1/76. Aspirated foreign bodies in the tracheobronchial tree: report of 250 cases.During the last 14 years, 250 patients with aspirated foreign bodies in the tracheobronchial tree were admitted to kuwait Chest Diseases Hospital. Ninety-six per cent of the cases were under 10 years of age and 38% gave a clear history of foreign body inhalation. The rest were diagnosed either clinically, from the chest radiograph findings or because of unexplained pulmonary symptoms. In 247 cases, bronchoscopy under general anaesthesia was successful in removing the foreign bodies. In only three cases was bronchotomy needed. Seventy per cent of the foreign bodies were melon seeds. asphyxia and cardiac arrest occurred in four cases during bronchoscopy but the patients were successfully resuscitated. In 10 cases a tracheostomy was done before bronchoscopy and the removal of the foreign body, while in five it was needed after bronchoscopy. Fifteen patients developed late complications such as recurrent pneumonia or atelectasis of the lung. Early diagnosis and adequate treatment are essential to prevent pulmonary and cardiac complications and to avoid radical lung surgery.- - - - - - - - - - ranking = 1keywords = tree (Clic here for more details about this article) |
2/76. Combined rigid and flexible endoscopic removal of a BB foreign body from a peripheral bronchus.Aspirated foreign bodies (FB) in the peripheral tracheobronchial tree may present challenging management problems for the bronchoscopist. Critical to successful removal is maintaining airway control while minimizing endoscopy time. An innovative approach utilizing rigid and flexible bronchoscopy in removal of a distal impacted airway is presented. Difficulties encountered as well as advantages of this combined approach are discussed.- - - - - - - - - - ranking = 0.2keywords = tree (Clic here for more details about this article) |
3/76. Extraction of a rubber bullet from a bronchus after 1 year: complete resolution of chronic pulmonary damage.inhalation of a foreign body (FB) into the bronchial tree rarely occurs asymptomatically and, if leading to recurrent pneumonia, can be very difficult to diagnose. The present report deals with the case of a 10-year-old boy who had three episodes of pneumonia in the left lower lobe caused by the asymptomatic inhalation of a FB 12 months before. Standard thoracic CT, done during the third episode, revealed a slight reduction in the volume of the left lung with air bronchograms, multiple areas of bronchiectasis, and parenchymal consolidation of a segment of the lower lobe. Flexible fiberoptic bronchoscopy revealed a FB at the distal end of the left lower lobar bronchus, surrounded by granulation tissue and fully obstructing the anterior basal segmental bronchus. High-resolution CT (HRCT) images showed an inverted C-shaped image obstructing a bronchus. Removal of the FB was successful only with rigid bronchoscopy under total anesthesia. The FB was an air-pistol rubber bullet that the boy remembered playing with 12 months before. Two months after removal of the FB (ie, 14 months from its asymptomatic inhalation) and treatment with oral steroids, antibiotics, and respiratory physiotherapy, the patient recovered completely, and HRCT showed complete normalization of the lung. We conclude that, when the radiographic density of the FB is greater than the surrounding pulmonary parenchyma, HRCT can reveal the FB, and diagnostic flexible fiberoptic bronchoscopy can be avoided.- - - - - - - - - - ranking = 0.2keywords = tree (Clic here for more details about this article) |
4/76. Penetrating intracranial wooden object: case report and review of CT morphology, complications, and management.BACKGROUND: Penetrating intracranial wooden fragments after vehicular accidents are uncommon. The CT morphology, complications, and management in such cases are quite variable. CASE REPORT: A 27-year-old male was seen with a "twig" from a tree embedded firmly just below the right medial canthus after a motorcycle accident. diagnosis of intracranial penetrating wooden object was made on CT scanning. The wooden stick, which had splintered into two, was extricated through a craniotomy in two operative sessions. However the patient succumbed to septicemia and meningitis on the twelfth day after the accident. CONCLUSIONS: The need for prompt extrication of these objects and the causes of high mortality in this condition are discussed. The importance of imaging the intracranial compartment in injuries involving the periorbital region is emphasized.- - - - - - - - - - ranking = 0.2keywords = tree (Clic here for more details about this article) |
