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Revista de otorrinolaringología y cirugía de cabeza y cuello

versión On-line ISSN 0718-4816

Resumen

MENDOZA A, Ignacio; MARISIO L, gino  y  SEDAGHAT N, Sahba. Bronchial foreign body: Experience of the last 18 years in Hospital guillermo grant Benavente, Concepcion, Chile. Rev. Otorrinolaringol. Cir. Cabeza Cuello [online]. 2016, vol.76, n.2, pp.167-172. ISSN 0718-4816.  http://dx.doi.org/10.4067/S0718-48162016000200004.

Introduction: Airway Foreign bodies (AFB) remain a clinical challenge, generate a spectrum of presentations, from minimal symptoms to respiratory distress, respiratory failure and even death. Aim: To describe and analyze the epidemiological and clinical characteristics of patients with suspected AFB. Material and methods: A retrospective and descriptive study of patients diagnosed with AFB admitted to our Emergency Service between 1997 and 2015. Different variables were analyzed, especiallytheir symptoms, signs, radiologic findings, complications, treatment and outcomes. Results: 117 rigid bronchoscopies associated with suspected AFB were found. The diagnosis was confirmed in 94 cases (80.4%). Most ofthem were children between 1-3 years. There was more than one consultation before the diagnosis in 29.85. Most of the patients reported penetration syndrome, but this made no difference on diagnosis. 80.9% ofthe confirmed cases had some radiological alteration (excluding radiopaque bodies) (p <0.05). Most of the cases were found in the right bronchial tree and were of a varied nature. They were extracted in the first attempt without incidents in 91.5% of the cases. There were no reported complications regarding extractions. Conclusions: A foreign body in the respiratory tract is a surgical emergency, and may even be fatal. A high index of suspicion is essential to avoid complications.

Palabras clave : Bronchial foreign body; bronchial airway; rigid bronchoscopy.

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