Unusual Tracheobronchial Foreign Bodies: Clinical Presentation and Management in Adults | ||||
| Egyptian Journal of Ear, Nose, Throat and Allied Sciences | ||||
| Article 45, Volume 25, Issue 25, 2024, Page 1-4 PDF (858.45 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejentas.2024.253680.1698 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Malika EL OMRI   1; Maroua Naouar2; mouna bellakhdher3; Emna Bergaoui2; Jihene Houas2; abir Meherzi4; monia ghammem5; Wassim Kermani2; mohamed abdelkefi6
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| 1Sousse, Tunisia | ||||
| 2Department of Otorhinolaryngology, Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia | ||||
| 3ENT department Farhat Hached medicine university Sousse Tunisia | ||||
| 4ENT departement Farhat Hached teaching hospital, Sousse Tunisia | ||||
| 5Department of Ear, Nose, Throat and Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia. | ||||
| 6ENT department Farhat hached medicine university sousse Tunisia | ||||
| Abstract | ||||
| Introduction: Tracheobronchial foreign body (TFB) aspiration in adults is rare;however, its prevalence increases with age. As in children, it is a life-threatening respiratory emergency. Materials and Methods: This is a retrospective study of 30 cases collected in our Ear Nose and Throat department over a 12-year period (2010-2022). Results: There were 27 women and 3 men with a mean age of 20 years, ranging from 17 to 37 years. Three patients were intubated and ventilated for polytrauma after a traffic accident. The average consultation time was 1.2 days. Penetration syndrome was the main presenting symptom in all cases. The imaging showed a radiopaque foreign body in all cases. FB was on the left site in 21 cases (70%), on the right site in 5 cases (17%), and on the laryngotracheal axis in 4 cases (13%). Extraction was performed by rigid bronchoscopy in all cases, after a single attempt in 26 cases (86.6%) and after 2 attempts in 4 cases. The foreign body was a headscarf pins in 26 cases, a stone in 2 cases, a vice in one case and a tooth in one case. The immediate result was good in all cases. The purpose of this study was to evaluatethe diagnostic and therapeutic approach to inhalation oftracheobronchial foreign bodies in adults. Conclusions: Tracheobranchial foreign body aspiration is a rare accident in adults, although its prevalence increases with age due to certain predisposing factors. The occurrence of a penetration syndrome, even in the absence of a highly suggestive radioclinical examination, requires endoscopic exploration for diagnostic and therapeutic purposes. | ||||
| Keywords | ||||
| Adults; airway obstruction; bronchoscopy; foreign body aspiration | ||||
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