Tracheobronchial foreign body aspiration following partial laryngectomy: a case report

Abstract

Tracheobronchial foreign body aspiration is uncommon in adults and one etiologic factor is laryngeal surgery. A 50-year-old male patient presented with cough, high fever, and severe dyspnea three months after partial laryngectomy for squamous celi carcino- ma of the larynx. A computed tomography scan of the thorax showed a hyperdense mass lesion in the right main bronchus, suggesting a foreign body.Diagnostic bronchoscopy was performed under gen­ eral anesthesia and a small bone fragment, 2x1.3 cm in size, was removed from the right bronchial lumen. The patient showed slow improvement due to prolonged atelectasis until complete clinical and radiologic recovery.

Keywords

• Bronchoscopy, foreign bodies, laryngectomy/ complications, trache

Parsiyel larenjektomiden sonra trakeobronşiyal yabancı cisim aspirasyonu: Olgu sunumu

Abstract

Erişkinlerde trakeobronşiyal yabancı cisim aspirasyo- nu sık değildir. Larengeal cerrahi öyküsü erişkinlerde görülen aspirasyon nedenlerinden biridir. Skuamöz hücreli larenks karsinomu nedeniyle parsiyel larenjek- tomi uygulanan 50 yaşındaki erkek hasta, cerrahi giri- şimden üç ay sonra öksürük, yüksek ateş ve ciddi dispne yakınmalarıyla başvurdu. Toraks bilgisayarlı tomografide sağ ana bronşta, hiperdens özellikte, ya- bancı cisim ile uyumlu kitle saptandı. Genel anestezi altında tanı amaçlı bronkoskopi uygulandı ve sağ ana bronş lümeninden 2x1.3 cm boyutlarında bir kemik parçası çıkarıldı. Uzun süren atalektaziye bağlı olarak yakınmaların gerilemesi zaman aldı; ancak, klinik ve radyolojik iyileşme sağlandı

Keywords

• Bronkoskopi, yabancı cisim, larenjektomi/komplikasyon, trakea

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