Tracheobronchial Foreign Body Aspiration in Adults

  title={Tracheobronchial Foreign Body Aspiration in Adults},
  author={Michael B. Boyd and Arjun Chatterjee and Caroline Chiles and Robert Chin},
  journal={Southern Medical Journal},
Tracheobronchial foreign body (TFB) aspiration is rare in adults, although incidence rates increase with advancing age. Risk factors for TFB aspiration in adults are a depressed mental status or impairment in the swallowing reflex. Symptoms associated with TFB aspiration may range from acute asphyxiation with or without complete airway obstruction, to cough, dyspnea, choking, or fever. In adults, many other medical conditions mimic breathing abnormalities similar to those associated with TFB… 

Foreign body aspiration in adult airways: therapeutic approach.

The authors describe the typical clinical presentation, diagnostic evaluation, and bronchoscopy management of foreign bodies in adult airways with a focus on bronchoscopic techniques and potential complications of FB extraction.

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It is assumed that chronologic CT findings of the bronchopulmonary damage by aspiration of a vegetable core, without significant detection of bacteria during the course, will be quite valuable for clinicians.

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The patient's condition is stable and he is under investigations for dysphagia, which is the main diagnostic and therapeutic procedure available for foreign body aspiration in children and in the elderly.

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Foreign bodies in the tracheobronchial tree in adults Ciała obce w drzewie oskrzelowym u dorosłych

In cases of persistent symptoms from the respiratory tract, in patients with risk factors, foreign body aspiration should be considered and interventional bronchoscopy should be performed as soon as possible to prevent com plications.

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Airway foreign bodies in adults

Flexible bronchoscopy procedures were successful in the extraction of 89% of tracheobronchial foreign bodies in adults and experience indicates that flexible bronchoscopic removal of TFBs in adults can be safely performed with minimal complications.

Foreign body aspiration into the lower airway in Chinese adults.

The nature of foreign body in Chinese adults was different from the Western adults, and flexible fiberoptic bronchoscopy is suggested as the first-line approach.

Airway foreign bodies: what's new?

  • K. Swanson
  • Medicine
    Seminars in respiratory and critical care medicine
  • 2004
Bronchoscopic evaluation and removal of FBs should be performed as soon as the diagnosis is suspected because a delay in diagnosis increases morbidity including cough, wheeze, edema, and granulation tissue formation.

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At presentation, the symptoms seen with AFBs do not differ according to the age of the patient; however, the delay to diagnosis, the location of the AFBs, and the radiographic images differ between child and adult populations.

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