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. 2016 Jun;48(2):119-23.
doi: 10.5152/eurasianjmed.2015.109.

Foreign Bodies in Trachea: A 25-years of Experience

Bayram Altuntas  1 , Yener Aydın  1 , Atilla Eroglu  1
Affiliations

Foreign Bodies in Trachea: A 25-years of Experience

Bayram Altuntas et al. Eurasian J Med. 2016 Jun.

Abstract
in English, Turkish

Objective: Tracheobronchial foreign body aspirations may cause cardiopulmonary arrest and sudden death. The incidence in children is higher than in adults. Rapid diagnosis and treatment is live saving. In this paper, we aimed to present our experience in tracheal foreign body aspirations and rigid bronchoscopy for 25-years.

Materials and methods: From January 1990 to January 2015, 805 patients with suspected tracheobronchial foreign body aspiration were admitted to our department. Hundred and twelve patients with tracheal foreign body were included in this study. We evaluated patients' records, retrospectively. Age, gender, clinical symptoms, physical examination findings, radiological evidences, type of foreign body and intervention types were noted.

Results: Sixty-five of the patients were female (58%) and 47 patients were male (42%), and mean age was 8.1 years (8 month-58 years). Coughing was the main symptom (n=112, 100%). Other symptoms and findings included dyspnoea and bilateral decreased lung sounds (n=73, 65.1%), bilateral rhonchi (n=68, 60.7%) and cyanosis (n=41, 36.6%). Rigid bronchoscopy was performed in all patients. The most common foreign body was nuts (n=75, 67%). The main radiologic finding was radiopaque image of the related foreign body in 27 patients (n=27, 24.1%). Cardio-pulmonary arrest occurred in 11 patients and two of them died.

Conclusion: Tracheobronchial aspirations of foreign bodies are life-threatening events. If not diagnosed and treated rapidly, distressful results can be seen. Warning people by skilled persons on this topic will reduce the incidence of foreign body aspirations.

Amaç: Trakeobronşiyal yabancı cisim aspirasyonları kardiyopulmoner arrest ve ani ölüme sebep olabilir. Çocuklardaki insidansı yetişkinlerden daha fazladır. Hızlı teşhis ve tedavi hayat kurtarıcıdır. Bu makalede biz, 25 yıllık dönemde trakeal yabancı cisim ve rijid bronkoskopiyle ilgili tecrübelerimizi sunmayı amaçladık.

Gereç ve yöntem: Ocak 1990’dan Ocak 2015’e kadar, trakeobronşiyal yabancı cisim aspirasyonlu 805 hasta bölümümüze kabul edildi. Trakeal yabancı cisimli 112 hasta çalışmaya dahil edildi. Hasta kayıtlarını retrospektif olarak inceledik. Yaş, cinsiyet, klinik semptomlar, fizik muayene bulguları, radyolojik veriler, yabancı cisim ve müdahele tipi not edildi.

Bulgular: Hastaların 65’i kadın (%58) ve 47’si erkekti (%42) ve ortalama yaş 8,1 yıldı (8 ay-58 yıl). Öksürük ana semptomdu (n=112, %100). Diğer semptom ve bulgular dispne ve bilateral azalmış solunum sesleri (n=73, %65,1), bilateral ronküs (n=68, %60,7) ve siyanozdu (n=41, %36,6). Tüm hastalara rijid bronkoskopi yapıldı. En sık yabancı cisim kuruyemişlerdi (n=75, %67). Ana radyolojik bulgu ilgili yabancı cismin radyoopak görüntüsüydü (n=27, %24,1). Kardiyopulmoner arrest 11 hastada görüldü ve onların ikisi öldü.

Sonuç: Trakeobronşiyal yabancı cisim aspirasyonları yaşamı tehdit eden hadiselerdir. Eğer hızlı teşhis ve tedavi edilmezlerse can sıkıcı sonuçlar görülebilir. Uzman kişilerce toplumun bu konuda uyarılması, yabancı cisim aspirasyon riskini azaltacaktır.

Keywords: Asfiksi; Asphyxia; bronchoscopy; bronkoskopi; foreign bodies; yabancı cisimler.

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Figures

Figure 1.
Figure 1.
A 26-years old female patient, postero-anterior chest plain shows a headscarf pin in trachea.
Figure 2.
Figure 2.
The lateral chest X-ray of a 28-years old female patient. Headscarf pin was located in the trachea.
See this image and copyright information in PMC

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