• Title/Summary/Keyword: foreign body aspiration

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A Case of Occult Foreign Body Lodged in Bronchus for a Long Period and Removal by Flexible Bronchoscopy (굴곡성 기관지 내시경에 의한 장기간 체류한 기관지이물의 제거 1예)

  • Jo, Kyoung-Geun;Baek, Man-Sun;Kim, Mi-Suk;Hur, Jean-Man;Jeon, Jong-Il;Park, Kang-Seo;Jung, Kyung-Tae;Choi, Duck-Yeii;Na, Moon-Jun
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.5
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    • pp.1166-1171
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    • 1997
  • Aspiration of foreign bodies into tracheobronchial tree is more common in children than in adults. Foreign bodies in airway commonly occur by accident, and in most cases they get removed without delay. Small foreign bodies that lodge in the peripheral airway are often asymptomatic initially and can result in respiratory symptoms several years later. Although foreign body aspiration is frequently suspected in children with acute or recurrent pulmonary symptoms, it is rarely considered in adults, unless a clear history of an aspiration event can be obtained. We have experienced and studied a case of occult aspiration of a shrimp which had been lodged for a long period.

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The Two Cases of Initial Foreign Body Removal Failure Using Bronchoscopy (기관지 내시경으로 초기에 제거할 수 없었던 기도 이물 : 2례 보고)

  • Kim, Yeon-Soo;Nam, Seung-Yeon;Kwak, Byeong-Gon;Chang, Woo-Ik;Park, Kyung-Taek;Kim, Chang-Young;Ryoo, Ji-Yoon
    • Korean Journal of Bronchoesophagology
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    • v.13 no.2
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    • pp.77-81
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    • 2007
  • Foreign body aspiration is a cause of the accidental death at home. Therefore, early intervention and proper management is important. A bronchoscopy is indicated whenever there is a suggestive history and medical opinion. Occasionally, foreign body removal with bronchoscopy may be fail. But, on the situation, there is no definite recommended standard management. We experienced two cases of bronchial foreign body could not be removed with bronchoscopy at first intervention. The one was diagnosed too late. Endobronchial granulation tissue and edema made it impossible to find the foreign body at first bronchoscopy. After steroid and antibiotic therapy, foreign body could be removed with secondary bronchoscopy. Another was bronchial foreign body jammed tightly bronchus intermedius. Even after medical therapy, patient got aggravated. So foreign body was removed with bronchotomy.

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A Case of Removal of Pushpin by Flexible Bronchoscopy (굴곡성 기관지경을 이용한 기관지내 압정 제거 1예)

  • Hong, Seong-Bin;Song, Joon-Ho;Kwak, Seung-Min;Cho, Chul-Ho
    • Tuberculosis and Respiratory Diseases
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    • v.42 no.5
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    • pp.772-776
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    • 1995
  • Aspiration of foreign body, a clinical problem seen more commonly in the pediatric age group, is infrequently seen in the adult population. Although rigid bronchoscopy has been the mainstay of treatment, recently, easier manipulation, greater range of visulization, flexibility, topical anesthesia has made flexible bronchoscopy of choice for dealing with aspirated foreign body in adult. Operation increase morbidity and mortality, delay foreigh body removal. A 41-year old male was admitted to this hospital due to aspiration of pushpin. He showed high opaque density protruding in the orifice of right lower lobar bronchus. We report a case of foreign body removal by flexible bronchoscopy with brief review of the literature.

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A Case of Pneumonia due to Occult aspiration of a Twig (나뭇가지 흡인으로 인한 폐렴 1예)

  • Kwon, Kyung-Su;Park, Mu-Yeong;Kim, Kwang-Chul;Yeom, Keong-Hun;Lee, Chung-Suk;Jung, Ku-Yeong;Lee, Ho-Sim;Yoo, Yung-Hoon;Kim, Jong-Suk
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.1
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    • pp.108-112
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    • 1996
  • Bronchial foreign body aspirations are uncommon in adults and usually have various underlying conditions, otherwise accidentally occurred in dental procedure, medical, surgical procedure. The most commonly aspirated objects were food materials, with peanuts leading the list. When bronchial foreign body was aspirated, no definite respiratory symptoms or foreign body is may not seen, then diagnosis is delayed. Therefore late complications was developed. The tendency to use fiberoptic bronchoscope for removal of foreign bodies in adults is increased. We report a rare case of bronchial pneumonia due to occult aspiration of a twig before 1 year with a review of the literatures.

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Surgical Management of Occult Foreign Body in the Bronchus Intermedius (중간 기관지 내 이물의 수술적 치료)

  • Kim, Jae-Bum;Park, Chang-Kwon
    • Korean Journal of Bronchoesophagology
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    • v.16 no.1
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    • pp.51-54
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    • 2010
  • Occult bronchial foreign body is that long-standing foreign body lodge in bronchial tree. Occult bronchial foreign bodies arc rare in adults, whereas tracheobronchial aspiration of foreign bodies occurs commonly in children. A 65-year-old man with chronic cough, sputum production, and fever was transferred for treatment of right middle and lower lobc collapse and obstructive pneumonitis as evidenced by imaging studies. The patient was treated with right middle-lower bilobectomy because fiberoptic bronchoscopic removal of the foreign body failed. We report this case with review of literatures.

