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Use of Flexible Bronchoscopy in Foreign Body Aspiration

OBJECTIVE: Foreign body aspiration remains a serious health problem with a potential for severe consequences, and acute and chronic problems in children. It therefore demands immediate intervention. Rigid bronchoscopy has long been the method of choice for foreign body removal but is now being repla...

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Autores principales: Ünal, Gökçen, Yılmaz, Aslı İmran, Tok, Tahir, Pekcan, Sevgi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Galenos Publishing 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9435390/
https://www.ncbi.nlm.nih.gov/pubmed/36105528
http://dx.doi.org/10.4274/tao.2022.2022-6-6
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author Ünal, Gökçen
Yılmaz, Aslı İmran
Tok, Tahir
Pekcan, Sevgi
author_facet Ünal, Gökçen
Yılmaz, Aslı İmran
Tok, Tahir
Pekcan, Sevgi
author_sort Ünal, Gökçen
collection PubMed
description OBJECTIVE: Foreign body aspiration remains a serious health problem with a potential for severe consequences, and acute and chronic problems in children. It therefore demands immediate intervention. Rigid bronchoscopy has long been the method of choice for foreign body removal but is now being replaced by flexible bronchoscopy which offers reduced trauma and the ability to access distal bronchial regions. In the presented study we assessed the patients who underwent flexible bronchoscopy for foreign body removal in our clinic. METHODS: We reviewed the records of 20 patients who underwent flexible bronchoscopy due to suspected foreign body aspiration and had a foreign body removed in our clinic. Patients were analyzed in terms of sociodemographic data, foreign bodies removed, method of foreign body removal, foreign body location and time to diagnosis. RESULTS: Our study group included nine females and 11 males. The removed foreign body was organic in 19 of the 20 patients and inorganic in one patient. Hard organic food, such as hazelnuts, peanuts, seeds, almonds, and raw corn kernel were identified in 12 patients, a piece of fishbone in one patient and a piece of gelatin in another. The pieces of soft organic food identified were apple in one patient, egg in one patient, and boiled corn kernel in one patient and removed by suction. The foreign body was removed using forceps in nine patients, and a basket was used successfully in seven patients. CONCLUSION: Foreign bodies can be removed with minimal complication using flexible bronchoscopy, basket, and forceps in children.
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spelling pubmed-94353902022-09-13 Use of Flexible Bronchoscopy in Foreign Body Aspiration Ünal, Gökçen Yılmaz, Aslı İmran Tok, Tahir Pekcan, Sevgi Turk Arch Otorhinolaryngol Original Investigation OBJECTIVE: Foreign body aspiration remains a serious health problem with a potential for severe consequences, and acute and chronic problems in children. It therefore demands immediate intervention. Rigid bronchoscopy has long been the method of choice for foreign body removal but is now being replaced by flexible bronchoscopy which offers reduced trauma and the ability to access distal bronchial regions. In the presented study we assessed the patients who underwent flexible bronchoscopy for foreign body removal in our clinic. METHODS: We reviewed the records of 20 patients who underwent flexible bronchoscopy due to suspected foreign body aspiration and had a foreign body removed in our clinic. Patients were analyzed in terms of sociodemographic data, foreign bodies removed, method of foreign body removal, foreign body location and time to diagnosis. RESULTS: Our study group included nine females and 11 males. The removed foreign body was organic in 19 of the 20 patients and inorganic in one patient. Hard organic food, such as hazelnuts, peanuts, seeds, almonds, and raw corn kernel were identified in 12 patients, a piece of fishbone in one patient and a piece of gelatin in another. The pieces of soft organic food identified were apple in one patient, egg in one patient, and boiled corn kernel in one patient and removed by suction. The foreign body was removed using forceps in nine patients, and a basket was used successfully in seven patients. CONCLUSION: Foreign bodies can be removed with minimal complication using flexible bronchoscopy, basket, and forceps in children. Galenos Publishing 2022-06 2022-08-31 /pmc/articles/PMC9435390/ /pubmed/36105528 http://dx.doi.org/10.4274/tao.2022.2022-6-6 Text en ©Copyright 2022 by Official Journal of the Turkish Society of Otorhinolaryngology and Head and Neck Surgery https://creativecommons.org/licenses/by-nc/4.0/Content of this journal is licensed under a Creative Commons Attribution 4.0 International License.
spellingShingle Original Investigation
Ünal, Gökçen
Yılmaz, Aslı İmran
Tok, Tahir
Pekcan, Sevgi
Use of Flexible Bronchoscopy in Foreign Body Aspiration
title Use of Flexible Bronchoscopy in Foreign Body Aspiration
title_full Use of Flexible Bronchoscopy in Foreign Body Aspiration
title_fullStr Use of Flexible Bronchoscopy in Foreign Body Aspiration
title_full_unstemmed Use of Flexible Bronchoscopy in Foreign Body Aspiration
title_short Use of Flexible Bronchoscopy in Foreign Body Aspiration
title_sort use of flexible bronchoscopy in foreign body aspiration
topic Original Investigation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9435390/
https://www.ncbi.nlm.nih.gov/pubmed/36105528
http://dx.doi.org/10.4274/tao.2022.2022-6-6
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