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Challenges in Management of Tracheobronchial Foreign Bodies with Delayed Presentation: An Institutional Experience
Introduction Airway foreign bodies are emergencies involving multidisciplinary departments like Pediatrics, Aneasthesiology and Otorhinolaryngology. It is always a challenge to diagnose and manage patients who present late to our emergencies. Objective In the present study, we aim to analyze the v...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Thieme Revinter Publicações Ltda.
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8789503/ https://www.ncbi.nlm.nih.gov/pubmed/35096153 http://dx.doi.org/10.1055/s-0040-1718964 |
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author | Kaushal, Darwin Goyal, Amit Soni, Kapil Choudhury, Bikram Nair, Nithin Prakasan Kumar, Prawin Vaithankalath, Sameema V. |
author_facet | Kaushal, Darwin Goyal, Amit Soni, Kapil Choudhury, Bikram Nair, Nithin Prakasan Kumar, Prawin Vaithankalath, Sameema V. |
author_sort | Kaushal, Darwin |
collection | PubMed |
description | Introduction Airway foreign bodies are emergencies involving multidisciplinary departments like Pediatrics, Aneasthesiology and Otorhinolaryngology. It is always a challenge to diagnose and manage patients who present late to our emergencies. Objective In the present study, we aim to analyze the various challenges faced during the management of tracheobronchial foreign bodies with delayed presentation. Methods A retrospective hospital record-based analysis of patients who presented to us with tracheobronchial foreign bodies from January 2017 to February 2020 was performed. All patients until the age of 16 years old were included in the present study. We assessed the demographics, preoperative, intraoperative and postoperative data of the patients. Results Seventeen patients were analyzed in the study. Among these, 44.4% of the patients had delayed presentation (> 1 month). The majority of the patients had an organic foreign body (Supari or betel nut). All patients underwent rigid bronchoscopy, followed by optical forceps-assisted removal of the foreign body. A total of 82% of the patients had granulations around the foreign body. Conclusion Management of delayed presentation tracheobronchial foreign body is a big challenge for Otorhinolaryngologists. The key factors for preventing complications in the definitive management of tracheobronchial foreign bodies are preoperative planning, multi-discipline teamwork, surgeon expertise and technique. |
format | Online Article Text |
id | pubmed-8789503 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Thieme Revinter Publicações Ltda. |
record_format | MEDLINE/PubMed |
spelling | pubmed-87895032022-01-27 Challenges in Management of Tracheobronchial Foreign Bodies with Delayed Presentation: An Institutional Experience Kaushal, Darwin Goyal, Amit Soni, Kapil Choudhury, Bikram Nair, Nithin Prakasan Kumar, Prawin Vaithankalath, Sameema V. Int Arch Otorhinolaryngol Introduction Airway foreign bodies are emergencies involving multidisciplinary departments like Pediatrics, Aneasthesiology and Otorhinolaryngology. It is always a challenge to diagnose and manage patients who present late to our emergencies. Objective In the present study, we aim to analyze the various challenges faced during the management of tracheobronchial foreign bodies with delayed presentation. Methods A retrospective hospital record-based analysis of patients who presented to us with tracheobronchial foreign bodies from January 2017 to February 2020 was performed. All patients until the age of 16 years old were included in the present study. We assessed the demographics, preoperative, intraoperative and postoperative data of the patients. Results Seventeen patients were analyzed in the study. Among these, 44.4% of the patients had delayed presentation (> 1 month). The majority of the patients had an organic foreign body (Supari or betel nut). All patients underwent rigid bronchoscopy, followed by optical forceps-assisted removal of the foreign body. A total of 82% of the patients had granulations around the foreign body. Conclusion Management of delayed presentation tracheobronchial foreign body is a big challenge for Otorhinolaryngologists. The key factors for preventing complications in the definitive management of tracheobronchial foreign bodies are preoperative planning, multi-discipline teamwork, surgeon expertise and technique. Thieme Revinter Publicações Ltda. 2021-02-19 /pmc/articles/PMC8789503/ /pubmed/35096153 http://dx.doi.org/10.1055/s-0040-1718964 Text en Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited. |
spellingShingle | Kaushal, Darwin Goyal, Amit Soni, Kapil Choudhury, Bikram Nair, Nithin Prakasan Kumar, Prawin Vaithankalath, Sameema V. Challenges in Management of Tracheobronchial Foreign Bodies with Delayed Presentation: An Institutional Experience |
title | Challenges in Management of Tracheobronchial Foreign Bodies with Delayed Presentation: An Institutional Experience |
title_full | Challenges in Management of Tracheobronchial Foreign Bodies with Delayed Presentation: An Institutional Experience |
title_fullStr | Challenges in Management of Tracheobronchial Foreign Bodies with Delayed Presentation: An Institutional Experience |
title_full_unstemmed | Challenges in Management of Tracheobronchial Foreign Bodies with Delayed Presentation: An Institutional Experience |
title_short | Challenges in Management of Tracheobronchial Foreign Bodies with Delayed Presentation: An Institutional Experience |
title_sort | challenges in management of tracheobronchial foreign bodies with delayed presentation: an institutional experience |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8789503/ https://www.ncbi.nlm.nih.gov/pubmed/35096153 http://dx.doi.org/10.1055/s-0040-1718964 |
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