Pin Needle Incidence as Foreign Bodies in Tracheobronchial at Emergency Room (ER) of Dr. Soetomo General Academic Hospital Center

Abstract

Background: A tracheobronchial foreign body (FB) is a case often found in children. In the last two decades, there has been an increase in adolescents and adults and in Muslim-majority countries. Objective: The purpose of this study was to describe patients with a pin needle as tracheobronchial FB who went to otorhinolaryngology's Emergency Unit at Dr. Soetomo General Hospital Surabaya. Patients and Methods: Descriptive observations using retrospective data. The data taken from medical records in the Broncho-Esophagology (BE) division of Otorhinolaryngology ER unit at Dr. Soetomo General Hospital, Surabaya. It was taken during the period 2016-2018. The patients were divided into two groups by age, namely group A (≥10 year old) and group B (≤10 year old). Results: Among 40 tracheobronchial foreign bodies, there were 24 patients (60%) with pin needle aspirations; consisting of five male (20.83%) and 19 female (79.17%). The youngest in group A was 2.5 year old (average 5.38 ± 3.25 years, median 4.5 years) and the oldest in group B was nineteen year old (average 14.1 ± 2, 40 years, median fourteen years). All pin needle FB appear on the thorax X-ray (100%). Conclusion:There was an increase in the incidence of pin needle aspiration over the last three decades. Most of the patients were teenage girls. Thorax X-ray provided a good diagnostic imaging. Extraction using rigid bronchoscopy is the first choice treatment of aspirated tracheobronchial pin needle.