Foreign body aspiration: An alarming whistle
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Keywords:
Foreign body aspiration
Chest radiograph
Foreign Body Removal
Right Main Bronchus
Left main bronchus
Foreign body (FB) aspiration remains a serious health problem, particularly in children. The complications due to occlusion by FB or related to procedures for removal can lead to morbidity and mortality. Most of the FBs are located in the unilateral bronchus, however, the organic FB can be multiple or bilaterally located when children chewed the FB. Here, we present a case of successful retrieval of bilateral bronchial FBs. Preoperatively, FB in the left main bronchus was diagnosed, however, FB of the right upper bronchus was not definitive on X-ray and CT scan. During the rigid bronchoscopy, occult FB in the right upper bronchus was detected and successfully removed.
Right Main Bronchus
Left main bronchus
Foreign body aspiration
Occult
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Objective: To determine the role of Rigid Bronchoscopy in Management of Tracheobronchial Foreign Body Aspiration.
Material and Methods: This study was conducted in otolaryngology department, Khyber teaching hospital, Peshawar of one year duration from January 2018 to December 2019. Total 90 Patients of age 4 months to 14 years on clinical suspicion of foreign body bronchus were included, while patients with history of bronchial asthma, pulmonary tuberculosis and radio opaque foreign body bronchus were excluded.
Results: Total number of patients was 90 in which male patients were 60 (66.67 %) and female patients were 30 (33.33 %), patients with foreign body bronchus were 80 (88.89%). Male patients with foreign body bronchus was 53 (58.89%) and female 27 (30.00%). In age range from 4 months to 3 years, 35(39%) Patients underwent bronchoscopy in which foreign body bronchus retrieved in 30(37.5%) patients. Conclusion: Patients with history of repeated chest infection, relieved by medicines for some time should not be over look, as vegetative foreign body bronchus are radiolucent and patients usually present late in respiratory compromised state, the clinician must urge, for prompt treatment as rigid bronchoscopy.
Foreign body aspiration
Right Main Bronchus
Rigid bronchoscopy
Left main bronchus
Foreign Body Removal
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Left main bronchus
Right Main Bronchus
Foreign body aspiration
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Aim: To determine the frequency and types of airways foreign body in children undergoing bronchoscopy. Study Design: Cross-sectional/descriptive study Place and Duration of Study: Department of ENT, Sheikh Zayed University Medical College Khost Province Afghanistan from 1st January 2018 to 31st March 2021. Methodology: Ninety patients of both genders and aged between 6 months to 15 years were enrolled. Patient’s details demographics like age, sex and weight were recorded after taking informed consent from the patient’s guardian. Patients with foreign body aspiration presented within weeks of aspiration. Patients were subjected to rigid bronchoscopy under general anaesthesia after doing chest X-ray. Clinical and radiological findings were observed among all cases. Results: Mean age of the patients was 4.52±6.35 years. Sixty five (72.22%) were males and 25 (27.8%) were females. Mean time interval between foreign body aspiration and admission to hospital was 1.04±0.9 weeks. The right main bronchus was the most common site 50 (55.55%) followed by left bronchus 35 (38.9%), and trachea found in 5 (5.55%). Most common foreign body retrieved was pine nut (Chilgoza) found in 77 (85.6%) followed by peanut in 5 (5.56%), seeds 4 (4.4%), whistle 2 (2.2%) and stone pieces in 2 (2.2%) cases. Conclusion: Foreign body aspiration in male children is more common, mainly under the age of four years. It has been found during the bronchoscopy that the foreign body was commonly lodged in the right main bronchus. The most common foreign body was pine nut. Keywords: Children, Pine nut (Chilgoza), Tracheobronchial, Rigid bronchoscopy, Children, Foreign body aspiration
Foreign body aspiration
Right Main Bronchus
Left main bronchus
Foreign Body Removal
Demographics
Outpatient clinic
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A 43-year-old man underwent repair for the broken trachea, left main bronchus and right main brouchus due to trauma. Twenty-seven months after the initial surgery, he developed dyspnea and required ventilatory support. Computed tomography showed severe stenosis of the left main bronchus, tracheomalasia and bronchomalasia of right main bronchus. A self-expandable metallic stent (SEMS) was placed in the bilateral main bronchus and T-tube in the trachea. SEMS developed granulatory and cicatricial stenosis of the airway, which caused severe dyspnea. Replacement of SEMS with Dumon stents was successfully done and dyspnea was disappeared. A silicon stent should be used for treating postreconstructive airway stenosis including tracheobronchomalasia.
Left main bronchus
Right Main Bronchus
Laryngotracheal Stenosis
Main Bronchus
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Right Main Bronchus
Left main bronchus
Anomaly (physics)
Main Bronchus
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Long lasting recurrent pneumonia in 13-year-old girl was been described. The main cause was the foreign body (pawn of plastic) covered in intermediate bronchus. Bronchoscopy revealed scars in type of "bridges" narrowing intermediate bronchus. The foreign body and the scar changes were removed.
Right Main Bronchus
Left main bronchus
Girl
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Left main bronchus
Right Main Bronchus
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Tuberculosis of the trachea and main bronchi is a relatively rare disease seen predominantly in elderly patients. We present a case of a fistula between the right and left main bronchus owing to tuberculosis. We describe the CT and MRI appearances.
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Right Main Bronchus
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The foreign body in the bronchus is one of the most fatal emergencies in the Otorhinolaryngology. Delay in the appropriate treatment may result in acute airway diseases and fatal complications. The aim of this manuscript is to report a clinical case of dual migration of an organic foreign body from left to right and then back to the left bronchus in a 13 months old child. The case was initially diagnosed as left sided severe pneumonia which recurred after initial partial response to medical management and thus raised the suspicion of a foreign body. Computed tomography of the chest revealed a foreign body in the right bronchus contrary to clinical findings on the left side suggesting the first migration. The foreign body was visualized and removed from the left bronchus during bronchoscopy; which was contrary to radiological findings, suggesting the second migration.
Right Main Bronchus
Left main bronchus
Foreign body aspiration
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