Turban Pin: An Unusual Cause of Foreign Body Aspiration in Young Islamic Adult

Gönüllü, Hayriye; Öztürk, Yasemin; Akay, Serhat; Boncu, Mehmet; Erkan, Nazif

doi:10.5812/ircmj.2975

Cited by 6 publications

(7 citation statements)

References 4 publications

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“…[14] Direct laryngoscopy may be adequate for FBs localized in the laryngeal or glottic regions. [13] The FB in our case 1 was seen below the glottis and was successfully extracted with alligator forceps through direct laryngoscopy. However, in case 2, the FB was lodged near the carina and rigid bronchoscopy was used to remove the FB.…”

Section: Discussionmentioning

confidence: 89%

“…The treatment options depend on the setting and on the preference of the ENT team. The technique for retrieval of tracheobronchial FBs include direct laryngoscopy, flexible bronchoscopy, rigid bronchoscopy, tracheotomy, and thoracic surgery; [13] there is no consensus as to which technique is most suitable. [14] Direct laryngoscopy may be adequate for FBs localized in the laryngeal or glottic regions.…”

Section: Discussionmentioning

confidence: 99%

“…Fiberoptic bronchoscopy has been recommended as the initial investigation for suspected FBs. [13,15,16]…”

Section: Discussionmentioning

confidence: 99%

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Unusual aspiration of coin in the lower respiratory tract

Fang¹,

Wang

Shang³

et al. 2018

Medicine

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Rationale:Foreign body (FB) aspiration in adults is occasionally encountered. The aspiration and impaction of a coin in the lower respiratory tract is an unusual accident. This report presents 2 rare adult cases of FB aspiration with coin impaction in larynx and trachea, respectively.Patient concerns:Two patients presented to the emergency department separately. Both had a similar history of inadvertent ingestion of a 5-jiao coin that was accidentally enveloped in dumplings. The ingestion was immediately followed by violent cough.Diagnosis:The diagnosis of foreign body aspiration was confirmed by chest x-ray. In the first patient, chest computed tomography (CT) confirmed the shape of the coin and it was located in the laryngeal area, facing C5. In the second patient, CT revealed a metal-density FB located in the tracheal carina.Interventions:In the first patient, direct laryngoscopy was performed and the 5-Jiao coin was removed in a direction parallel to the vocal cords. In the second patient, rigid bronchoscopy was used to remove the coin.Outcomes:The postoperative period was uneventful in both the patients.Lessons:During FB removal, the coin should be positioned parallel to the vocal cords during its retrieval through the glottis. Due attention must be paid to avoid asphyxia due to positional changes of the coin in the trachea. Early diagnosis and intervention is the key in such cases as delay can cause catastrophic complications.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

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Unusual aspiration of coin in the lower respiratory tract

Fang¹,

Wang

Shang³

et al. 2018

Medicine

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“…Our patient although had a precise history of aspiration and metallic FB (sewing machine needle) was clearly visible on chest radiograph with lower lobe hyperinflation, even then there was initial diagnostic confusion that lead to upper gastrointestinal endoscopy. In a similar reported case from Iran, a female aspirated a turban pin into right main bronchus that was removed using rigid bronchoscope under general anesthesia [5] . The success rates of flexible fibreoptic bronchoscopic extraction of FBs in adults range from 60 to 90% [6] .…”

Section: Discussionmentioning

confidence: 99%

Sewing machine needle retrieval from distal airways using flexible bronchoscope under fluoroscopy

Mahmud

Shafiq

Hafeez

et al. 2016

Respiratory Medicine Case Reports

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18-year-old lady was admitted through emergency department after she accidently aspirated a long sewing machine needle into her airways. Upon examination, she was anxious with normal vital signs and without any respiratory distress with SpO2 of 98% on air. Systemic examination was normal except slightly reduced breath sounds intensity on right lower side of chest. Her chest radiograph revealed needle in right lower lobe but it was not visualized on bronchoscopic examination of airways up to sub segmental level. Using flexible bronchoscope under fluoroscope guidance, needle was retrieved successfully from posterior basal sub segment of right lower lobe utilizing alligator biopsy forceps, without any noticeable complication.

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“…In adult patients, aspiration of a FBA is most common after the patient experiences a central neurological lesion due to trauma or degenerative diseases [4]. We describe the case of a patient who has suffered from persistent cough, for a period of 12 years, a situation due to the presence of an endobrochial foreign body consisting of a synthetic fragment of silicone polymer used in dental practice.…”

Section: Introductionmentioning

confidence: 99%

An unusual case of chronic cough: Professional liability in dentistry?

Bolcato

Aprile

Caenazzo

et al. 2016

Respiratory Medicine Case Reports

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Foreign body aspiration (FBA) is a serious medical problem, also in dental practice. The case report describes the case of a patient who for 12 years has suffered from chronic cough as a result of the aspiration of a polymeric silicone resin fragment during a dental procedure. In November 2002, the patient was underwent dental care, and she points out that, when performing dental imprint, she had sensed that something “went down in the throat” but she was immediately reassured by the dentist. After lung CT was performed, the foreign body was identified and removed with benefit to the patient. The knowledge of this case report could be useful for dentists who perform dental impressions, to be aware of the fact that the material used is radiolucent e.g. cannot be seen on plan radiographs and it can be accidentally inhaled by the patient. The knowledge of the case is also important for doctors who come in contact with patients who previously underwent dental treatment, suffering from persistent cough, in the absence of positive radiological signs.

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Turban Pin: An Unusual Cause of Foreign Body Aspiration in Young Islamic Adult

Cited by 6 publications

References 4 publications

Unusual aspiration of coin in the lower respiratory tract

Unusual aspiration of coin in the lower respiratory tract

Sewing machine needle retrieval from distal airways using flexible bronchoscope under fluoroscopy

An unusual case of chronic cough: Professional liability in dentistry?

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