Straight Pin Aspiration in Young Women

Shabb, Basem; Taha, Assad; Hamada, Faisal; Kanj, Nadim

doi:10.1097/00005373-199605000-00026

Cited by 17 publications

(24 citation statements)

References 4 publications

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“…10 In several studies from the Middle East, turban pins were the most common type of foreign body aspirated, as they are held between the teeth while tying the traditional turban. 27,28,39,40 The most common location for a foreign body in the airway is the right bronchial tree, particularly the right lower-lobe and intermediate bronchi, due to the vertical orientation of the right main bronchus. 1,2,4,14 Bilateral foreign bodies were present in only one subject and are rare.…”

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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“…In such cases, the removal of the foreign body leads to resolution of the parenchymal or bronchial pathology and prevents unnecessary surgery [10, 11]. Considering the diagnostic approaches for TFBA and therapeutic approaches for distally localized TFBA, flexible bronchoscopy (FB) is superior to rigid bronchoscopy (RB) [9, 12, 13]. …”

Section: Introductionmentioning

confidence: 99%

“…This may be related to the location and type of the foreign body, the experience of the bronchoscopist and the availability of appropriate instruments. Although there are many reports of removing other foreign bodies by using FB [1,17,18,19], there are few reports of removing pins by FB [3, 4, 12]. Moreover, the few reported studies contain insufficient information on the key aspects of foreign body removal by using FB.…”

Section: Introductionmentioning

confidence: 99%

Extraction of Pins from the Airway with Flexible Bronchoscopy

2007

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Background: Tracheobronchial foreign body aspiration is a worldwide health problem which often results in life threatening complications. Standard flexible bronchoscopy (FB) is used increasingly in the treatment of tracheobronchial foreign body aspiration in adults and older children, especially in the removal of aspirated foreign bodies which have entered into the peripheral bronchi. Objectives: In the present study, we discuss how to minimize complications and increase the success rate of FB in the aspiration of pins, and recommend techniques to facilitate the application. Methods: The study was performed at a community hospital in Van, the Harran University Hospital in Sanliurfa and the Sutcuimam University Hospital in Kahramanmaras, Turkey. Between 2000 and 2005, 23 female patients between the ages of 12 and 23, who were admitted to the clinics and diagnosed as having tracheobronchial headscarf pin aspirations were included in our study to evaluate the efficiency of FB. Diagnosis of the patients was established by history, FB and radiological methods. All patients received transoral FB under local anesthesia. Results: FB was successfully applied in all cases. During removal, the pins in 2 patients dropped at the proximal trachea and subglottic zone, and were ingested into the gastrointestinal track. In both cases, the pins were spontaneously excreted from the body in the stool within one day. No other complication was detected in the other patients during or following bronchoscopy. Conclusions: Our study suggests that FB is a safe, easy and successful method used in the removal of foreign bodies, such as pins, from the tracheobronchial trees. By employing FB, indications of thoracotomy and other invasive methods can be reduced especially in the cases of pins localized in distal airways and in the evaluation of suspected foreign bodies.

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“…In contrast, other authors preferred FOB. In a series of 5 cases described by Shabb et al [15], FOB under general anesthesia was used in all cases. Recently, Gokirmak et al [16] retrospectively reported the usefulness of FOB under local anesthesia in the retrieval of 8/11 aspirated turban pins (73%).…”

Section: Discussionmentioning

confidence: 99%

“…The rigid bronchoscope (RB) is used to be the traditional method of removal [13] [14]. However, recently the fiberoptic bronchoscope (FOB) is increasingly reported to be used for this purpose [15] [16] [19] [20] [21]. The aim of this study is to explore the effectiveness and safety of FOB for extraction of aspirated headscarf pins.…”

Section: Introductionmentioning

confidence: 99%

Extraction of Aspirated Headscarf Pins with Fiberoptic Bronchoscopy

Al-Azzawi¹

2017

WJCS

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Background: Foreign body aspiration is a common yet preventable health problem. Headscarf pin aspiration is a unique example of aspirated foreign bodies in young Muslim women usually removed using the rigid bronchoscope. However, the flexible bronchoscope is increasingly used for this purpose. This prospective study was conducted in Sulaimaniyah Teaching Hospital, Sulaimaniyah, Iraq and aimed to evaluate the usefulness of fiberoptic bronchoscope for removal of aspirated headscarf pins in view of the relevant literature. Methodology: Fifty female patients with headscarf pin aspiration were managed by fiberoptic bronchoscopy over an 8-year period (January 2008 to December 2015). The procedure was performed under local anesthesia and conscious sedation through the mouth. Results: The age ranged from 10 to 45 years with a mean of 27.5. All patients had cough, five had unilateral wheeze (10%) while haemoptysis occurred twice (4%). Fiberoptic bronchoscopy succeeded in 45 cases (90%). Rigid bronchoscopy under general anesthesia was necessary in (n = 4, 8%) while one patient (2%) required thoracotomy. Conclusion: Fiberoptic bronchoscopy is safe and effective in removal of aspirated headscarf pins and should be tried first.

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Straight Pin Aspiration in Young Women

Cited by 17 publications

References 4 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

Extraction of Pins from the Airway with Flexible Bronchoscopy

Extraction of Aspirated Headscarf Pins with Fiberoptic Bronchoscopy

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