Late Diagnosis of Foreign Body Aspiration in Adults: Case Series and Review of the Literature.

Autor:	Kara K; Drs Kara, Tural Onur, Satici, Tokgoz Akyil, and Nedime Sokucu are affiliated with Chest Disease, University of Health Sciences, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey. Dr Ozdemir is affiliated with Chest Disease, Liv Hospital, Istanbul, Turkey. kaankara3643@yahoo.com., Ozdemir C; Drs Kara, Tural Onur, Satici, Tokgoz Akyil, and Nedime Sokucu are affiliated with Chest Disease, University of Health Sciences, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey. Dr Ozdemir is affiliated with Chest Disease, Liv Hospital, Istanbul, Turkey., Tural Onur S; Drs Kara, Tural Onur, Satici, Tokgoz Akyil, and Nedime Sokucu are affiliated with Chest Disease, University of Health Sciences, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey. Dr Ozdemir is affiliated with Chest Disease, Liv Hospital, Istanbul, Turkey., Satici C; Drs Kara, Tural Onur, Satici, Tokgoz Akyil, and Nedime Sokucu are affiliated with Chest Disease, University of Health Sciences, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey. Dr Ozdemir is affiliated with Chest Disease, Liv Hospital, Istanbul, Turkey., Tokgoz Akyil F; Drs Kara, Tural Onur, Satici, Tokgoz Akyil, and Nedime Sokucu are affiliated with Chest Disease, University of Health Sciences, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey. Dr Ozdemir is affiliated with Chest Disease, Liv Hospital, Istanbul, Turkey., Nedime Sokucu S; Drs Kara, Tural Onur, Satici, Tokgoz Akyil, and Nedime Sokucu are affiliated with Chest Disease, University of Health Sciences, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey. Dr Ozdemir is affiliated with Chest Disease, Liv Hospital, Istanbul, Turkey.
Jazyk:	angličtina
Zdroj:	Respiratory care [Respir Care] 2024 Feb 28; Vol. 69 (3), pp. 317-324. Date of Electronic Publication: 2024 Feb 28.
DOI:	10.4187/respcare.10723
Abstrakt:	Background: Tracheobronchial foreign body (FB) aspiration (FBA) is a life-threatening emergency mostly observed in childhood and advanced age. With early diagnosis, the FB can be removed using bronchoscopic methods without causing irreversible damage. Methods: This was a single-center, retrospective observational study. Subjects diagnosed with FBA via either bronchoscopic methods and/or radiological findings, having no medical history of aspirated FB, and who were detected to have aspirated FB for longer than 30 days were included in the study. Medical records and radiological and bronchoscopic findings of the subjects were investigated from the hospital information database system. Results: Of the 255 patients with FBA, 17.6% ( N = 45) were diagnosed late. The mean age was 53 y; 28% were female, and 60% of the subjects had a history of ever smoking. The estimated residence time of the FB in the bronchial system was 22.8 months. The most common complaints were cough and shortness of breath. Forty-two percent of the aspirated FBs were organic material. FB artifact could be observed in 6.7% of posteroanterior chest radiographs and 65% of thorax computed tomography (CT) scans. Rigid bronchoscopy had been primarily preferred as therapeutic interventional procedure. It was also found that the artifact most frequently resided in the right bronchial system and was most commonly found in the right lower lobe, while granulation tissue was formed in 85% of the subjects. Conclusions: The findings of the present study demonstrate that subjects tended to forget the FBA, leading to insidious respiratory system symptoms, with recurrent infections. In cases with an endobronchial mass lesion image on thorax CT, clinicians should consider the possibility of FBA. Delayed diagnosis of both organic and inorganic FB may cause granulation tissue. Competing Interests: The authors have disclosed no conflicts of interest. (Copyright © 2024 by Daedalus Enterprises.)
Databáze:	MEDLINE
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