Novosti
Khirurgii
This journal is
indexed in Scopus



Year 2016 Vol. 24 No 3

EXCHANGE OF EXPERIENCE

DOI: http://dx.doi.org/10.18484/2305-0047.2016.3.303   |  

E.L. KALMYKOV1, Z.S. FAIZIEV2, H.Z. FAIZIEV3

FOREIGN BODIES OF TRACHEA AND BRONCHI

National Scientific Center of Transplantation of Human Organs and Tissues1,
Republican Center of Cardiovascular Surgery 2,
Avicenna Tajik State Medical University3,
Dushanbe,
The Republic of Tajikistan

Objectives. The analysis of the experience in airway (trachea and bronchi) foreign body removal by flexible bronchoscope.
Methods. Removal of foreign bodies from the respiratory tract (FBRT) was performed in 47 patients. There were 27 (57,5%) females, and 20 (42,5%) males. Age of patients ranged from 8 to 72 years. In 46 cases the patients underwent chest X-ray, in one case CT.
Results. Foreign bodies were located: in the trachea 2 cases (4,2%), in the right bronchial tree 26 (55,3%), in the left bronchial tree 19 (40,4%).
The early admission to the medical establishment with FBRT composed only 74,4% (n=35) out of 47 cases. The symptoms of an acute aspiration were asfollows: an acute respiratory failure in 35 (77,7%) cases, cough 45 (100%), vomiting - 4 (8,8%), stridulous breathingr 5 (11,1%), bronchospasm 4 (11,1%).
In 95,8% (n = 45) of observations, foreign bodies localized in the bronchi on different levels. Radiography may be used to locate foreign bodies for removal. In 37 cases X-ray was able to determine the type of foreign body and its localization; in 10 cases radiography was failed to show the localization of the foreign body. The foreign bodies in the respiratory tract were: the needles 22 (46,8%); nails / screws 11 (23,4%); fish bones / animal bones 8 (17%); tooth / denture (fragments) 3 (6,3%); dental tool 1 (2,1%); a thorn from a rose 1 (2,1%); pistachio shells 1 (2,1%). In 46 patients the foreign bodies were successfully removed by means of fibrobronchoscopy but in one case thoracotomy was performed.
Conclusion. In recent years the number of cases of foreign bodies in respiratory tract tends to increase. The various changes in the bronchial tree, the severity of the inflammatory response depended on FB length of stay in the respiratory tract can be detected by bronchoscopy. Bronchoscopic foreign body removal is considered to be a safe and effective procedure in 97,8% of cases.

Keywords: foreign-body aspiration, foreign bodies, fibrobronchoscopy, removal, bronchial tree, thoracotomy, radiography
p. 303-308 of the original issue
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Address for correspondence:
734002, Republic of Tadzhikistan, Dushanbe,
ul. Mayakovskogo, d. 2,
Natsionalnyiy nauchnyiy tsentr
transplantatsii organov i tkaney cheloveka
Ministerstva zdravoohraneniya
i sotsialnoy zaschityi naseleniya Respubliki Tadzhikistan,
tel. 992 90 811-00-18,
e-mail: egan0428@mail.ru,
Kalmykov Egan Leonidovich
Information about the authors:
Kalmykov E.L. PhD, a Deputy Director for Science of National Scientific Center of Transplantation of Human Organs and Tissues of the Ministry of Health and Social Protection of the Population of the Republic of Tadzhikistan.
Faiziev Z.S. PhD, a leading researcher of the Republican Center of Cardiovascular Surgery of the Ministry of Health and Social Protection of the Population of the Republic of Tadzhikistan.
Faiziev H.Z. A post-graduate student of the surgical diseases chair 2 of Avicenna Tajik State Medical University
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