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CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2022; 26(01): e005-e009
DOI: 10.1055/s-0040-1718964
Original Research

Challenges in Management of Tracheobronchial Foreign Bodies with Delayed Presentation: An Institutional Experience

Darwin Kaushal 
1   Department of Otorhinolaryngology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
Amit Goyal 
1   Department of Otorhinolaryngology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
Kapil Soni 
1   Department of Otorhinolaryngology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
Bikram Choudhury 
1   Department of Otorhinolaryngology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
Nithin Prakasan Nair 
1   Department of Otorhinolaryngology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
Prawin Kumar 
2   Department of Pediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
Sameema V. Vaithankalath 
1   Department of Otorhinolaryngology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
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Abstract

Introduction Airway foreign bodies are emergencies involving multidisciplinary departments like Pediatrics, Aneasthesiology and Otorhinolaryngology. It is always a challenge to diagnose and manage patients who present late to our emergencies.

Objective In the present study, we aim to analyze the various challenges faced during the management of tracheobronchial foreign bodies with delayed presentation.

Methods A retrospective hospital record-based analysis of patients who presented to us with tracheobronchial foreign bodies from January 2017 to February 2020 was performed. All patients until the age of 16 years old were included in the present study. We assessed the demographics, preoperative, intraoperative and postoperative data of the patients.

Results Seventeen patients were analyzed in the study. Among these, 44.4% of the patients had delayed presentation (> 1 month). The majority of the patients had an organic foreign body (Supari or betel nut). All patients underwent rigid bronchoscopy, followed by optical forceps-assisted removal of the foreign body. A total of 82% of the patients had granulations around the foreign body.

Conclusion Management of delayed presentation tracheobronchial foreign body is a big challenge for Otorhinolaryngologists. The key factors for preventing complications in the definitive management of tracheobronchial foreign bodies are preoperative planning, multi-discipline teamwork, surgeon expertise and technique.

Keywords

bronchoscopy - foreign body - bronchial - trachea - bronchoscope - consolidation


Publication History

Received: 31 May 2020

Accepted: 03 September 2020

Article published online:
19 February 2021

© 2021. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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