Accidental inhalation of scarf pin: Presentation and management

Endoscopic management of pin stuck into the segmental bronchus

“…According to prior articles, thoracotomy rates variated from 1.6 to 7.0%, and as the deeper, the foreign body was located, the higher rate of thoracotomy was performed. 1,3,4 Performing ventilating bronchoscopy in the left bronchus is technically harder than the right bronchus because of its narrower diameter and more horizontal division. Therefore, some clinical methods are needed in order to reach the foreign body located at the left segmental bronchus with rigid bronchoscopy.…”

“…The beaded end usually points downward due to its heavy weight, and it makes the pin goes deeper into the tracheobronchial tree. Sometimes the pointed end gets stuck in the airway mucosa, and during the removal process, the sharp end can scratch the airway and can cause complications such as tracheobronchial wall erosion, fistula, pneumothorax, and emphysema 3 . If the pin is distally located, removal becomes more challenging process because even minimal amount of bleeding can obscure the endoscopic view of narrow airway.…”

“…Laryngoscopy, fiberoptic bronchoscopy, rigid bronchoscopy, or thoracotomy can be used to remove the foreign body. According to prior articles, thoracotomy rates variated from 1.6 to 7.0%, and as the deeper, the foreign body was located, the higher rate of thoracotomy was performed 1,3,4 …”

Endoscopic Management of Pin Stuck Into the Segmental Bronchus

“…The beaded end usually points downward due to its heavy weight, and it makes the pin goes deeper into the tracheobrochial tree. Sometimes the pointed end gets stuck in the airway mucosa, and during the removal process the sharp end can scratch the airway and can cause complications such as tracheobronchial wall erosion, fistula, pneumothorax and emphysema [4]. If the pin is distally located, removal becomes more challenging process because even minimal amount of bleeding can obscure the endoscopic view of narrow airway.…”

“…Laryngoscopy, fiberoptic bronchoscopy, rigid bronchoscopy, or thoracotomy can be used to remove the foreign body. According to prior articles, thoracotomy rates variated from 1.6 to 7.0 %, and as the deeper the foreign body was located, the higher rate of thoracotomy was performed [1], [3], [4].…”