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Related Experiment Videos

Tracheobronchial foreign bodies.

K L Swanson1, E S Edell

  • 1Division of Pulmonary and Critical Care Medicine, Mayo Graduate School of Medicine, Mayo Clinic, Rochester, Minnesota, USA.

Chest Surgery Clinics of North America
|January 10, 2002
PubMed
Summary
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Foreign body aspiration in the tracheobronchial tree, though common in children, can affect adults too. Bronchoscopy is the key diagnostic and removal tool for airway foreign bodies, offering a safe and effective solution.

Area of Science:

  • Pulmonology
  • Otolaryngology
  • Emergency Medicine

Background:

  • Tracheobronchial foreign body aspiration is more prevalent in children but can occur in adults.
  • Initial symptoms often include choking and persistent cough, with physical findings like fever and stridor.

Purpose of the Study:

  • To review the diagnosis and management of tracheobronchial foreign bodies.
  • To highlight bronchoscopy as the primary intervention for airway foreign body removal.

Main Methods:

  • Review of clinical presentation, diagnostic imaging, and bronchoscopic procedures for foreign body removal.
  • Discussion of flexible versus rigid bronchoscopy and anesthesia considerations.

Main Results:

  • Radiographic imaging may not always detect foreign bodies, especially non-radiopaque ones.

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  • Delayed diagnosis can lead to distal migration and mimicry of conditions like asthma.
  • Bronchoscopy is effective for diagnosis and removal, with flexible bronchoscopy often feasible under local anesthesia.

    • Conclusions:

    • Bronchoscopy is the gold standard for evaluating and treating tracheobronchial foreign bodies.
    • Foreign body extraction via bronchoscopy is generally safe and well-tolerated, with surgery reserved for rare, refractory cases.