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Bronchiectasis consequent upon prolonged foreign body retention
V O Adegboye1, O Osinowo, O A Adebo
1Department of Surgery, University College Hospital, Ibadan, Nigeria. adegboyetrj@hotmail.com
The Central African Journal of Medicine
|June 25, 2004
Summary
Prolonged retention of foreign bodies (FB) in the airways can lead to bronchiectasis. Early diagnosis and intervention are crucial, as surgical lung resection offers better outcomes than bronchotomy for persistent symptoms.
Area of Science:
- Pulmonology
- Thoracic Surgery
- Pediatric Respiratory Medicine
Background:
- Bronchiectasis is a serious complication of prolonged endobronchial foreign body (FB) retention.
- Aspiration of foreign bodies is a significant cause of pediatric respiratory morbidity.
Observation:
- This study reviewed 16 cases of bronchiectasis secondary to retained FB over a 23-year period.
- Inorganic materials were retained longer and caused more severe symptoms than organic materials.
- History of FB aspiration was often not elicited prior to treatment.
Findings:
- Bronchoscopy had a low success rate (6.3%) for FB retrieval.
- Bronchotomy resulted in persistent bronchiectasis symptoms in 83.3% of patients.
- Lung resection (lobectomy, pneumonectomy, segmentectomy) led to asymptomatic outcomes in all patients (56.3%).
Implications:
- Prevention of FB aspiration is paramount.
- Persistent cough in children, with or without a history of FB aspiration, warrants investigation for retained FB.
- Surgical lung resection is an effective treatment for established bronchiectasis due to retained FB.