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GMS Current Posters in Otorhinolaryngology - Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery (DGHNOKHC)

ISSN 1865-1038

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Laryngotracheobronchial foreign bodies – A 5 year retrospective study

Poster Pädiatrische HNO-Heilkunde

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  • corresponding author Eugen Radu Boia - Victor Babes University of Medicine and Pharmacy Timisoara, Timisoara, Romania
  • Marioara Poenaru - Victor Babes University of Medicine and Pharmacy ENT Department Timisoara, Timisoara, Romania
  • Alin Horia Marin - Victor Babes University of Medicine and Pharmacy ENT Department Timisoara, Timisoara, Romania
  • Caius Doros - Victor Babes University of Medicine and Pharmacy ENT Department Timisoara, Timisoara, Romania
  • Horatiu Eugen Stefanescu - Victor Babes University of Medicine and Pharmacy ENT Department Timisoara, Timisoara, Romania
  • Nicolae Constantin Balica - Victor Babes University of Medicine and Pharmacy ENT Department Timisoara, Timisoara, Romania
  • Simina Boia - Victor Babes University of Medicine and Pharmacy Periodontology Department, Timisoara, Romania

GMS Curr Posters Otorhinolaryngol Head Neck Surg 2017;13:Doc078

doi: 10.3205/cpo001632, urn:nbn:de:0183-cpo0016329

Published: April 26, 2017

© 2017 Boia et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Abstract

Introduction: Laryngotracheobronchial foreign bodies are not uncommon in clinical practice and are often misdiagnosed and mistreated, leading to severe complications. Our studys objective was to raise awareness to the high incidence and importance of correct diagnosis and treatment.

Methods: A five year retrospective study (2010-2015) was performed on all admitted foreign bodies regarding diagnosis and treatment procedures. A total of 52 patient were included in the study. All presented a foreign body in the laryngotracheobronchial tree, of different nature, and different localization. Correct diagnosis was obtained by clinical examination, Rx, and reconstructive bronchoscopy as well as rigid bronchoscopy.

Results: Out of the 52 cases, 24 were between 1 and 3 years of age, 19 between 4 and 7 years of age, the rest were older than 7 years with one case of 44 years. The foreing bodies were organic – 41 cases and anorganic 11 cases. They were localized mainly in the right bronchia. Extraction was performed in all cases with a rigid bronchoscope with a 100% success rate. No postoperative complications were noted.

Conclusions: Laryngotracheobronchial foreign bodies need special attention due to frequent misdiagnosis which may lead to severe complications. If diagnosed correctly and early rigid bronchoscopy is the election treatment.

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