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Treatment of Flexible Bronchoscopy for Bronchial Foreign Bodies, A Single-Center Investigation
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A3180 - Treatment of Flexible Bronchoscopy for Bronchial Foreign Bodies, A Single-Center Investigation
Author Block: Y. Miyashita, H. Takagi, S. Okamoto, R. Koyama, N. Shimada, T. Nagaoka, K. Takahashi; Division of Respiratory Medicine, Juntendo University Faculty of Medicine and Graduate School of Medicine, Tokyo, Japan.
BACKGROUND: Aspiration of foreign bodies (FB) is particularly happen in children and elderly people. FB aspiration could cause serious pulmonary infection and sometimes life-threatening event. Thus, rapid removal of foreign body is necessary. Although the rigid bronchoscopy is still considered as the most reliable modality for removal, flexible bronchoscopy is a relatively easy and prompt method compared with rigid it in many hospitals. OBJECTIVE: We assessed the cases of flexible bronchoscopic treatment for removal of bronchial FB in our hospital, retrospectively. METHOD: We retrospectively examined the nine cases of FB aspiration in our hospital from June 2008 to March 2017. We evaluated age, sex, type of foreign body, dropped location in the lung, period from aspiration to removal, devices for removal, and complication in those patients. RESULTS: Average age of nine cases was 56.8 year old (7 - 82 year old) involving six male and three female. Type of bronchial FB were dental related crown and crown paddle filling (six cases), thumbtack (one case), mechanical pencil lid (one case), and fish bone (one case). FB were aspirated to the right bronchus in six cases and left bronchus in three cases, and the period from aspiration to removal of each case was 0 to 850 days. FB successfully removed by flexible bronchoscopy in eight cases, except for one case who excreted by himself without procedure. Bronchoscopic removal were performed with endotracheal intubation in seven cases and without endotracheal intubation in one case under sedation with midazolam. Shark-tooth forceps, loop wire for snare, and wire basket were used for removal. While loop wire was useful for removal of dental crown, we used wire basket for the relatively heavy and smooth surface foreign body. Except for one case of pneumothorax, serious complications associated with bronchial FB and removal procedure were not observed. CONCLUSION:Treatment of flexible bronchoscopy was useful and safety for the removal of bronchial FB.
Author Block: Y. Miyashita, H. Takagi, S. Okamoto, R. Koyama, N. Shimada, T. Nagaoka, K. Takahashi; Division of Respiratory Medicine, Juntendo University Faculty of Medicine and Graduate School of Medicine, Tokyo, Japan.
BACKGROUND: Aspiration of foreign bodies (FB) is particularly happen in children and elderly people. FB aspiration could cause serious pulmonary infection and sometimes life-threatening event. Thus, rapid removal of foreign body is necessary. Although the rigid bronchoscopy is still considered as the most reliable modality for removal, flexible bronchoscopy is a relatively easy and prompt method compared with rigid it in many hospitals. OBJECTIVE: We assessed the cases of flexible bronchoscopic treatment for removal of bronchial FB in our hospital, retrospectively. METHOD: We retrospectively examined the nine cases of FB aspiration in our hospital from June 2008 to March 2017. We evaluated age, sex, type of foreign body, dropped location in the lung, period from aspiration to removal, devices for removal, and complication in those patients. RESULTS: Average age of nine cases was 56.8 year old (7 - 82 year old) involving six male and three female. Type of bronchial FB were dental related crown and crown paddle filling (six cases), thumbtack (one case), mechanical pencil lid (one case), and fish bone (one case). FB were aspirated to the right bronchus in six cases and left bronchus in three cases, and the period from aspiration to removal of each case was 0 to 850 days. FB successfully removed by flexible bronchoscopy in eight cases, except for one case who excreted by himself without procedure. Bronchoscopic removal were performed with endotracheal intubation in seven cases and without endotracheal intubation in one case under sedation with midazolam. Shark-tooth forceps, loop wire for snare, and wire basket were used for removal. While loop wire was useful for removal of dental crown, we used wire basket for the relatively heavy and smooth surface foreign body. Except for one case of pneumothorax, serious complications associated with bronchial FB and removal procedure were not observed. CONCLUSION:Treatment of flexible bronchoscopy was useful and safety for the removal of bronchial FB.
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