Thoracoscopic foreign body removal and repair of bronchus intermedius following injury during failed bronchoscopic retrieval

Asaf, Belal Bin; Vijay, C L; Bishnoi, Sukhram; Dua, Naresh; Kumar, Arvind

doi:10.4103/0970-2113.201296

Cited by 5 publications

(7 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Failure to remove the foreign body or injury to the airway may require surgical intervention, mainly thoracotomy via open or endoscopic approach. 14 The objective of the present study is to review pediatric patients who underwent bronchoscopy due to suspicion of foreign body aspiration. We aim to identify specific clinical features and investigation results that are associated with the presence of a foreign body.…”

Section: Introductionmentioning

confidence: 99%

A Five-Year Review on Pediatric Foreign Body Aspiration

Nasir

Subha

2020

Int Arch Otorhinolaryngol

View full text Add to dashboard Cite

Introduction Foreign body aspiration is a leading cause of accidental death in children. Clinical presentation varies from non-specific respiratory symptoms to respiratory failure making diagnosis challenging. Objective To review pediatric patients who underwent bronchoscopy due to suspicion of foreign body aspiration at a tertiary center in Malaysia. Methods We retrospectively studied patients < 11 years old who underwent bronchoscopy from 2008 to 2018. Results Over the 10-year period, 20 patients underwent bronchoscopy, and 16 were found to have foreign body aspiration with equal gender distribution. The most common age group was < 3 years old (75%). The most common clinical presentations were choking (82%) and stridor (31%). Foreign bodies were removed using flexible bronchoscope in 8 cases (50%), and difficulties were encountered in 6 cases (75%). Rigid ventilating bronchoscope was used in 8 cases (50%) with no difficulty. The most common object found was peanut (19%). The majority of foreign bodies were lodged in the right bronchus (43%). Eight patients (80%) received delayed treatment due to delayed diagnosis. The length of hospital stay was longer in the younger age groups. Conclusion Clinical presentation and chest radiograph findings were comparable across all age groups. The most difficulties encountered during foreign body removal were via flexible bronchoscope, in children < 3 years old. There was no significant correlation between age and type of foreign body aspiration. The majority of patients who received delayed treatment were < 3 years old. The length of hospital stay was longer in the younger age groups.

show abstract

Section: Introductionmentioning

confidence: 99%

A Five-Year Review on Pediatric Foreign Body Aspiration

Nasir

Subha

2020

Int Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…Aspirasi benda asing ke saluran napas merupakan kasus yang sering terjadi pada anak (Asaf, Vijay, Bishnoi, Dua, & Kumar, 2017). Di Amerika Serikat, lebih dari 300 anak per tahun meninggal akibat aspirasi benda asing dengan sebagian besar kasus terjadi pada anak laki-laki (Rizk, Gwely, Biron, & Hamza, 2014).…”

Section: Pendahuluanunclassified

“…Bronkoskopi masih merupakan pilihan dalam penatalaksanaan kasus aspirasi benda asing. Tatalaksana lain, seperti torakotomi dapat dipertimbangkan, apabila ekstraksi benda asing gagal dengan menggunakan bronkoskopi (Asaf et al, 2017). Penulisan laporan kasus memaparkan kasus aspirasi benda asing jarum pentul di saluran napas yang gagal dilakukan ekstraksi dengan bronkoskopi dan VideoAssisted Thoracoscopic Surgery…”

Section: Pendahuluanunclassified

Case Report: Diagnosis and Management of Pin-Headscarf at The Bronchial Segment In RSUP Dr. M Djamil Padang

Julianda

Asyari

2021

AMS

View full text Add to dashboard Cite

Introduction: Foreign body aspiration into the airway is a common case in children. Scarf pin aspiration often occurs in women who wear the hijab. A bronchoscopy is an option in the management of foreign body aspiration cases. However, other treatments such as thoracotomy can be considered, if the management of foreign body aspiration fails using rigid bronchoscopy. Case Report: Reported one case of a 12-year-old girl who complained of inhaling scarf pin 1 day before being admitted to hospital. Chest X-ray found radiopaque foreign body projection as high as spatium intercostal V with right lower lobe projection. The patient was diagnosed with foreign body pin scarf et right bronchus and was treated with a rigid bronchoscopy but it was not successfully extracted, one and a half months later the patient was performed Video-assisted thoracic surgery but failed to re-extract, then the foreign bodies were successfully extracted after the thoracotomy. Conclusion: Migration of pins into the bronchial segments as high as spatium intercostal V projections right lower lobe and left lower lobe will be difficult to locate and extract with rigid bronchoscopy. Thoracotomy is further management for scarf pin aspiration that fails to be treated by rigid bronchoscopy. Keywords: foreign body, scarf pin, bronchoscopy, segment bronchi, thoracotomy

show abstract

“…The challenge was to safely extract the foreign body. A bronchoscopic approach with forceps,2 3 or Dormia basket, or Fogarty embolectomy catheter, was considered, but these approaches had disadvantages in case the object was impacted or slipped back, and oxygen desaturation.…”

Section: Treatmentmentioning

confidence: 99%

Use of a surface magnet in the extraction of another magnet aspirated into the bronchus of a 7-year-old girl

Narang¹,

Joshi

Vasudevarao

et al. 2019

BMJ Case Rep

View full text Add to dashboard Cite

A 7-year-old girl presented to the emergency room (ER) with alleged history of aspiration of a toy magnet. The challenge was to safely extract the foreign body. A bronchoscopic approach with forceps, or Dormia basket, or Fogarty catheter, was considered, but these approaches had disadvantages, such as slipping or impaction of the object, and oxygen desaturation. Applying principles of removal of intraocular metallic objects in ophthalmologic surgery using magnetism, the object was removed with the help of another larger surface magnet. The location of the foreign body was confirmed by bronchoscopy. A Fogarty catheter was introduced distal to the object, under bronchoscopic guidance. A strong surface magnet was then placed on the surface of the chest and under C-arm guidance, the object was moved from the bronchus to the trachea. Once at the vocal cords, the Fogarty catheter was inflated to prevent it from slipping back and the magnet was extracted using forceps.

show abstract

Thoracoscopic foreign body removal and repair of bronchus intermedius following injury during failed bronchoscopic retrieval

Cited by 5 publications

References 4 publications

A Five-Year Review on Pediatric Foreign Body Aspiration

A Five-Year Review on Pediatric Foreign Body Aspiration

Case Report: Diagnosis and Management of Pin-Headscarf at The Bronchial Segment In RSUP Dr. M Djamil Padang

Use of a surface magnet in the extraction of another magnet aspirated into the bronchus of a 7-year-old girl

Contact Info

Product

Resources

About