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FLEKSİBL BRONKOSKOPLA ÇIKARILAN NADİR YABANCI CİSİM ASPİRASYON OLGULARI

Year 2014, Volume: 28 Issue: 3, 175 - 179, 01.12.2014

Abstract

Yabancı cisim aspirasyonları aspirasyon açısından risk faktörü taşımayan, bilinç bozukluğu bulunmayan erişkinlerde yaygın olmayan bir durumdur. Yabancı cisim aspirasyonları tanı ve tedavisinde genel anestezi altında rijid bronkoskopi uygulaması altın standart yöntem olarak kabul edilmektedir. Erişkinlerde yabancı cisim aspirasyonlarının tedavisinde fleksibl bronkoskopi son yıllarda öncelikle tercih edilmeye başlanan yöntemdir. Burada sunulmakta olan olgu sunumunda, fleksibl bronkoskop ile çıkarılan üç olgu sunulmaktadır. Her üç olguda da işlem sonrası herhangi bir komplikasyon gelişmedi. Bu üç olgudan sırası ile konuşma protezi, limon sapı ve fındık çıkarıldı. Fleksibl bronkoskop ile çıkarılan bu olguların hiçbirinde mental durum bozukluğu yoktu ve aspirasyon açısından risk faktörü taşımıyorlardı. Olgular erişkinlerde nadir görülen yabancı cisim aspirasyon nedenleri oldukları için sunuldu.

References

  • 1. Chen CH, Lai CL, Tsai TT, Lee YC, Perng RP. Foreign body aspiration into the lower airway in Chinese adults. Chest. 1997;112 (1): 129-33.
  • 2. Boyd M, Chatterjee A, Chiles C, Chin R Jr. Tracheobronchial foreign body aspiration in adults. South Med J. 2009;102 (2): 171-4.
  • 3. Dikensoy O, Usalan C, Filiz A. Foreign body aspiration: clinical utility of flexible bronchoscopy. Postgrad Med J. 2002;78 (921): 399-403.
  • 4. Gokirmak MM, Hasanoglu HC, Koksal N, Yıldı- rım Z, Hacıevliyagil SS, Soysal Ö. Retrieving Aspirated Pins by Flexible Bronchoscopy. J Bronchology 2002; 9 (12): 10-14.
  • 5. Zaghba N, Benjelloun H, Bakhatar A, Yassine N, Bahlaoui A. Scarf pin: An intrabronchial foreign body who is not unusual. Rev Pneumol Clin. 2013; 69 (2): 65-9.
  • 6. Weissberg D, Schwartz I. Foreign bodies in the tracheobronchial tree. Chest 1987; 91 (5): 730- 3.
  • 7. Üskül TB, Türker H, Arslan S, Selvi A, Kant A. Use of fiberoptic bronchoscopy in endobronchial foreign body removal in Endobronchial Foreign Body Removal in Adults. Turkish Res Journal 2007; 8 (2): 39-43.
  • 8. Rodrigues AJ, Oliveira EQ, Scordamaglio PR, Gregório MG, Jacomelli M, Figueiredo VR. Flexible bronchoscopy as the first-choice method of removing foreign bodies from the airways of adults. J Bras Pneumol. 2012; 38 (3): 315-20.
  • 9. Jabbardarjani HR, Herth F, Kiani A, Arab A, Masjedi M. Central airway obstruction masquerading as difficult to treat asthma. J Bronchiol Intervent Pulmonol 2009; 16 (1): 6-9.
  • 10. Yurdakul AS, Kanbay A, Kurul C, Yorgancilar D, Demircan S, Ekim N. An occult foreign body aspiration with bronchial anomaly mimicking asthma and pneumonia. Dent Traumatol. 2007; 23 (6): 368-70.
  • 11. Matsuse H, Shimoda T, Kawano T, Fukushima C, Mitsuta K, Obase Y, Tomari S, Saeki S, Kohno S. Airway foreign body with clinical features mimicking bronchial asthma. Respiration. 2001; 68 (1): 103-5.
  • 12. Silvia AB, Muntz HR, Clary R. Utility of conventional radiography in the diagnosis and management of pediatric airway foreign bodies. Ann Otol Rhinol Laryngol 1998; 107 (1): 834-8.
  • 13. Erdozain Rodriguez I, Sanchez Galan L, Zabaleta Lopez M, Sánchez del Hoyo A. Tracheobronchial foreign body in the laryngectomized patient. An Otorrinolaringol Ibero 1998; 25 (2): 185-92.
  • 14. Rodrigues AJ, Oliveira EQ, Scordamaglio PR, Gregório MG, Jacomelli M, Figueiredo VR. Flexible bronchoscopy as the first-choice method of removing foreign bodies from the airways of adults. J Bras Pneumol. 2012; 38 (2): 315-20.
  • 15. Karapolat S. Foreign-body aspiration in an adult. Can J Surg. 2008; 51 (5): 411-2.
  • 16. Zubairi AB, Haque AS, Husain SJ, Khan JA. Foreign body aspiration in adults. Singapore Med J. 2006; 47 (5): 415-8.
  • 17. Baharloo F, Veyckemans F, Francis C, Biettlot MP, Rodenstein DO. Tracheobronchial foreign bodies: presentation and management in children and adults. Chest. 1999; 115 (5): 1357- 62.
  • 18. Tander B, Kirdar B, Aritürk E, Rizalar R, Bernay F. Why nut? The aspiration of hazelnuts has become a public health problem among small children in the central and eastern Black Sea regions of Turkey. Pediatr Surg Int. 2004; 20 (7): 502-4.
  • 19. Atagi S, Furuse K, Kawahara M, Kodama N, Ogawara M, Okada T, Kawaguchi Y, Kamimori T, Nakao M, Naka N. Clinical study in 11 cases of endobronchial foreign body. Diagn Ther Endosc. 1996; 2 (4): 197-202.
  • 20. Mehta D, Mehta C, Bansal S, Singla S, Tangri N. Flexible bronchoscopic removal of a three piece foreign body from a child's bronchus. Australas Med J. 2012; 5 (4): 227-30.
  • 21. Folch E, Mehta AC. Airway interventions in the tracheobronchial tree. Semin Respir Crit Care Med 2008; 29 (4): 441-52.
  • 22. Mehta AC, Rafanan AL. Extraction of Airway Foreign Body in Adults. Journal of Bronchology 2001; 8 (2): 123-31.

