Accidental Foreign Body Aspiration Through Tracheostomy Inlet; 26 cases

Abstract

Background: Foreign body aspiration from tracheostomy is very rare, and materials related to tracheostomy are usually aspirated. This condition, which can lead to serious complications, can be treated using bronchoscopic procedures. In this study, we aimed to present our clinical experience in foreign body aspiration via tracheostomy. Methods: Data from 26 patients who presented to our hospital for foreign body aspiration via tracheostomy from 2006 to 2020 were analyzed retrospectively. Results: Foreign bodies were removed by fiber optic bronchoscopy in 15 (57.7%) cases, by rigid bronchoscopy in 9 (34.6%) cases and both methods were used in 2 (7.7%) cases. During bronchoscopy, local anesthetic procedures were used in 13 (50%) cases and general anesthesia was used in 11 (42.3%) cases. No anesthesia was used in two (7.7%) patients who underwent bronchoscopy under intensive care conditions. While the mean operative time for flexible bronchoscopy was 8.77±0.83 (CI: 26.03–29.43) minutes, the mean operative time for rigid bronchoscopy was 27.73±2.53 (CI: 26.03–29.43) minutes. Conclusion: Both rigid bronchoscopy and fiberoptic bronchoscopy (FOB) have advantages and disadvantages in foreign body removal. In our opinion, it is more reasonable to perform fiber optic bronchoscopy first in patients with a tracheostoma. In the light of our experiences, fiber optic bronchoscopy does not require general anesthesia and the operation time is shorter than rigid bronchoscopy. This feature makes fiber optic bronchoscopy advantageous.

The use of fibrin glue for the endoscopic management of post-intubation tracheal lacerations: a case series

“…The conservative treatment is generally based on intravenous broad-spectrum antibiotics administration, parenteral nutrition and oxygen support. Conservative management is possible even if mechanical ventilation is needed, placing the tip of the orotracheal tube distally to the end of the laceration, hence bridging the lesion (11,13).…”

“…Most of the patients were females (94%), overweight or obese (BMI 26.9±4.5 kg/m 2 ) and of short stature (165±6.15 cm). Mid-lower 2 [13] Lower 1 [6] Carina and right main bronchus 2 [13] Table 1 (continued) The tracheal lesion was in all cases a longitudinal tear in the pars membranacea, localized in the upper trachea in 5 cases (31%), mid in 6 cases (37%), mid-lower in 2 cases (13%), lower in 1 case (6%), carina and right main bronchus in 2 cases (13%). The mean laceration length was 3.6±1.04 cm.…”