Challenges in Management of Tracheobronchial Foreign Bodies with Delayed Presentation: An Institutional Experience
| Autor: | Prawin Kumar, Darwin Kaushal, Bikram Choudhury, Kapil Dev Soni, Sameema V. Vaithankalath, Nithin Prakasan Nair, Amit Goyal |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Rigid bronchoscopy
medicine.medical_specialty bronchoscopy trachea Hospital records bronchial Organic foreign body 03 medical and health sciences Delayed presentation 0302 clinical medicine bronchoscope medicine 030223 otorhinolaryngology Foreign Bodies Original Research Preoperative planning business.industry General surgery medicine.disease foreign body Otorhinolaryngology RF1-547 030220 oncology & carcinogenesis Medicine Foreign body business consolidation |
| Zdroj: | International Archives of Otorhinolaryngology, Vol 26, Iss 01, Pp e005-e009 (2022) International Archives of Otorhinolaryngology, Volume: 26, Issue: 1, Pages: 5-9, Published: 25 FEB 2022 International Archives of Otorhinolaryngology International Archives of Otorhinolaryngology v.26 n.1 2022 Fundação Otorrinolaringologia (FORL) instacron:FORL |
| ISSN: | 1809-4864 1809-9777 |
| DOI: | 10.1055/s-0040-1718964 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|