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Removal of a Left Upper Lobar Bronchial Foreign Body Using Fogarty Catheter and Rigid Bronchoscope

  • Woo, Hyunjun;Kim, Seo Young;Kwon, Seong Keun
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.33 no.1
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    • pp.37-41
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    • 2022
  • Airway foreign body aspiration in children can lead to accidental death, due to the foreign body itself or the removal procedure. Depending on its location, removal of the foreign body can be challenging. Here, we present a case of successful removal of a foreign body from the left upper lobar bronchus via ventilating bronchoscopy with a rigid bronchoscope and Fogarty arterial embolectomy catheter. Tracheobronchial foreign bodies in locations that are difficult to reach with forceps, due to an acute angle or the small diameter of the pediatric bronchial tree, can be effectively removed with a Fogarty arterial embolectomy catheter.

The Aspiration of Foreign Body in the Left Tracheobronchial Tree during Gold Crown Restoration -A Case Report- (금관 수복치료 후 발생한 좌측 기관지 내로의 금관 흡인에 관한 증례보고)

  • Shin, Teo-Jeon;Seo, Kwang-Suk;Kim, Hyun-Jeong
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.10 no.1
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    • pp.54-57
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    • 2010
  • Foreign body aspiration (FBA) into the tracheobronchial tree could be life threatening requiringprompt intervention. Any objects placed in the oral cavity put patients at a risk of aspirating or swallowing the objects slipped or broken by physical injuries. Here, we report a case of 30 yr old patient with FBA during gold crown replacement was successfully treated with the use of the flexible bronchoscope. Case: A 30 yr old woman was admitted to Seoul National Dental Hospitalfor an amalgam restoration. She was scheduled to gold crown restoration for replacement of the damaged amalgam at #37 site. After performing crown lengthening procedure, the aspiration of gold crown occurred during the cementation of the crown. After aspiration, the patients complained of the subjective distress of respiration. Chest radiograph revealed that gold crown was enlodged to the left bronchus. Flexible fiberoptics was inserted to the bronchus to remove the aspirated crown. Fiberoptic assisted removal of the aspiratedcrown was successfully performed. After removal, there was no radiopaque material in the left bronchus on follow-up chest radiograph. Discussion: When aspiration of dental materials occurs, flexible fiberoptic can be used in the treatment of FBA. It is also very useful to take preventive management such as rubber dam, application of dental floss in dental procedure where there is high likelihood of FBA.

Aspiration and Ingestion of Foreign Bodies in Dental Practice (치과진료 중 발생한 이물질의 섭취와 흡인)

  • Heo, Narang;Lee, Kwanghee;An, Soyoun;Song, Jihyun;Shin, Gayoung;Ra, Jiyoung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.42 no.1
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    • pp.69-74
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    • 2015
  • Despite preventative efforts, aspiration and ingestion of foreign bodies during clinical dental procedures occasionally occur. Careful clinical and radiographic examination and prompt emergency management can prevent potentially serious consequences. In this report, we describe a case of accidental foreign body ingestion and discuss prevention and management of dental instrument aspiration and ingestion.

Fiberoptic Bronchoscopy for Removal of Endobronchial Foreign Bodies in Adults (굴곡성 기관지경을 이용한 성인의 기도내 이물 제거)

  • Yoo, Jee-Hong;Yoon, Ki-Heon;Kang, Hong-Mo
    • Tuberculosis and Respiratory Diseases
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    • v.38 no.2
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    • pp.116-118
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    • 1991
  • Foreign body aspiration occurs uncommonly in adults. A review of recent reports reveals only a few case reports on this topic. We have experienced 8 cases of endobronchial foreign bodies in adults from June 1988 to February 1991 which were removed successfully with fiberoptic bronchoscope and biopsy forceps. Only one of them had the primary disorder predisposing aspiration. Foreign bodies were located in right lower lobe (3 cases), right intermediate (2 cases), left lower lobe (2 cases) and left upper lobe bronchus (1 cases). Removal of endobronchial foreign boides in adult would be accomplished by fiberoptic bronchoscopy successfully.

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Bronchial foreign body aspiration diagnosed with MDCT (다중검출 나선형 CT로 진단한 기관지 이물 흡인)

  • Cho, Hye Kyung;Cho, Ki Young;Cho, Sung Yoon;Sohn, Sejung
    • Clinical and Experimental Pediatrics
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    • v.50 no.8
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    • pp.781-784
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    • 2007
  • Foreign body aspiration (FBA) is a common accident in young children. Undiagnosed and retained foreign bodies may result in severe early and late complications such as asphyxia, pneumonia, atelectasis and bronchiectasis. Moreover, because it can mimic bronchiolitis, croup or asthma, an accurate history and a high index of suspicion are of paramount importance for early diagnosis. With our experience on bronchial FBA initially misdiagnosed as acute bronchiolitis, we emphasize that a minute radiological finding should not be neglected and a repeat chest radiograph may be helpful when the initial study shows normal findings. Multidetector computed tomography is a very useful noninvasive diagnostic modality for FBA.