RETRIEVAL OF ASPIRATED UNUSUAL FOREIGN BODIES ASPIRATED BY FLEXIBLE BRONCHOSCOPY

Year 2014, Volume: 28 Issue: 3, 175 - 179, 01.12.2014

Abstract

Foreign body aspiration (FBA) is uncommon in adults have non-depressed mental status and no risk factors for aspiration. Rigid bronchoscopy under general anesthesia is the gold standard of diagnosis and management of FBA. However, frequently flexible bronchoscopy has become the preferred way to remove aspirated foreign bodies in adults on the last years. In this report, we present three cases treated by flexible foreign body aspiration in the bronchus. There was not any complication after the procedure. Hence, we removed of voice prosthesis, hazelnut and stalk of lemon under flexible bronchoscopy. These cases have non-depressed mental status and no risk factors for aspiration. We rewiewed to these cases because of they were removed the unusal FBA by flexible bronchoscopy.

References

  • 1. Chen CH, Lai CL, Tsai TT, Lee YC, Perng RP. Foreign body aspiration into the lower airway in Chinese adults. Chest. 1997;112 (1): 129-33.
  • 2. Boyd M, Chatterjee A, Chiles C, Chin R Jr. Tracheobronchial foreign body aspiration in adults. South Med J. 2009;102 (2): 171-4.
  • 3. Dikensoy O, Usalan C, Filiz A. Foreign body aspiration: clinical utility of flexible bronchoscopy. Postgrad Med J. 2002;78 (921): 399-403.
  • 4. Gokirmak MM, Hasanoglu HC, Koksal N, Yıldı- rım Z, Hacıevliyagil SS, Soysal Ö. Retrieving Aspirated Pins by Flexible Bronchoscopy. J Bronchology 2002; 9 (12): 10-14.
  • 5. Zaghba N, Benjelloun H, Bakhatar A, Yassine N, Bahlaoui A. Scarf pin: An intrabronchial foreign body who is not unusual. Rev Pneumol Clin. 2013; 69 (2): 65-9.
  • 6. Weissberg D, Schwartz I. Foreign bodies in the tracheobronchial tree. Chest 1987; 91 (5): 730- 3.
  • 7. Üskül TB, Türker H, Arslan S, Selvi A, Kant A. Use of fiberoptic bronchoscopy in endobronchial foreign body removal in Endobronchial Foreign Body Removal in Adults. Turkish Res Journal 2007; 8 (2): 39-43.
  • 8. Rodrigues AJ, Oliveira EQ, Scordamaglio PR, Gregório MG, Jacomelli M, Figueiredo VR. Flexible bronchoscopy as the first-choice method of removing foreign bodies from the airways of adults. J Bras Pneumol. 2012; 38 (3): 315-20.
  • 9. Jabbardarjani HR, Herth F, Kiani A, Arab A, Masjedi M. Central airway obstruction masquerading as difficult to treat asthma. J Bronchiol Intervent Pulmonol 2009; 16 (1): 6-9.
  • 10. Yurdakul AS, Kanbay A, Kurul C, Yorgancilar D, Demircan S, Ekim N. An occult foreign body aspiration with bronchial anomaly mimicking asthma and pneumonia. Dent Traumatol. 2007; 23 (6): 368-70.
