Abstract
Aspiration of the lower airways due to foreign body is rare in adults. This study aimed to determine the outcome of patients who received flexible bronchoscopy with different modalities for foreign body removal in the lower airways. Between January 2003 and January 2014, 94 patients diagnosed with foreign body in the lower airways underwent flexible bronchoscopy with different modalities, which included forceps, loop, basket, knife, electromagnet, and cryotherapy. The clinical presentation, foreign body location and characteristics, and applications of flexible bronchoscopy were analyzed. Forty (43%) patients had acute aspiration, which developed within one week of foreign body entry and 54 (57%) had chronic aspiration. The most common foreign bodies were teeth or bone. More patients with chronic aspiration than those with acute aspiration were referred from the out-patient clinic (48% vs. 28%), but more patients with acute aspiration were referred from the emergency room (35% vs. 6%) and intensive care unit (18% vs. 2%). Flexible bronchoscopy with different modalities was used to remove the foreign bodies (85/94, 90%). Electromagnet or cryotherapy was used in nine patients to eliminate the surrounding granulation tissue before...Continue Reading
References
Apr 15, 1990·Annals of Internal Medicine·A H Limper, U B Prakash
Dec 1, 1989·The American Review of Respiratory Disease·R S LanW J Wang
Jul 1, 1997·Chest·C H ChenR P Perng
Aug 2, 2002·Postgraduate Medical Journal·O DikensoyA Filiz
Apr 5, 2005·The Laryngoscope·Stephen M WeberJames I Cohen
Jul 4, 2006·The European Respiratory Journal·J-M VergnonK Moghissi
Apr 15, 2008·Journal of Pediatric Surgery·Hua HuiChen J Jingjing
Aug 21, 2009·World Journal of Pediatrics : WJP·Lan-Fang TangZhi-Min Chen
Oct 29, 2010·Respiration; International Review of Thoracic Diseases·Ajmal KhanDheeraj Gupta
Jul 1, 2011·The Korean Journal of Internal Medicine·Jinwoo LeeSeok-Chul Yang
Jul 1, 2011·The Korean Journal of Internal Medicine·Seon-Heui LeeKwang-Joo Park
Aug 20, 2011·The European Respiratory Journal·J HetzelM Hetzel
Jan 29, 2013·The Annals of Thoracic Surgery·Chun-Liang ChouFu-Tsai Chung
Aug 22, 2013·International Journal of Pediatric Otorhinolaryngology·A BoufersaouiM Baghriche
Oct 29, 2013·Journal of Bronchology & Interventional Pulmonology·Angelo G CasaliniMaurizio Monica
Citations
May 20, 2015·Lung India : Official Organ of Indian Chest Society·Preyas J VaidyaPrashant N Chhajed
Aug 2, 2017·Pediatrics International : Official Journal of the Japan Pediatric Society·Atsushi HataIchiro Yoshino
Jul 19, 2019·Case Reports in Medicine·Lei WuYu Yin
May 14, 2020·Journal of Clinical Medicine·Jose N Sancho-ChustEusebi Chiner
Jun 30, 2018·Case Reports in Pulmonology·Radhika Z ReddyDavid W Hsia
Sep 29, 2020·Curēus·Sarah CallahamMichele M Carr
Sep 21, 2016·Pediatric Pulmonology·Dirk SchrammThomas Nicolai
Oct 27, 2020·Curēus·Abdul Karim AridaAshraf Elghul
Aug 20, 2021·Curēus·Noboru Hamada, Suzuka Tanaka