Öz
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.
Anahtar Kelimeler
Bronchoscopy foreign bodies laryngectomy/ complications trache
Kaynakça
- Limper AH, Prakash UB. Tracheobronchial foreign bodies in adults. Ann Intern Med 1990;112:604-9.
- Nwiloh J, Fortson J. Aspirated foreign body in a laryn- gectomized patient: case report and literature review. Ear Nose Throat J 2001;80:744-6, 748.
- Bumber Z, Svoren E. Video fluoroscopy of the swal- lowing act following partial supraglottic laryngecto- my. Laryngorhinootologie 1990;69:217-20. [Abstract]
- Kreuzer SH, Schima W, Schober E, Pokieser P, Kofler G, Lechner G, et al. Complications after laryngeal surgery: videofluoroscopic evaluation of 120 patients. Clin Radiol 2000;55:775-81.
- Berger PE, Kuhn JP, Kuhns LR. Computed tomogra- phy and the occult tracheobronchial foreign body. Radiology 1980;134:133-5.
- Cleveland RH. Symmetry of bronchial angles in chil- dren. Radiology 1979;133:89-93.
- Debeljak A, Sorli J, Music E, Kecelj P. Bronchoscopic removal of foreign bodies in adults: experience with 62 patients from 1974-1998. Eur Respir J 1999;14:792-5.
- Wong KS, Lai SH, Lien R, Hsia SH. Retrieval of bronchial foreign body with central lumen using a flexible bronchoscope. Int J Pediatr Otorhinolaryngol 2002;62:253-6.
Öz
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
Anahtar Kelimeler
Kaynakça
- Limper AH, Prakash UB. Tracheobronchial foreign bodies in adults. Ann Intern Med 1990;112:604-9.
- Nwiloh J, Fortson J. Aspirated foreign body in a laryn- gectomized patient: case report and literature review. Ear Nose Throat J 2001;80:744-6, 748.
- Bumber Z, Svoren E. Video fluoroscopy of the swal- lowing act following partial supraglottic laryngecto- my. Laryngorhinootologie 1990;69:217-20. [Abstract]
- Kreuzer SH, Schima W, Schober E, Pokieser P, Kofler G, Lechner G, et al. Complications after laryngeal surgery: videofluoroscopic evaluation of 120 patients. Clin Radiol 2000;55:775-81.
- Berger PE, Kuhn JP, Kuhns LR. Computed tomogra- phy and the occult tracheobronchial foreign body. Radiology 1980;134:133-5.
- Cleveland RH. Symmetry of bronchial angles in chil- dren. Radiology 1979;133:89-93.
- Debeljak A, Sorli J, Music E, Kecelj P. Bronchoscopic removal of foreign bodies in adults: experience with 62 patients from 1974-1998. Eur Respir J 1999;14:792-5.
- Wong KS, Lai SH, Lien R, Hsia SH. Retrieval of bronchial foreign body with central lumen using a flexible bronchoscope. Int J Pediatr Otorhinolaryngol 2002;62:253-6.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 14 Ekim 2006 |
| Yayımlandığı Sayı | Yıl 2006 Cilt: 16 Sayı: 5 |