Chest ACCP Member Benefits
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Guest Access | Sign In via User Name/Password
This Article
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Weissberg, D
Right arrow Articles by Schwartz, I
Right arrow Search for Related Content
PubMed
Right arrow Articles by Weissberg, D
Right arrow Articles by Schwartz, I

Chest, Vol 91, 730-733, Copyright © 1987 by American College of Chest Physicians

ARTICLES

Foreign bodies in the tracheobronchial tree

D Weissberg and I Schwartz

Between 1972 and 1984, we treated 66 patients with foreign bodies (FBs) in the tracheobronhial tree. Twenty-six patients (39.4 percent) were between one and two years old; 52 (78.8 percent) were under age ten. Forty-four FBs (67 percent) were fruit and vegetable seeds and nuts. Soft organic material (meat, cucumber peels) was found in four patients, chicken bones in six, pins and needles in six, other nonorganic materials (toys, stone, broken thermometer) in six. In 55 patients, the FB was removed at bronchoscopy; three patients coughed up the FB shortly after bronchoscopy. Eight patients were operated on because the impacted FB could not be removed at repeat bronchoscopy trials. In this group, the FB was removed through a bronchotomy in two patients, but in six, pulmonary resection was necessary because of severe bronchiectasis (FBs had been impacted from ten months to 12 years). Stiff bronchoscope was used in all patients. In several cases, the flexible bronchoscope was used initially but proved inadequate. There were three complications, two related to hypoxia, but no deaths. Infants and little children should be prevented from reaching peanuts and seeds. When presence of a FB is suspected, and in children with unresolving pneumonic process, early bronchoscopy is mandatory. Expert anesthesia is essential, and hypoxia must be avoided.


This article has been cited by other articles:


Home page
 ICVTSHome page
K. Schembri, V. Serafimov, S. Montefort, and A. Manche
Empyema thoracis caused by a foreign body inhaled 30 years previously
Interactive CardioVascular and Thoracic Surgery, December 1, 2003; 2(4): 581 - 583.
[Abstract] [Full Text] [PDF]

Home page
 Postgrad. Med. J.Home page
I Woolhouse, H Collinson, D Honeybourne, and R E Ferner
Pleural effusion and fever in a middle-aged Asian man
Postgrad. Med. J., November 1, 1999; 75(889): 687 - 688.
[Full Text]

Home page
 Postgrad. Med. J.Home page
L. M Rolfe and C. F J Rayner
A wheezy man with a bony abnormality
Postgrad. Med. J., August 1, 1999; 75(886): 503 - 505.
[Full Text]

Home page
 CLIN PEDIATRHome page
A. J. M. Cataneo, S. M. Reibscheid, R. L. Ruiz Jr, and G. F. Ferrari
Foreign Body in the Tracheobronchial Tree
Clinical Pediatrics, December 1, 1997; 36(12): 701 - 705.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1987 by the American College of Chest Physicians.