The role of fluoroscopy in the removal of tracheobronchial pin aspiration

Abstract

In this study, we investigated the role of fluoroscopy in the bronchoscopic removal of aspirated pins. Of 373 patients who underwent bronchoscopy for presumed tracheobronchial foreign body aspiration, 56 pin aspiration cases were selected and divided into two groups according to whether fluoroscopic guidance was required (group I) or not (group II). The localisation of foreign bodies, mortality and morbidity ratios and the duration of the procedures were investigated. Pin aspiration percentage was 15. Pins were mostly located in peripheral airways in group I, and in central airways in group II (p < 0.05). The mean duration of the procedure was 42 +/- 30 min in group I and 17 +/- 13 min in group II (p < 0.01). There was no mortality. Morbidity percentage was 7 in group I and 12 in group II (p > 0.05). No thoracotomy was required in any cases. Fluoroscopic guidance is safe and carries no additional morbidity and mortality and can be used for pins in the tracheobronchial tree.

Pearl pin inhalation accidents: an emerging tracheobronchial challenge to surgeons

“…Hasdiraz et al, Ucan et al and Kaptanoglu et al noted an increased prevalence of pin in the right bronchial tree, but Sersar et al, Yuksel et al, M. Hamad et al have reported an increased prevalence in left bronchial tree explained on the basis of narrow lumen of left bronchial apparatus leading to more suction pressure explained by Bernoulli theorem. 8,15,5,6,12,18,19 Our study also supports right predominance over left with (41.66%) in right bronchial tree compared to the left bronchial side in (30.55%). Thirty one foreign bodies were removed utilizing a Karl Storz rigid bronchoscope.…”

“…11,12 The use of bronchoscope has dramatically reduced the need for more invasive procedure like thoracotomy. In this paper, we present a cross sectional observational study of 36 cases of pearl pin inhalations and analyzing the role of immediate preoperative X-rays with particular emphasis on difficulties and challenges faced during management using rigid bronchoscope.…”

Extraction of Pins from the Airway with Flexible Bronchoscopy

“…RB is usually recommended to remove foreign bodies from the airways [14,15,16], though it is relatively difficult to perform. Although RB has been established as a safe, effective means for removing a tracheal foreign body, the equipment and technique are not available in all medical centers.…”

International head and neck cancer epidemiology consortium: Update no. 8

“…Interestingly, in our series, the pins were equally distributed between the two lungs. In regard to anatomy, one would expect a predisposition toward the right side, yet when sharp and thin foreign objects are concerned, it seems that equal distribution is the norm, as presented in other studies 5, 7, 8…”