scholarly journals Foreign bodies of the lower respiratory tract

2009 ◽  
Vol 56 (3) ◽  
pp. 127-130 ◽  
Author(s):  
A.B. Ugrinovic ◽  
V.B. Djukic ◽  
Lj.V. Erdevicki ◽  
S.D. Arsenijevic ◽  
J.P. Milovanovic ◽  
...  
Keyword(s):  
Foreign Body ◽  
Respiratory Tract ◽  
Lower Respiratory Tract ◽  
Foreign Bodies ◽  
Main Bronchus ◽  
Modern Society ◽  
The United States ◽  
Sunflower Seeds ◽  
Left Main ◽  
The Right

Aspiration of foreign bodies of the lower respiratory tract is the most common cause of accidental death in children under 6 years of age in the United States. The aim of the study was to actualize the problem of foreign bodies in modern society, to determine the most common types of foreign body, who and why usually aspires foreign body, whether the incidence is changing, and to define principles for optimal prevention. During our five-year study, we had 166 cases of aspiration of foreign bodies of the lower respiratory tract. The incidence is highest in children under three years of age (54.8%). Cough (94.6%) and breathing difficulties (78.9%) were the dominated symptoms. The majority of aspirated objects were grain (peanuts, walnuts, sunflower seeds) - 29.5%. Localization of foreign bodies was mainly in the right and left main bronchus, and the most common complications were atelectasis and emphysema. All patients had undergone a rigid upper tracheobronchoscopy and foreign body was found in 80 patients (48%). There was no need to perform neither tracheotomy, nor any further surgical treatment, as for example thoracotomy, in any patient. Good education is the best prevention.

scholarly journals VATS-resection of the lower lobe of the left lung as a result of treatment of the long-term consequences of postponed foreign body aspiration in the child’s airways: Clinical case

2020 ◽  
pp. 90-95
Author(s):  
M. Opanasenko ◽  
◽  
L. Levanda ◽  
A. Tereshkovich ◽  
I. Liskina ◽  
...  
Keyword(s):  
Foreign Body ◽  
Respiratory Tract ◽  
Clinical Case ◽  
Foreign Bodies ◽  
Correct Diagnosis ◽  
Left Lung ◽  
Lower Lobe ◽  
Physical Exertion ◽  
Recurrent Pneumonia ◽  
The Right

Introduction. Foreign bodies in the airways are a very urgent problem that occurs at any age and quite often requires an urgent and sometimes urgent assessment of the situation, examination, and making the right decision. According to statistics, most often foreign body in airway are found in childhood. In about 95–98% of cases, this pathology is recorded in children aged 1.5 to 3 years. This is due to the behavior of children, their anatomical and physiological characteristics and underdevelopment of protective reflexes. Among all cases of foreign body in airway, foreign bodies of the larynx are found in 12%, trachea – in 18%, bronchus – in 70% of cases. In 80% of cases, CTs enter the right bronchus, as it is a broader and more direct continuation of the trachea. The correct diagnosis is established early after CT aspiration in 40–57% of patients. The mortality rate varies, according to different authors, from 2 to 15%. Clinical case. The boy V., born in 2008. was admitted to the Department of Pediatric Pulmonology on May 30, 2019, with complaints of frequent unproductive cough, mainly daytime, increasing with physical exertion, sometimes subfibril body temperature, weakness, lethargy, decrease appetite. These complaints have been observed for the third time in the last six months. Diagnosis: Foreign body B10 of the left lung. Conclusions. Aspiration of a foreign body into the respiratory tract most often occurs in early childhood (1–3 years). The clinical picture in the early stages is asymptomatic, and over time it leads to the development of inflammatory changes in the lungs, are treated conservatively. Given the complexity of diagnosis, aspiration of a foreign body can lead to frequent recurrent pneumonia, the formation of bronchiectasis in the lower parts of the lungs, which may require surgical treatment. The gold standard of diagnostics is fibrobronchoscopy and spiral computed tomography of the thoracic cavity (SCT OGK), with the help of which, early after aspiration, a foreign body can be detected and subsequently excluded from the respiratory tract. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of an participating institution.The informed consent of the child’s parents was obtained from the studies. No conflict of interest was declared by the authors. Key words: child, lungs, foreign body.

