Foreign Body Aspiration in Adult: Analysis of 28 Cases

Abstract

Objective: The aim of our study is to discuss our experience with foreign body aspirations in our Interventional Pulmonology Unit. Methods:Patients who were referred to our Interventional Pulmonology Unit between January 2008 to November 2014 for foreign body aspiration and whom foreign body was sentential by intervention were included. Data were used from a retrospective analysis. Results:From the 28 patients, 64.3% of them were women and mean age of the patients were 43.5±21.54 years. Most common presenting symptom was cough (96.3%). Half of the patients were presented in 24 hours after the procedure. From the 5 patients that have undergone diagnostic broncoscopy by fiberoptic bronchoscope, foreign body was removed in 3 of them. Rigid bronchoscopy was done in 25 (89.3%) of the patients. In 3 of the patients foreign body cannot be detected by bronchoscopy and removed by surgery. 67.9% of the foreign bodies that were removed were inorganic in nature. Conclusion:Bronchoscopic approaches are effective to decrease mortality and morbidity for the diagnosis and treatment of foreign body aspirations in adults. Rigid bronchoscopic approach should be the first choice in foreign body aspirations but fiberoptic bronchoscopy can also be used in selective cases by experienced physicians.

Laryngo-tracheo-bronchial foreign bodies: epidemiological, diagnostic and therapeutic aspects

“…Radio-opaque FB accounted for 47.62% of the cases in our study, most authors report similar radiological results. 3,14 For radiolucent FB, several indirect signs point to their presence: pulmonary atelectasis, lung abscess, polycystic lung appearance, pulmonary emphysema, systematized opacities, alveolar or white lung images. 2,9,10,[13][14][15][16][17] An indirect radiological sign should alert any clinician to the presence of an unknown bronchial FB.…”

“…3,14 For radiolucent FB, several indirect signs point to their presence: pulmonary atelectasis, lung abscess, polycystic lung appearance, pulmonary emphysema, systematized opacities, alveolar or white lung images. 2,9,10,[13][14][15][16][17] An indirect radiological sign should alert any clinician to the presence of an unknown bronchial FB. CT would be of paramount importance in front of this foreign radiolucent FB, unfortunately it is rarely indicated except in case of endoscopic failure or in anticipation of thoracic surgery.…”

“…CT would be of paramount importance in front of this foreign radiolucent FB, unfortunately it is rarely indicated except in case of endoscopic failure or in anticipation of thoracic surgery. [13][14][15][16][17] The type of endoscopic intervention depends on the headquarters of the FB. Rigid tube bronchoscopy is the preferred mode of extraction for tracheobronchial FB.…”

“…The thin, lamellar character of the fish bones explains their laryngeal location. 14 The small size, the body weight associated with an anatomical situation of the right bronchus, explains the predominance of the right bronchial location. 21,22 We report twelve patients (21.32%) whose hospital stay was between 8 and 15 days.…”

INTERACTIVE CASE REPORT: A Case of Foreign Body Aspiration Diagnosed in Early Adulthood

“…Symptoms may vary depending on the size and location of the foreign body. Complete obstruction of the major airways may cause acute respiratory failure and asphyxia, whereas cough, hemoptysis, and dyspnea are seen in distally located cases (2). A history of aspiration Hava yollarına yabancı cisim aspire edilmesi daha çok çocukluk döneminde ve genellikle de üç yaş altında görülmektedir.…”