  
Standard Operating Procedure ◽  
Foreign Body Aspiration ◽  
Careful Study ◽  
Age Group ◽  
Aged Patients ◽  
Age Related ◽  
Threatening Condition ◽  
Foreign Body Extraction ◽  
Life Threatening

Background: The foreign body aspiration is very common while performing a dental procedure. Most of the patients are from lower age group as these group of people have high amount of sugar and starch containing diet which is not good for the oral health. But it is not limited to them and several aged patients are also victim of foreign body aspiration. Summary: Foreign bodies can be anything from cloth dam, barrier techniques itself to broken tooth. Due to age related delayed gag reflex and impact of anesthesia can be possible reasons behind the foreign body aspiration. Pulmonary aspiration is a serious cause of concern and cannot be neglected. It can go unnoticed which can brought to cognizance after careful study and observation of the radiographs. Endoscopic procedures are used to locate and extract the foreign body from the lungs. Conclusion: Proper guidelines regarding the extraction of foreign body extraction and identification must be followed as it is life threatening condition. Vulnerable age group must be treated with extra caution and every chance of mistake must be covered. Standard operating procedure must be strictly adhered to in order rot have maximum accuracy.

scholarly journals BEAD; A DIFFICULT TRACHEOBRONCHIAL FOREIGN BODY TO RETRIEVE; BRONCHOSCOPIST PERSPECTIVE.

1969 ◽  
Vol 4 (1) ◽  
pp. 404-408
Author(s):  
ADNAN ◽  
M. RIAZ AFRIDI ◽  
M. SAEED ◽  
METHEW K JOSEPH ◽  
M. JAVAID ◽  
...  
Keyword(s):  
Foreign Body ◽  
Fiber Optic ◽  
Main Bronchus ◽  
Tracheobronchial Tree ◽  
Clinical Findings ◽  
Western World ◽  
Left Main ◽  
Female Age ◽  
Tracheobronchial Foreign Body ◽  
Tracheobroncheal Tree

To know the efficacy of different instruments in retrieval of bead from tracheobronchial tree.BACKGROUND: Bead is uncommon object in western world and therefore rarely recorded as aforeign body in tracheobronchial tree. No specific instrument being named for its retrieval. Our studyfocuses on different instruments we used and its outcome.MATERIAL AND METHODS: This was retrospective study of foreign body bead impaction intracheobronchial tree. All patients subjected to bronchoscopy with definite clinical findings of beadimpaction on radiology or bronchoscopic examination were recorded, with different instruments used. Inall cases Karlstorz rigid bronchoscopes of size 3.0 to 5.0 with fiber optic light used. Long bronchoscopicscrew forceps, malleable forceps. Large nasal killian forceps was used after tracheostomy in some cases.Study period: 1st January 2008 to December 2012.Site: ENT A unit Hayatabad Medical Complex Peshawar.RESULTS: In our study of 3 years 32 cases were recorded with bead impaction in tracheobronchealtree. 21(65.62%) were male and 11 (34.37%) female. Age ranges below 1 year was 1 (3%) case,between lyear and 2 years 6 (18.75%) cases, 2 years to 3 years 21(65.62%) and 3 years and above 4(12.5%) cases recorded. 21(65.62%) beads were retrieved with malleable forceps, 8 (25%) with longscrew forceps, 1 (3%) after tracheostomy with long killan nasal forceps and 2 (6.25%) impacted beadswere referred to cardiothoracic department for thoracotomy. 3 (9.37%) beads were impacted in maintrachea, 19 (59.53%) in right main bronchus and 10 (31.25%) in left main bronchus.CONCLUSION: Bead is one of the difficult foreign body tracheobroncheal tree and needs specialinstruments for its removal.KEY WORDS: Beeds, Boronchoscopy,

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 Dentures that keeps airway patent: a case report

2020 ◽  
Vol 6 (2) ◽  
pp. 394
Author(s):  
Siti F. A. Razak ◽  
Stacy A. Jamarun ◽  
Siti H. Sanudin
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Foreign Body Aspiration ◽  
Main Complaint ◽  
Vehicle Accident ◽  
Threatening Condition ◽  
Life Threatening ◽  
High Index Of Suspicion

<p class="abstract">Foreign body aspiration is a life-threatening condition that requires immediate attention and intervention. Foreign body aspiration in adults usually occurs during dental procedure or motor vehicle trauma. Classical symptoms include choking, cough, haemoptysis, hoarseness or stridor. This case report presents an incident of a foreign body lodged at the subglottic region in an adult wearing dental prosthesis; the main complaint was hoarseness post motor vehicle accident. High index of suspicion coupled with correct investigation will facilitate the diagnosis of a foreign body in the airway thus immediate intervention can be taken to prevent morbidity and mortality.</p>

scholarly journals Foreign Body Aspiration in Pregnancy

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Andrew L. Atkinson ◽  
Joseph Canterino
Keyword(s):  
Foreign Body ◽  
Foreign Body Aspiration ◽  
Morbidly Obese ◽  
Foreign Object ◽  
Left Main ◽  
Main Stem Bronchus ◽  
Lung Lobectomy ◽  
Lower Lung ◽  
History Of ◽  
Left Main Stem Bronchus

A 24-year-old morbidly obese African American gravida 1, with a history of severe asthma complicated by multiple inpatient admissions, presents at 30 weeks gestation with a foreign body in her left main stem bronchus. After a failed bronchoscopy postpartum, the patient slipped into respiratory failure and was subsequently intubated, spending two weeks in the intensive care unit. After two more attempts of trying to retrieve the foreign object from her lung via bronchoscopy, she eventually contracted a postobstructive pneumonia and underwent a left lower lung lobectomy for curative treatment.

