Foreign Body Aspiration Connected Total Atelectasis in Case Emergency Bronchoscopy Our Practice

Yıl 2016, Cilt: 7 Sayı: 25, 56 - 59, 30.03.2016

Hayrünisa Kahraman Esen , Osman Esen , Elif Atar Gaygusuz Mustafa Akay

https://doi.org/10.17944/mkutfd.92230

Öz

Tracheobronchial foreign body aspiration is one of the most common causes of accidental sudden death in childhood. In our country, food aspiration is more frequently encountered than other cause of foreign body aspiration. Foreign body aspiration results in airway obstruction and is a type of mechanical asphyxia,. It is more common in children between 6 months and 3 years of age with a high morbidity and mortality rate. In foreign body aspiration, rapid diagnosis and subsequent bronchoscopy may be lifesaving. However, bronchoscopy requires experience and carries the risk of various complications with difficulty in practice. In our case, urgent bronchoscopy and tube thoracostomy were performed in a fourteenmonth-old girl who developed foreign body aspiration and the patient was discharged on the 7th day without sequelae.

Anahtar Kelimeler

Foreign body aspiration, bronchoscopy, pneumothorax

Yabancı Cisim Aspirasyona Bağlı Total Atelektazi Olgusunda Acil Bronkoskopi Uygulamamız

Öz

Çocukluk çağında kazayla meydana gelen ani ölümlerin en önemli nedenlerinden biri de trakeobronşial yabancı cisim aspirasyonlarıdır. Ülkemizde gıda aspirasyonu diğer yabancı cisim aspirasyonlarına göre daha fazla görülmektedir. Yabancı cisim aspirasyonu hava yollarının tıkanması sonucu gelişen bir mekanik asfiksi türüdür. 6 ay-3 yaş arası çocuklarda daha sık görülür, yüksek morbidite ve mortaliteyle seyreder. Yabancı cisim aspirasyonlarında hızlı tanı ve ardından yapılan broskoskopi hayat kurtarıcı olabilmektedir. Ancak bronkoskopi tecrübe gerektirmesi ve uygulama zorluğuyla birlikte çeşitli komplikasyon riski taşır. Olgumuzda yabancı cisim aspirasyonu gelişen on dört aylık kız çocuğuna acil bronkoskopi ve tüp torakostomi yapıldı ve sekelsiz olarak 7. gün taburcu edildi.

Anahtar Kelimeler

Yabancı cisim aspirasyonu, bronkoskopi, pnömotoraks

Kaynakça

• Bressler KL, Gren CG, Holinger LD. Foreign Body Aspiration. In: Taussig LM, Landau LI, editors. Pediatric Respiratory Medicine, Mosby, St.Louis, 1999: p. 430-5.
• Tomaske M, Gerber AC, Weiss M. Anesthesia and periinterventional morbidity of rigid bronchoscopy for tracheobronchial foreign body diagnosis and removal. Ped Anesthesia 2006;16:123-9.
• Smitheringale A. Management of foreign bodies of the tracheobronchial tree. In Pearson (ed). Thoracic surgery. Philadelphia. Churchil Livingstone; 1995; 1591-9
• Elhassani NB. Tracheobronchial foreign bodies in the Middle East. J Thorac Cardiovasc Surg; 1988; 96(4):621-5
• Bodart E, de Bilderling G, Tuerlinckx D, Gillet JB. Foreign body aspiration in childhood: management algorithm. Eur J Emerg Med. 1999; 6(1):21-5.
• Eren Ş, Balcı AE, Dikici B, et al. Foreign Body Aspiration in Children: Experience of 1160 Cases. Annals of Tropical Paediatrics, 2003; 23: 31-3.
• Ozdemir C, Uzün I, Sam B. Childhood foreign body aspiration in Istanbul, Turkey. Forensic Sci Int. 2005;153:136-41.
• Bronstein DR. Airway Foreign Bodies. In: Barkin RM (ed). Pediatric Emergency Medicine 2nd ed. Mosby, St Louis,1997; p: 376-9.
• Ayed AK, Jafar MA, Owayed A. Foreign Body Aspiration in Children: Diagnosis and Treatment. Pediatr Surg Int, 2003; 19: 485-488.
• Blazer S, Naveh Y, Friedman A. Foreign body in the airway. A review of 200 cases. Am J Dis Child. 1980;134(1):68-71.
• Zerella JT, Dimler M, McGill LC, Pippus KJ. Foreign body aspiration in children: value of radiography and complications of bronchoscopy. J Pediatr Surg. 1998; 33:1651-4.
• Singer MI. Voice rehabilitation after laryngectomy. In: Bailey BJ, Jhonson JT, Kohut RI, Pillsbury HC III, Tardy ME Jr (Eds). Head and Neck Surgery-Otolaryngology. 1st ed. Philedelphia, Lippincott;1993: p.1361-72.
• Carluccio F, Romeo R. Inhalation of foreign bodies: Epidemiological data and clinical considerations in the
• light of a statistical review of 92 cases. Acta Otorhinolaryngol Ital 1997; 17: 45-51.
• Hill JL, Weigt RW. Foreign Bodies. In: Ashcraft KW, Murphy JP, Sharp RJ, Snyder CL; eds. Foreign Bodies. Pediatric Surgery. Philadelphia: W.B.Saunders, 2000;147-8.
• Caversaccio MD, Zbaren P, Vischer M, et al.Tracheobronchial foreign body in children. Is anamnesis alone enough to indicate tracheobronchoscopy? HNO 1996;8:440-4.