Foreign Body Bronchiectasis

Denney, Myron K.; Berkas, Ernest M.; Snider, Thomas H.; Nedwicki, Edward G.

doi:10.1378/chest.53.5.613

Cited by 25 publications

(14 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…He thought that one of the reasons could be that a bone in the bronchus was invisible on roentgenograms in most cases. Similar results have been reported many times in the literature [3,6,9,12,15,20,25].…”

Section: Discussionsupporting

confidence: 91%

“…These make it easy to choke, even in the absence of swallowing disturbances, alcohol or drugs use, or obvious changes in sensitivity. Bone, as a bronchial foreign body in adults, was not unusual in other reports [3,6,7,9,12,15,20,25].…”

Section: Discussionmentioning

confidence: 53%

“…New antimicrobial agents and the introduction of the clinical use of flexible fibreoptic bronchoscopy have made it difficult to compare these earlier reports cases with current cases. Review of the literature reveals only one large scale report [8], comprising mostly acute aspiration cases, and some casereports [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] on this topic in adults in the last four decades. To redefine the clinical spectrum of this syndrome in adults, with emphasis on chronic cases, I report my 13 yr experience with 47 adult cases.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Non-asphyxiating tracheobronchial foreign bodies in adults

Lan¹

1994

Eur Respir J

132

View full text Add to dashboard Cite

The presentations of 47 adult patients with a non-asphyxiating tracheobronchial foreign body were reviewed. The duration of residence of the foreign body was 1 week or less in nine ("acute group"); 1 month or more in 29 ("chronic group"), uncertain in four ("uncertain group"); and the foreign body was a broncholith in five patients ("broncholith group"). In the chronic and uncertain groups, no precipitating factor was found and bone was the most common foreign body. In the chronic group, a choking history was obtained before bronchoscopy in only 15 patient. Clinical manifestations and roentgenograms were nonspecific in most cases, except in the acute group. In the chronic group, the mean duration of residence of the foreign body was 25.8 months. The diagnosis was delayed due to absence of a choking history and invisibility of the foreign body on chest films in 12, due to patient's ignorance in 14, due to physician's ignorance in 1, and due to previous unsuccessful retrieval attempts in 2 patients. The main indication for bronchoscopy in the acute group was a choking history or a visible foreign body on the chest film. In the chronic group, a choking history or conditions leading to "suspicion of an endobronchial lesion" were the main indications. The foreign body was removed with a fibreoptic bronchoscope in over 90% of patients. It is concluded that the most important diagnostic factor is a high clinical index of suspicion and that flexible fibreoptic bronchoscopy provides a valuable therapeutic option in selected conditions.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 53%

mentioning

confidence: 99%

See 1 more Smart Citation

Non-asphyxiating tracheobronchial foreign bodies in adults

Lan¹

1994

Eur Respir J

132

View full text Add to dashboard Cite

show abstract

“…The longer the FB is retained, the more likely are complications (e.g., atelectasis, post-obstructive pneumonia). A FB that causes chronic or recurrent distal infection may lead to bronchiectasis (31,39,40,59,60). This complication should be treated after the FB is abstracted.…”

Section: Complicationsmentioning

confidence: 99%

Review of tracheobronchial foreign body aspiration in the South African paediatric age group

Sultan¹,

As²

2016

J. Thorac. Dis.

View full text Add to dashboard Cite

Children, and in particular young children under the age of three, are the most vulnerable for aspiration and ingestion of foreign bodies (FBs). The Red Cross War Memorial Children's Hospital in Cape Town is the only children's hospital in South Africa and is unique in having a dedicated trauma unit for children under the age of 13 as part of its institution. Core activities of Childsafe South Africa (CSA), located at the hospital, are data accumulation and interpretation, development of educational programmes, health inculcation and advising in legislation involving child health. To achieve this task, CSA works in close co-operation with government, industry, non-governmental and community predicated organisations, community groups and individuals. A database of all children treated for trauma at CSA has been maintained since 1991; it currently contains detailed information of over 170,000 injuries in children under the age of 13.This review consists of a literature review combined with data from our database and aims to provide information on our experiences with tracheobronchial aspiration of FBs in children.

show abstract

“…In these three cases thoracotomy was done and the foreign bodies were removed through bronchotomy (Salomon, Shindel, and Levy, 1968 (Fig. 6), lung abscess in one case, and cystic bronchiectasis in two cases (Deney et al, 1968).…”

Section: Nature Of Foreign Bodiesmentioning

confidence: 99%

Aspirated foreign bodies in the tracheobronchial tree: report of 250 cases.

Abdulmajid¹,

Ebeid²,

Motaweh³

et al. 1976

Thorax

View full text Add to dashboard Cite

Abdulmajid, 0. A., Ebeid, A. M., Motaweh, M. M., and Kleibo, I. S. (1976). Thorax, 31,[635][636][637][638][639][640]. Aspirated foreign bodies in the tracheobronchial tree: report of 250 cases. During the last 14 years 250 patients with aspirated foreign bodies in the tracheobronchial tree were admitted to Kuwait Chest Diseases Hospital. Ninety-six per cent of the cases were under 10 years of age and 38% gave a clear history of foreign body inhalation. The rest were diagnosed either clinically, from the chest radiograph findings or because of unexplained pulmonary symptoms. In 247 cases, bronchoscopy under general anaesthesia was successful in removing the foreign bodies. In only three cases was bronchotomy needed. Seventy per cent of the foreign bodies were melon seeds. Asphyxia and cardiac arrest occurred in four cases during bronchoscopy but the patients were successfully resuscitated. In 10 cases a tracheostomy was done before bronchoscopy and the removal of the foreign body, while in five it was needed after the bronchoscopy. Fifteen patients developed late complications such as recurrent pneumonia or atelectasis of the lung. Early diagnosis and adequate treatment are essential to prevent pulmonary and cardiac complications and to avoid radical lung surgery. PATIENTSOf our 250 patients, 105 were under 2 years of age (42%), 105 were aged 2-6 years (42%), and 30 were 6-10 years old (12%). Only 4% of cases were above 10 years of age. One hundred and forty patients were female (46%) and 110 were male (44%). Of the foreign bodies, 70% were located in the right bronchial tree, 17% in the trachea, and only 13% in the left bronchial tree. wheezing, cough, and dyspnoea which gave rise to a suspicion of foreign body inhalation. 3. Radiographic findings: 80% of patients showed normal radiographic findings and only 8% showed a definite foreign body shadow (Fig. 1). In eight cases the radiograph showed bilateral obstructive emphysema due to partial obstruction of the trachea, and in 12 cases it showed right or left lung emphysema due to partial obstruction of the bronchi (Fig. 2). Ten patients showed atelectasis of a lobe, of which seven were right lower lobes (Fig. 3) and three left lower lobes (Fig. 4). NATURE OF FOREIGN BODIESSeventy per cent of the foreign bodies were melon seeds and 15%1 were peanuts, shells of various nuts, and almond kernels. The rest (15%) were screws (9 cases), metal pins (6 cases), fish bones (4 cases), a rosary bead, metal clips (2 cases), an ear-ring, a pebble, a nail cutter, and a metal toy (Fig. 5).

show abstract

Foreign Body Bronchiectasis

Cited by 25 publications

References 3 publications

Non-asphyxiating tracheobronchial foreign bodies in adults

Non-asphyxiating tracheobronchial foreign bodies in adults

Review of tracheobronchial foreign body aspiration in the South African paediatric age group

Aspirated foreign bodies in the tracheobronchial tree: report of 250 cases.

Contact Info

Product

Resources

About