scholarly journals The foreign bodies in lower respiratory tract in pediatric patients treated in referral academic department of pediatric otolaryngology

New Medicine ◽  
2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Irina Drogobytska ◽  
Maciej Pilch ◽  
Lidia Zawadzka-Głos
Keyword(s):  
Foreign Body ◽  
Respiratory Tract ◽  
Physical Examination ◽  
Lower Respiratory Tract ◽  
Foreign Bodies ◽  
Pediatric Patients ◽  
Academic Department ◽  
Diagnostic Process ◽  
X Ray ◽  
Pediatric Otolaryngology

Introduction. Foreign bodies in lower respiratory tract for many years are big challenge for otolaryngologists. These objects could present variability of clinical symptoms. Increase of infection and mortality due to delay of accurate diagnosis. Interview is the most important part of examination of patient with suspected foreign body in airways. Any suspicion of aspiration is qualification to diagnostic bronchoscopy. Aim. This paper refers occurrence assessment, clinical course, diagnostic process and treatment of the pediatric patients with suspected foreign body in lower respiratory tract hospitalized in referral Academic Department of Pediatric Otolaryngology. Material and methods. Retrospective analysis of 74 patients with suspected foreign body in lower respiratory tract, who were hospitalized in Clinical Department of Pediatric Otolaryngology in Warsaw Medical University in 2016-2018. Analysis includes demographic data, occurrence frequency, localization and the type of foreign body, diagnostic process and treatment. Results. This study includes 42 boys (57%) and 32 girls (43%) in age of 8 months to 16-year-old. The episode of choking occurs in interview in 71 patients (96%). Foreign bodies in lower respiratory tract were confirmed and evacuated in bronchoscopy procedure in 44 cases (59.5%). In 30 cases (40.5%) there were any foreign body in airways. The most common group of patients admitted to Clinic with suspected foreign body in airways was children in age between 1 to 3-year-old, which accounted for 22 cases (50%). Coughing was the most commonly reported symptom (54.5%), wheezing (27.5%) and dyspnea (15.9%). Twenty-three patients were presenting wheezing and whirring in physical examination. Air trap found in thorax x-ray were in 22 patients (45%). The right main bronchus was the most common place of foreign body retention – 22 patients (50%). The organic foreign bodies were in 32 cases (72.7%) and non-organic in 12 (27.3%). The nuts were the most common foreign body aspirated to airways. Conclusions. Foreign body aspiration should be suspected in every patient, not only those with choking episode but also with patients who presents ambiguous change in physical examination and x-ray scan. In pediatric patient with suspected foreign body in lower respiratory tract, in every time the bronchoscopy is needed to be done, even in patients with no abnormalities in physical examination and x-ray scan.

Delayed diagnosis of laryngeal foreign body

2003 ◽  
Vol 117 (2) ◽  
pp. 143-144 ◽  
Author(s):  
W. V. Jesudason ◽  
D. A. Luff ◽  
M. P. Rothera
Keyword(s):  
Foreign Body ◽  
Respiratory Tract ◽  
Lower Respiratory Tract ◽  
Foreign Bodies ◽  
Clinical Presentation ◽  
Delayed Diagnosis ◽  
Accidental Death ◽  
Delay In Diagnosis

Aspiration of a foreign body is a recognized cause of accidental death in children. Paediatricians are aware of the symptoms of inhaled foreign bodies in the lower respiratory tract. However, symptoms which suggest impaction in the larynx do not appear to raise the same index of suspicion of a foreign body. One case of laryngeal foreign body is described with a delay in diagnosis of five days. The clinical presentation, investigations and management are discussed.