scholarly journals The Management of Near-Fatal Hemoptysis with Left Secondary Carinal Y Stent

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Levent Dalar ◽  
Cengiz Özdemir ◽  
Sinem Sökücü ◽  
Levent Karasulu ◽  
Sedat Altın
Keyword(s):  
Main Bronchus ◽  
Fiberoptic Bronchoscopy ◽  
Rigid Bronchoscopy ◽  
Left Main Bronchus ◽  
Massive Hemoptysis ◽  
Left Main ◽  
Threatening Condition ◽  
Life Threatening ◽  
Successful Control ◽  
Submucosal Infiltration

Massive hemoptysis can be a life threatening condition and needs urgent treatment in lung cancer. In the fiberoptic bronchoscopy of a fifty-two-year-old who was admitted with hemoptysis, left upper lobe upper division orifice was seen totally obstructed with a submucosal infiltration. One hour after the mucosal biopsies, massive hemoptysis occurred. Urgent rigid bronchoscopy was performed. The left main bronchus was occluded by sterile gauze. After cleaning of the coagulum patient was intubated and charged to intensive care unit. The next day, rigid bronchoscopy was repeated and the bleeding was observed to continue from the left upper lobe. Removing the gauze, 14 × 10 × 10 mm silicon Y stent was inserted in the left main bronchus after adjustments were made. Bleeding was stopped after insertion of the stent and patient could be extubated. In this case a successful control of hemoptysis was sustained after insertion of a customized silicon stent was presented.

scholarly journals Scarf pin-related hijab syndrome: A new name for an unusual type of foreign body aspiration

2017 ◽  
Vol 45 (6) ◽  
pp. 2078-2084 ◽  
Author(s):  
Aram Baram ◽  
Fahmi H. Kakamad ◽  
Delan Ahmed Bakir
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Main Bronchus ◽  
Distinct Group ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Management Algorithm ◽  
History Of ◽  
Unusual Type

Background Foreign body aspiration refers to the inhalation of an object into the respiratory system and is a serious and potentially fatal event. A distinct group of patients has recently been recognized among Muslim nations. These patients include women who wear headscarves and place the safety pin in their mouth prior to securing the veils, leading to accidental foreign body aspiration. The aim of this study was to analyze the main presentation, diagnosis, treatment, and outcome of patients with scarf pin aspiration. Methods This prospective study involved patients with a history of scarf pin aspiration admitted to a single center during an 18-month period. Their main presentation, diagnosis, treatment, and outcome were analyzed. Results In total, 27 patients were included. The needle was extracted by flexible bronchoscopy in 12 (44.4%) patients, rigid bronchoscopy in 13 (48.1%), and thoracotomy in 2 (74%). One patient died during rigid bronchoscopy. All remaining 26 patients were satisfied with the postsurgical outcome at a mean follow-up of 1 week. Conclusions Scarf pin aspiration differs from other types of foreign body aspiration considering the specific population affected, and its management algorithm may thus differ from that of other foreign bodies. The left main bronchus is the most common site of pin impaction. Rigid bronchoscopy is the most commonly performed procedure for successful retrieval.

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 Emergency left pneumonectomy for foreign body aspiration: a case report

2019 ◽  
Vol 2019 (9) ◽  
Author(s):  
Yoko Amano ◽  
Yusuke Takanashi ◽  
Hiroshi Neyatani
Keyword(s):  
Foreign Body ◽  
Main Bronchus ◽  
Large Diameter ◽  
Delayed Diagnosis ◽  
Foreign Body Aspiration ◽  
Left Main Bronchus ◽  
Left Main ◽  
Surgical Interventions ◽  
Major Factors ◽  
Left Pneumonectomy

Abstract Bronchoscopic extraction is the most common treatment of foreign body aspiration. However, surgical interventions are required in cases wherein bronchoscopic extraction is difficult, with the most frequent surgical strategy being bronchotomy or lobectomy. Herein, we report a case of foreign body aspiration wherein left pneumonectomy was inevitable because of a molar incarcerated in the left main bronchus. The large diameter of the foreign body and delayed diagnosis that causes granulomatous hyperplasia are considered to be major factors of requiring high invasive surgery.

scholarly journals Repeated Synchronous Aspiration and Ingestion of a Sharp Metallic Foreign Body in a Mentally Disabled Adolescent

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Dragan Subotic ◽  
Nikola Atanasijadis ◽  
Dejan Moskovljevic ◽  
Dragana Asujic
Keyword(s):  
Foreign Body ◽  
Main Bronchus ◽  
Rigid Bronchoscopy ◽  
Metallic Foreign Body ◽  
Surgical Team ◽  
Descending Aorta ◽  
Mentally Disabled ◽  
Airway Injury ◽  
Threatening Condition ◽  
Life Threatening

In a mentally disabled adolescent, bronchoscopic extraction failure of a metallic foreign body from the left main bronchus was followed by mediastinal emphysema. At thoracotomy, a part of the metallic hook was found to protrude through the main bronchus, just by the descending aorta. The foreign body was removed and the bronchus sutured. After the thoracotomy closure, laparotomy was performed with removal of metallic pieces from the stomach. After three years, a repeated metallic foreign body aspiration as confirmed by the chest radiography ensued, with metallic pieces in the bowels as well. With the surgical team on site, rigid bronchoscopy was done and the foreign body extracted from the intermediate bronchus. Metallic pieces left the digestive tract spontaneously after a few days. In conclusion, the appropriate preoperative workup and timing for surgery are essential for the treatment outcome of this life-threatening condition; because of the high likelihood of the major airway injury, such procedures should be done with a surgical team available whenever possible.

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