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Spontaneous Expulsion of Foreign Body Bronchus: Understanding the Mechanism
Shaila Sidam1, Vikas Gupta1, Utkal Priyadarshi Mishra1
1Department of ENT- Head & Neck Surgery, All India Institute of Medical Sciences, Saket Nagar, Bhopal, Madhya Pradesh 462020 India.
Abstract:
Foreign Body (FB) aspiration pose a challenge to the otolaryngologist of its early diagnosis along with safe removal. Almost all airway foreign bodies require bronchoscopy and removal. Very rarely, spontaneous expulsion of bronchial FB may happen. We are reporting one such case of spontaneous expulsion of a metallic FB from right main bronchus in a fourteen-year-old boy. The mainstay of treatment for FB bronchus is bronchoscopic removal. Spontaneous expulsion occurs very rarely & may be associated with life threatening complications. Impaction of FB in sub glottis may lead to sudden choking & death. In this report we also have tried to provide insight into the physics and physiological mechanism facilitating spontaneous expulsion of a bronchial foreign body.
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