BackgroundForeign body aspiration refers to the inhalation of an object into the
respiratory system and is a serious and potentially fatal event. A distinct
group of patients has recently been recognized among Muslim nations. These
patients include women who wear headscarves and place the safety pin in
their mouth prior to securing the veils, leading to accidental foreign body
aspiration. The aim of this study was to analyze the main presentation,
diagnosis, treatment, and outcome of patients with scarf pin aspiration.MethodsThis prospective study involved patients with a history of scarf pin
aspiration admitted to a single center during an 18-month period. Their main
presentation, diagnosis, treatment, and outcome were analyzed.ResultsIn total, 27 patients were included. The needle was extracted by flexible
bronchoscopy in 12 (44.4%) patients, rigid bronchoscopy in 13 (48.1%), and
thoracotomy in 2 (74%). One patient died during rigid bronchoscopy. All
remaining 26 patients were satisfied with the postsurgical outcome at a mean
follow-up of 1 week.ConclusionsScarf pin aspiration differs from other types of foreign body aspiration
considering the specific population affected, and its management algorithm
may thus differ from that of other foreign bodies. The left main bronchus is
the most common site of pin impaction. Rigid bronchoscopy is the most
commonly performed procedure for successful retrieval.