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349273

Unusual Tracheobronchial Foreign Bodies: Clinical Presentation and Management in Adults

Article

Last updated: 03 Jan 2025

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Subjects

-

Tags

Otolaryngology including ear, nose and throat diseases

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.

DOI

10.21608/ejentas.2024.253680.1698

Keywords

adults, Airway Obstruction, Bronchoscopy, Foreign body aspiration

Authors

First Name

Malika

Last Name

EL OMRI

MiddleName

-

Affiliation

Sousse, Tunisia

Email

omri.malika6@gmail.com

City

Sahloul

Orcid

0000-0001-5034-1151

First Name

Maroua

Last Name

Naouar

MiddleName

-

Affiliation

Department of Otorhinolaryngology, Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia

Email

naouar.maroua@gmail.com

City

Sousse

Orcid

-

First Name

mouna

Last Name

bellakhdher

MiddleName

-

Affiliation

ENT department Farhat Hached medicine university Sousse Tunisia

Email

mounabelakhdher@yahoo.com

City

Sousse

Orcid

-

First Name

Emna

Last Name

Bergaoui

MiddleName

-

Affiliation

Department of Otorhinolaryngology, Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia

Email

bergaoui.emna@gmail.com

City

Sousse

Orcid

-

First Name

Jihene

Last Name

Houas

MiddleName

-

Affiliation

Department of Otorhinolaryngology, Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia

Email

jihene.houas@gmail.com

City

Sousse

Orcid

-

First Name

abir

Last Name

Meherzi

MiddleName

-

Affiliation

ENT departement Farhat Hached teaching hospital, Sousse Tunisia

Email

abir-meherzi@hotmail.fr

City

Sousse

Orcid

-

First Name

monia

Last Name

ghammem

MiddleName

-

Affiliation

Department of Ear, Nose, Throat and Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia.

Email

ghamamonia@gmail.com

City

Sousse

Orcid

-

First Name

Wassim

Last Name

Kermani

MiddleName

-

Affiliation

Department of Otorhinolaryngology, Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia

Email

kermani_wassim@yahoo.fr

City

sousse

Orcid

-

First Name

mohamed

Last Name

abdelkefi

MiddleName

-

Affiliation

ENT department Farhat hached medicine university sousse Tunisia

Email

abdelkefi_mohamed@yahoo.fr

City

Sousse

Orcid

-

Volume

25

Article Issue

25

Related Issue

46615

Issue Date

2024-03-01

Receive Date

2023-12-06

Publish Date

2024-03-01

Page Start

1

Page End

4

Print ISSN

2090-0740

Online ISSN

2090-3405

Article File

EJENTAS_Volume 25_Issue 25_Pages 1-4.pdf

PDF . 879.1kB

Link

https://ejentas.journals.ekb.eg/article_349273.html

Detail API

https://ejentas.journals.ekb.eg/service?article_code=349273

Order

45

Type

Original Article

Type Code

467

Publication Type

Journal

Publication Title

Egyptian Journal of Ear, Nose, Throat and Allied Sciences

Publication Link

https://ejentas.journals.ekb.eg/

MainTitle

Unusual Tracheobronchial Foreign Bodies: Clinical Presentation and Management in Adults

Details

Type

Article

Created At

23 Dec 2024