Author:
Ma Weijun,Hu Juan,Yang Miaoli,Yang Yeye,Xu Min
Abstract
Abstract
Background
Flexible fiberoptic bronchoscopy is a rapid, cost effective and safe procedure.
Aim
To analyze demographic information and endoscopic findings in adult patients with airway foreign body aspiration and its removal.
Methods
Fifty-seven adults (40 males, 17 females; average age 40 years old) with airway foreign body aspiration were analyzed. Cough (37, 65%) was the most common clinical presentation. The most common foreign body was bone followed by dental prosthesis and food debris.
Results
In the current study, 42 out of the 57 (74%) airway foreign bodies were successfully removed under flexible fiberoptic bronchoscopy. However, it was failed in 15 patients and thus, rigid bronchoscopy was used to remove foreign bodies successfully in 13 of the 15 patients. Thoracotomy was performed for the 2 patients whose foreign body removal was unsuccessful even with rigid bronchoscopy.
Conclusion
The findings of the current study revealed that flexible fiberoptic bronchoscopy is a safe and effective procedure for the removal of adult airway foreign bodies in the majority of cases. Rigid bronchoscopy can be a backup procedure in case flexible bronchoscopy is failed.
Funder
Xi’an Science and Technology Program
Shaanxi social development of science and technology research project
Second Affiliated Hospital of Xi`an Jiaotong University KeJiXinMiao Fund
Publisher
Springer Science and Business Media LLC
Reference21 articles.
1. Mallick MS. Tracheobronchial foreign body aspiration in children: a continuing diagnostic challenge. Afr J Paediatr Surg. 2014;11(3):225–8.
2. Zubairi AB, Haque AS, Husain SJ, Khan JA. Foreign body aspiration in adults. Singap Med J. 2006;47(5):415–8.
3. Mise K, Jurcev Savicevic A, Pavlov N, Jankovic S. Removal of tracheobronchial foreign bodies in adults using flexible bronchoscopy: experience 1995-2006. Surg Endosc. 2009;23(6):1360–4.
4. Sehgal IS, Dhooria S, Ram B, et al. Foreign body inhalation in the adult population: experience of 25,998 bronchoscopies and systematic review of the literature. Respir Care. 2015;60(10):1438–48.
5. Wu TH, Cheng YL, Tzao C, Chang H, Hsieh CM, Lee SC. Longstanding tracheobronchial foreign body in an adult. Respir Care. 2012;57(5):808–10.
Cited by
21 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献