Removal of Foreign Bodies (Two Teeth) by Fiberoptic. Bronchoscopy

Fieselmann, John F.; Zavala, Donald C.; Keim, Lon W.

doi:10.1378/chest.72.2.241

Cited by 39 publications

(16 citation statements)

References 4 publications

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“…Usually a single bronchoscopy is sufficient. Articles dating from the 1970s stress the ease of using the flexible bronchoscope, reducing cost and minimizing patient discomfort compared with rigid bronchoscopy 2,11–13 14–16 as attempted on only one occasion, failed to remove a small stone.…”

Section: Discussionmentioning

confidence: 99%

Endobronchial foreign bodies in Vietnamese adults are related to eating habits

Nguyen¹,

Nguyen²,

Tran³

et al. 2010

Respirology

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Section: Discussionmentioning

confidence: 99%

Endobronchial foreign bodies in Vietnamese adults are related to eating habits

Nguyen¹,

Nguyen²,

Tran³

et al. 2010

Respirology

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“…This may be related to the location and type of the foreign body, the experience of the bronchoscopist and the availability of appropriate instruments. Although there are many reports of removing other foreign bodies by using FB [1,17,18,19], there are few reports of removing pins by FB [3, 4, 12]. Moreover, the few reported studies contain insufficient information on the key aspects of foreign body removal by using FB.…”

Section: Introductionmentioning

confidence: 99%

Extraction of Pins from the Airway with Flexible Bronchoscopy

2007

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Background: Tracheobronchial foreign body aspiration is a worldwide health problem which often results in life threatening complications. Standard flexible bronchoscopy (FB) is used increasingly in the treatment of tracheobronchial foreign body aspiration in adults and older children, especially in the removal of aspirated foreign bodies which have entered into the peripheral bronchi. Objectives: In the present study, we discuss how to minimize complications and increase the success rate of FB in the aspiration of pins, and recommend techniques to facilitate the application. Methods: The study was performed at a community hospital in Van, the Harran University Hospital in Sanliurfa and the Sutcuimam University Hospital in Kahramanmaras, Turkey. Between 2000 and 2005, 23 female patients between the ages of 12 and 23, who were admitted to the clinics and diagnosed as having tracheobronchial headscarf pin aspirations were included in our study to evaluate the efficiency of FB. Diagnosis of the patients was established by history, FB and radiological methods. All patients received transoral FB under local anesthesia. Results: FB was successfully applied in all cases. During removal, the pins in 2 patients dropped at the proximal trachea and subglottic zone, and were ingested into the gastrointestinal track. In both cases, the pins were spontaneously excreted from the body in the stool within one day. No other complication was detected in the other patients during or following bronchoscopy. Conclusions: Our study suggests that FB is a safe, easy and successful method used in the removal of foreign bodies, such as pins, from the tracheobronchial trees. By employing FB, indications of thoracotomy and other invasive methods can be reduced especially in the cases of pins localized in distal airways and in the evaluation of suspected foreign bodies.

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“…New antimicrobial agents and the introduction of the clinical use of flexible fibreoptic bronchoscopy have made it difficult to compare these earlier reports cases with current cases. Review of the literature reveals only one large scale report [8], comprising mostly acute aspiration cases, and some casereports [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] on this topic in adults in the last four decades. To redefine the clinical spectrum of this syndrome in adults, with emphasis on chronic cases, I report my 13 yr experience with 47 adult cases.…”

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confidence: 99%

Non-asphyxiating tracheobronchial foreign bodies in adults

Lan¹

1994

Eur Respir J

129

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The presentations of 47 adult patients with a non-asphyxiating tracheobronchial foreign body were reviewed. The duration of residence of the foreign body was 1 week or less in nine ("acute group"); 1 month or more in 29 ("chronic group"), uncertain in four ("uncertain group"); and the foreign body was a broncholith in five patients ("broncholith group"). In the chronic and uncertain groups, no precipitating factor was found and bone was the most common foreign body. In the chronic group, a choking history was obtained before bronchoscopy in only 15 patient. Clinical manifestations and roentgenograms were nonspecific in most cases, except in the acute group. In the chronic group, the mean duration of residence of the foreign body was 25.8 months. The diagnosis was delayed due to absence of a choking history and invisibility of the foreign body on chest films in 12, due to patient's ignorance in 14, due to physician's ignorance in 1, and due to previous unsuccessful retrieval attempts in 2 patients. The main indication for bronchoscopy in the acute group was a choking history or a visible foreign body on the chest film. In the chronic group, a choking history or conditions leading to "suspicion of an endobronchial lesion" were the main indications. The foreign body was removed with a fibreoptic bronchoscope in over 90% of patients. It is concluded that the most important diagnostic factor is a high clinical index of suspicion and that flexible fibreoptic bronchoscopy provides a valuable therapeutic option in selected conditions.

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Removal of Foreign Bodies (Two Teeth) by Fiberoptic. Bronchoscopy

Cited by 39 publications

References 4 publications

Endobronchial foreign bodies in Vietnamese adults are related to eating habits

Endobronchial foreign bodies in Vietnamese adults are related to eating habits

Extraction of Pins from the Airway with Flexible Bronchoscopy

Non-asphyxiating tracheobronchial foreign bodies in adults

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