5/76. fluoroscopy-guided retrieval of a sheared endotracheal stylet sheath from the tracheobronchial tree in a premature infant.Endotracheal intubation of premature infants with respiratory distress is a commonly performed procedure in the neonatal intensive care unit. We report a rare complication of this procedure, shearing of the plastic sheath that is bonded to and surrounds the stylet used to assist intubation and lodging of the sheared stylet in the tracheobronchial tree of a small premature infant. We suggest a method for removing the plastic foreign body using fluoroscopy and an Amplatz gooseneck snare directed through the existing endotracheal tube, a technique not previously reported.- - - - - - - - - - ranking = 1keywords = tree (Clic here for more details about this article) |
6/76. Removal of a foreign body from the bronchial tree--a new method.Tracheo-bronchial foreign bodies can be very difficult to remove. This may be related to the location and type of foreign body, the experience of the bronchoscopist and the availability of appropriate instruments. We report a case of an uncommon foreign body in an unusual location in an adolescent in whom conventional attempts to remove it failed. The foreign body was eventually recovered using a flexible bronchoscope and an intravascular wire loop snare under fluoroscopic control. The patient was saved from thoracotomy and possible lobectomy. To our knowledge, this combined fluoroscopic and endoscopic approach for the removal of a difficult tracheobronchial foreign body is the first reported case in the literature.- - - - - - - - - - ranking = 0.8keywords = tree (Clic here for more details about this article) |
7/76. Fractured tracheostomy tubes in the tracheobronchial tree of a child.Fractured tracheostomy tube presenting as foreign bodies in the tracheobronchial tree is rare. Only four previous episodes in children have been reported in literature and most of these in developing countries. We report an unusual case of fractured tracheostomy tubes in the tracheobronchial tree of a child and review the literature.- - - - - - - - - - ranking = 1.2keywords = tree (Clic here for more details about this article) |
8/76. Suspected foreign body aspiration in a child with endobronchial tuberculosis.Endobronchial tuberculosis is a form of pulmonary tuberculosis, thought to result from rupture of an infected node through the bronchial wall or from lymphatic spread to the mucosal surface of the bronchial tree. With the presence of multidrug resistant isolates of TB, and its incidence in an increasing number of foreign-born persons immigrating to the US, otolaryngologists must be aware of its often subtle presentation. The following case is an unusual presentation of endobronchial tuberculosis initially diagnosed as an airway foreign body.- - - - - - - - - - ranking = 0.2keywords = tree (Clic here for more details about this article) |
9/76. Primary pulmonary botryomycosis: a late complication of foreign body aspiration.Primary pulmonary botryomycosis is a rare cause of haemoptysis and can enter the differential diagnosis of a mass on the plain chest radiograph. The case history is presented of a 63 year old man with botryomycosis which was initially thought to be a bronchial carcinoma. When the diagnosis was made several years later it was found to be secondary to persisting vegetable material in the bronchial tree following previous aspiration.- - - - - - - - - - ranking = 0.2keywords = tree (Clic here for more details about this article) |
10/76. Injuries from palm tree thorn simulating tumoral or pseudotumoral bone lesions.Three cases of bone changes caused by foreign bodies that appeared to be tumoral lesions or pseudotumors, were observed in young male patients who presented with pain, localized inflammation, and radiographic and bone scan findings suggestive of tumoral or pseudotumoral lesions. Accurate diagnosis was made at surgery when the foreign body was retrieved. Following removal of the foreign body, postoperative recovery was satisfactory. The common causative agent in all these cases was a palm tree thorn.- - - - - - - - - - ranking = 1keywords = tree (Clic here for more details about this article) |
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