Flexible bronchoscopy with multiple modalities for foreign body removal in adults

PloS One
Yueh-Fu FangHan-Pin Kuo

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

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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
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
Oct 27, 2020·Curēus·Abdul Karim AridaAshraf Elghul

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Methods Mentioned

BETA
X-ray
sedation
X ray

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