Arch Iran Med. 2022;25(5): 308-313.
doi: 10.34172/aim.2022.50

Scopus ID: 85134842308
  Abstract View: 612
  PDF Download: 273

Original Article

Accidental Foreign Body Aspiration Through Tracheostomy Inlet; 26 cases

Aykut Eliçora 1* ORCID logo, Hüseyin Fatih Sezer 1, Galbinur Abdullayev 1, Adil Avcı 2, Salih Topçu 1

1 Department of Thoracic Surgery, Faculty of Medicine,Kocaeli University, Kocaeli, Turkey
2 Department of Thoracic Surgery, Kocaeli State Hospital, Kocaeli, Turkey
*Corresponding Author: Corresponding Author: Aykut Eliçora, MD; Department of Thoracic Surgery, Faculty of Medicine, Kocaeli University, Kocaeli 41380, Turkey. Tel:+90-262- 3037575; Email: , Email: aykutelicora@yahoo.com.tr


Background: Foreign body aspiration from tracheostomy is very rare, and materials related to tracheostomy are usually aspirated. This condition, which can lead to serious complications, can be treated using bronchoscopic procedures. In this study, we aimed to present our clinical experience in foreign body aspiration via tracheostomy.

Methods: Data from 26 patients who presented to our hospital for foreign body aspiration via tracheostomy from 2006 to 2020 were analyzed retrospectively.

Results: Foreign bodies were removed by fiber optic bronchoscopy in 15 (57.7%) cases, by rigid bronchoscopy in 9 (34.6%) cases and both methods were used in 2 (7.7%) cases. During bronchoscopy, local anesthetic procedures were used in 13 (50%) cases and general anesthesia was used in 11 (42.3%) cases. No anesthesia was used in two (7.7%) patients who underwent bronchoscopy under intensive care conditions. While the mean operative time for flexible bronchoscopy was 8.77±0.83 (CI: 26.03–29.43) minutes, the mean operative time for rigid bronchoscopy was 27.73±2.53 (CI: 26.03–29.43) minutes.

Conclusion: Both rigid bronchoscopy and fiberoptic bronchoscopy (FOB) have advantages and disadvantages in foreign body removal. In our opinion, it is more reasonable to perform fiber optic bronchoscopy first in patients with a tracheostoma. In the light of our experiences, fiber optic bronchoscopy does not require general anesthesia and the operation time is shorter than rigid bronchoscopy. This feature makes fiber optic bronchoscopy advantageous.

Cite this article as: Eliçora A, Sezer HF, Abdullayev G, Avcı A, Topçu S. Accidental foreign body aspiration through tracheostomy inlet; 26 cases. Arch Iran Med. 2022;25(5):308-313. doi: 10.34172/aim.2022.50
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Submitted: 02 Mar 2021
Revision: 08 May 2021
Accepted: 12 May 2021
ePublished: 01 May 2022
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