Article
Laryngotracheobronchial foreign bodies – A 5 year retrospective study
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Published: | April 26, 2017 |
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Outline
Abstract
Introduction: Laryngotracheobronchial foreign bodies are not uncommon in clinical practice and are often misdiagnosed and mistreated, leading to severe complications. Our studys objective was to raise awareness to the high incidence and importance of correct diagnosis and treatment.
Methods: A five year retrospective study (2010-2015) was performed on all admitted foreign bodies regarding diagnosis and treatment procedures. A total of 52 patient were included in the study. All presented a foreign body in the laryngotracheobronchial tree, of different nature, and different localization. Correct diagnosis was obtained by clinical examination, Rx, and reconstructive bronchoscopy as well as rigid bronchoscopy.
Results: Out of the 52 cases, 24 were between 1 and 3 years of age, 19 between 4 and 7 years of age, the rest were older than 7 years with one case of 44 years. The foreing bodies were organic – 41 cases and anorganic 11 cases. They were localized mainly in the right bronchia. Extraction was performed in all cases with a rigid bronchoscope with a 100% success rate. No postoperative complications were noted.
Conclusions: Laryngotracheobronchial foreign bodies need special attention due to frequent misdiagnosis which may lead to severe complications. If diagnosed correctly and early rigid bronchoscopy is the election treatment.
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