Bilateral airway foreign body aspiration as a cause of recurrent pneumonia

Rehman, Sameer; Sharif, Nadia; Zubairi, Ali Bin Sarwar

doi:10.1136/bcr.05.2010.3002

Cited by 9 publications

(7 citation statements)

References 13 publications

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“…1,2,4,14 Bilateral foreign bodies were present in only one subject and are rare. 2,32,41,42 The foreign bodies could not be identified in 25% of the subjects possibly due to spontaneous expulsion of the foreign body, dissolution of an organic foreign body, or embedding of a small foreign body in granulation tissue or edematous mucosa. 43 At the authors' center, the first step in the management of adult foreign body aspiration is flexible bronchoscopy, which, in most cases, is both diagnostic and therapeutic.…”

Section: Discussionmentioning

confidence: 99%

Foreign Body Inhalation in the Adult Population: Experience of 25,998 Bronchoscopies and Systematic Review of the Literature

et al. 2015

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BACKGROUND: Foreign body aspiration is an uncommon entity in adults. Herein, we describe our experience with flexible bronchoscopy in the removal of tracheobronchial foreign bodies in adults. We also conducted a systematic review of the literature on the topic of foreign body inhalation in adults managed with flexible bronchoscopy. METHODS: The bronchoscopy database (from 1979 to 2014) was reviewed for subjects > 12 y of age with a history of foreign body aspiration managed with flexible bronchoscopy. Demographic, clinical, and bronchoscopy data were collected and analyzed. PubMed was reviewed for studies describing the use of flexible bronchoscopy for foreign body extraction in adults. RESULTS: During the study period, a total of 25,998 flexible bronchoscopies were performed. Of these, 65 subjects (mean age of 32.8 y, 49 males) were identified who had undergone bronchoscopy for foreign body aspiration. Nonresolving pneumonia (30.6%), direct foreign body visualization (24.6%), and segmental collapse (18.4%) were the most common radiological abnormalities. Foreign bodies were identified in 49 cases during bronchoscopy and successfully removed in 45 (91.8%) subjects with no major complications. Metallic (41%) and organic (25.6%) foreign bodies were the most common. Shark-tooth (44.9%) and alligator (32.6%) were the most commonly used forceps in retrieving the foreign bodies. The systematic review yielded 18 studies (1,554 subjects with foreign body inhalation). In adults, the proportion of flexible bronchoscopy (6 studies, 354/159,074 procedures) performed for the indication of foreign bodies among the total flexible bronchoscopies was 0.24% (95% CI 0.18 -0.31). The overall success of flexible bronchoscopy (18 studies, 1,185 subjects) for foreign body extraction was 89.6% (95% CI 86.1-93.2). CONCLUSIONS: Foreign body aspiration is a rare indication for flexible bronchoscopy in adults. Flexible bronchoscopy has a high success rate in removal of inhaled foreign body and can be considered the preferred initial procedure for management of airway foreign bodies in adults.

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Section: Discussionmentioning

confidence: 99%

Foreign Body Inhalation in the Adult Population: Experience of 25,998 Bronchoscopies and Systematic Review of the Literature

et al. 2015

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“…Often, foreign bodies are incidentally revealed on radiographic imaging ordered for symptoms mistakenly attributed to other medical conditions, including unresolving recurrent pneumonia, asthma and COPD, or during flexible bronchoscopy for investigation of symptoms of endobronchial disease [ 16 ]. The retained foreign body may result in unresolving pneumonia, lung abscess, bronchial stenosis, bronchiectasis, pneumothorax or empyema if the diagnosis of FBA is delayed [ 17 , 18 ]. Formation of granulation tissue around the foreign body may occur when the foreign body remains for a long time, as in this case, and may resemble an endobronchial tumour [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

A 68-year-old man with haemoptysis and extensive ipsilateral lung infiltrates

Kyriakopoulos

Gogali

Tatsis

et al. 2021

Breathe

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“…The retained foreign body may result in bronchial stenosis, middle lobe syndrome, unresolving pneumonia, obstructive emphysema, recurrent haemoptysis, lung abscess, lung fibrosis and bronchiectasis if the diagnosis of FBA is delayed [ [9] , [10] , [11] ].…”

Section: Discussionmentioning

confidence: 99%

A direct adverse effect of smoking

Kyriakopoulos

Gogali

Chronis

et al. 2021

Respiratory Medicine Case Reports

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Smoking has been accounted for numerous adverse effects. We report a direct effect of smoking in a 73-year-old patient, a heavy smoker who presented to the emergency department with a 48-h history of productive cough and fever. Chest x-ray and chest CT revealed right lung infiltrates; however, they were not suggestive of the diagnosis, which was established through flexible bronchoscopy. The specific procedure concurrently contributed to the treatment of the patient.

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Bilateral airway foreign body aspiration as a cause of recurrent pneumonia

Cited by 9 publications

References 13 publications

Foreign Body Inhalation in the Adult Population: Experience of 25,998 Bronchoscopies and Systematic Review of the Literature

Foreign Body Inhalation in the Adult Population: Experience of 25,998 Bronchoscopies and Systematic Review of the Literature

A 68-year-old man with haemoptysis and extensive ipsilateral lung infiltrates

A direct adverse effect of smoking

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