scholarly journals Tracheobronchial foreign body aspiration: A 13-year retrospective analysis

2014 ◽  
Vol 67 (suppl. 1) ◽  
pp. 69-74
Author(s):  
Danijela Dragicevic ◽  
Ljiljana Jovancevic ◽  
Rajko Jovic ◽  
Ljiljana Vlaski ◽  
Bojan Bozic
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Main Bronchus ◽  
Age Groups ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Radiological Findings ◽  
Tracheobronchial Foreign Body ◽  
The Moment ◽  
The Right

Introduction. Foreign body aspiration into the respiratory tract remains a diagnostic and therapeutic challenge in clinical practice, especially in young children, who are the most frequently affected age group. The aim of this study was to present the results of treating the patients with foreign body aspiration in all age groups. Material and Methods. The medical and radiological records of 64 patients with confirmed foreign body out of 146 patients with suspected foreign body aspiration were retrospectively analyzed during the period of 13 years (from 2001 to 2013). Results. A foreign body was found in 64 (44%) of the 146 patients of all age groups with suspected foreign body aspiration. The patients? age ranged between 11 months and 80 years. There were 84% children and 16% adults, and 63% of patients were male. Time between the moment of aspiration and admission to the Department ranged between 0.5 hours and 14 days, with majority of patients (70%) being admitted during the first 24 hour. History of respiratory drama was present in 92% of patients. Physical and radiological findings were positive in 66% and 47% of patients, rescpectively. Organic vegetable foreign bodies accounted for 75% of all cases, and they were most frequently found in the right main bronchus (63%). All foreign bodies were successfully extracted by rigid bronchoscopy, without serious complications and fatal outcomes. Conclusion. Bronchoscopy should be performed in any case of suspected foreign body aspiration, even if clinical and radiological findings are normal, in order to avoid serious and possible life-threatening complications. More should be done to raise awareness of this potentially preventable condition.

scholarly journals Wheezy adult with chicken bone in the chest

2018 ◽  
Vol 7 (1) ◽  
pp. 310
Author(s):  
Bhavana Venkata Nagabhushna Rao ◽  
Narmada Vatti ◽  
Balaraju Tadikonda ◽  
Srinivasa Perraju Ponnapalli
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Main Bronchus ◽  
Three Dimensional ◽  
Upper Airway ◽  
Airway Disease ◽  
Virtual Bronchoscopy ◽  
Chicken Bone ◽  
Chronic Airway Disease ◽  
The Right

A large foreign body aspiration in a healthy adult is rare in the literature. It is a frequent problem in children and adolescents. Adults are affected in altered sensorium, either due to sedation or neurological problems. Acute upper airway obstruction though rare in adults requires establishment of an airway using Laryngoscope or rigid bronchoscope. At times we have to recourse to tracheostomy to save the life. Foreign body often travels down the right sided airways, here we present a case of 30mm Chicken bone being lodged in the left main bronchus. The patient presented with unremitting cough and normal chest skiagram. Monophonic wheeze on auscultation and focused attention on the patient narration made us clinch the diagnosis. New onset wheezy chest or unremitting chronic airway disease on adequate therapy, with history of choking needs special attention. The CT scan is a better modality of the investigation. Three dimensional CT with multi-slice virtual bronchoscopy is advantageous. We discussed foreign body aspirations in adults, the various causes and presentations. Fiber optic bronchoscopy is the ideal method for visualization and extraction of non-life-threatening foreign bodies in adults. Once a foreign body is identified, it has to be removed as early as possible. Retained foreign bodies can precipitate many complications related to infection and inflammation. At rare incidence we may have to resort to thoracotomy to remove a complicated foreign body.

scholarly journals Do Times until Treatment for Foreign Body Aspiration Relate to Complications?