  • 11. Matsuse H, Shimoda T, Kawano T, Fukushima C, Mitsuta K, Obase Y, Tomari S, Saeki S, Kohno S. Airway foreign body with clinical features mimicking bronchial asthma. Respiration. 2001; 68 (1): 103-5.
  • 12. Silvia AB, Muntz HR, Clary R. Utility of conventional radiography in the diagnosis and management of pediatric airway foreign bodies. Ann Otol Rhinol Laryngol 1998; 107 (1): 834-8.
  • 13. Erdozain Rodriguez I, Sanchez Galan L, Zabaleta Lopez M, Sánchez del Hoyo A. Tracheobronchial foreign body in the laryngectomized patient. An Otorrinolaringol Ibero 1998; 25 (2): 185-92.
  • 14. Rodrigues AJ, Oliveira EQ, Scordamaglio PR, Gregório MG, Jacomelli M, Figueiredo VR. Flexible bronchoscopy as the first-choice method of removing foreign bodies from the airways of adults. J Bras Pneumol. 2012; 38 (2): 315-20.
  • 15. Karapolat S. Foreign-body aspiration in an adult. Can J Surg. 2008; 51 (5): 411-2.
  • 16. Zubairi AB, Haque AS, Husain SJ, Khan JA. Foreign body aspiration in adults. Singapore Med J. 2006; 47 (5): 415-8.
  • 17. Baharloo F, Veyckemans F, Francis C, Biettlot MP, Rodenstein DO. Tracheobronchial foreign bodies: presentation and management in children and adults. Chest. 1999; 115 (5): 1357- 62.
  • 18. Tander B, Kirdar B, Aritürk E, Rizalar R, Bernay F. Why nut? The aspiration of hazelnuts has become a public health problem among small children in the central and eastern Black Sea regions of Turkey. Pediatr Surg Int. 2004; 20 (7): 502-4.
  • 19. Atagi S, Furuse K, Kawahara M, Kodama N, Ogawara M, Okada T, Kawaguchi Y, Kamimori T, Nakao M, Naka N. Clinical study in 11 cases of endobronchial foreign body. Diagn Ther Endosc. 1996; 2 (4): 197-202.
  • 20. Mehta D, Mehta C, Bansal S, Singla S, Tangri N. Flexible bronchoscopic removal of a three piece foreign body from a child's bronchus. Australas Med J. 2012; 5 (4): 227-30.
  • 21. Folch E, Mehta AC. Airway interventions in the tracheobronchial tree. Semin Respir Crit Care Med 2008; 29 (4): 441-52.
  • 22. Mehta AC, Rafanan AL. Extraction of Airway Foreign Body in Adults. Journal of Bronchology 2001; 8 (2): 123-31.
There are 22 citations in total.

Details

Other ID JA93FZ84UU
Journal Section Case Report
Authors

Ayşegül Şentürk This is me

Emine Argüder This is me

Ayşe Nur Soytürk This is me

Hatice Kılıç This is me

H.canan Hasanoğlu This is me

Publication Date December 1, 2014
Published in Issue Year 2014 Volume: 28 Issue: 3

Cite

APA Şentürk, A., Argüder, E., Soytürk, A. N., Kılıç, H., et al. (2014). FLEKSİBL BRONKOSKOPLA ÇIKARILAN NADİR YABANCI CİSİM ASPİRASYON OLGULARI. İzmir Göğüs Hastanesi Dergisi, 28(3), 175-179.