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Walailak Tatsanakanjanakorn ◽  
Surapol Suetrong
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Main Bronchus ◽  
Delayed Diagnosis ◽  
Foreign Body Aspiration ◽  
University Hospital ◽  
Age Group ◽  
Common Site ◽  
Plant Seeds ◽  
The Right

Introduction. Foreign body aspiration is an emergency condition and may be fatal. Delayed diagnosis and treatment may be associated with complications. This study evaluated the association between time until treatment and complications due to foreign body aspiration.Methods. This study was a retrospective study conducted at Khon Kaen University Hospital, Thailand. We enrolled patients diagnosed with foreign body aspiration with evidence of foreign body detected using direct laryngobronchoscopy at any area from the larynx to the bronchus. Descriptive statistics were used to analyze the association of times of treatment with complications of foreign body aspiration.Results. During the study period, there were 43 patients that met the study criteria. The most common age group was 0–2 years. Plant seeds were the most common foreign bodies (41.9%), and the right main bronchus was the most common site (16 patients, 37.2%). There were 30 patients (69.8%) that experienced complications from foreign body aspiration. Pneumonia was the most common complication (14 patients, 32.6%). The retention time was not significantly associated with the presence of complications (pvalue: 0.366). Two patients (4.7%) died due to complete airway obstruction and prolonged hypoxia.Conclusion. Times until treatment were not significantly associated with complications from foreign body aspiration.

scholarly journals Ekstraksi Benda Asing Lampu Led di Bronkus dengan Bronkoskop Kaku

2014 ◽  
Vol 3 (3) ◽  
Author(s):  
Fachzi Fitri ◽  
Tuti Nelvia
Keyword(s):  
Foreign Body ◽  
Respiratory Tract ◽  
Light Emitting Diode ◽  
Main Bronchus ◽  
Flexible Bronchoscope ◽  
Light Emitting ◽  
Rigid Bronchoscope ◽  
Led Light ◽  
Minimal Trauma ◽  
The Right

AbstrakAspirasi benda asing adalah masalah yang relatif sering ditemukan pada anak dan merupakan masalah serius yang bisa berakibat fatal. Benda asing di traktus respiratorius harus segera dikeluarkan dalam kondisi dan peralatan optimal dan dengan trauma yang seminimal mungkin untuk mencegah komplikasi. Instrumen yang digunakan untuk tindakan ekstraksi benda asing dapat mempengaruhi morbiditas akibat komplikasi ekstraksi benda asing di traktus respiratorius. Dilaporkan satu kasus aspirasi lampu LED (Light Emitting Diode) di bronkus utama kanan pada anak perempuan berumur 5 tahun, yang dua kali gagal dikeluarkan dengan bronkoskop fleksibel dan berhasil dikeluarkan dengan menggunakan bronkoskop kaku tanpa komplikasi.Kata kunci: aspirasi benda asing, lampu LED, bronkoskop kakuAbstractForeign body aspiration is a relative commonly problem in children and still a serious and sometimes fatal condition. Foreign body in respiratory tract must be removed in optimal conditions and equipment with minimal trauma to prevent complications. Instruments which being used for foreign body extraction can affect morbidity due to complications of extraction of foreign body in respiratory tract. There was reported one case of aspiration of LED (Light Emitting Diode) lamp in the right main bronchus of 5 year old girl, who failed two times by flexible bronchoscope and successfully extracted by a rigid bronchoscope, without complication.Keywords: foreign body aspiration, LED lamp, rigid bronchoscope

scholarly journals METALLIC FOREIGN BODY IN LEFT MAIN BRONCHUS (A Case Report)

1994 ◽  
Vol 50 (2) ◽  
pp. 147-148
Author(s):  
KV SURYANARAYANA ◽  
PC CHAMYAL ◽  
MR WAGHRAY
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Main Bronchus ◽  
Left Main Bronchus ◽  
Metallic Foreign Body ◽  
Left Main
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