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    Foreign Bodies in Trachea and Bronchi

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    Malik Yıldız
    The document discusses foreign bodies that can lodge in the trachea and bronchi, including that larger objects lodge in the supraglottic area while smaller ones can pass into the bronchi. It outlines the most common objects aspirated by children and adults and details diagnostic techniques and treatments for removal.

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    Foreign Bodies in Trachea and Bronchi

    Uploaded by

    Malik Yıldız
    13 views3 pages
    The document discusses foreign bodies that can lodge in the trachea and bronchi, including that larger objects lodge in the supraglottic area while smaller ones can pass into the bronchi. It outlines the most common objects aspirated by children and adults and details diagnostic techniques and treatments for removal.

    Original Title

    FOREIGN BODIES IN TRACHEA AND BRONCHI

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    The document discusses foreign bodies that can lodge in the trachea and bronchi, including that larger objects lodge in the supraglottic area while smaller ones can pass into the bronchi. It outlines the most common objects aspirated by children and adults and details diagnostic techniques and treatments for removal.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    13 views3 pages

    Foreign Bodies in Trachea and Bronchi

    Uploaded by

    Malik Yıldız
    The document discusses foreign bodies that can lodge in the trachea and bronchi, including that larger objects lodge in the supraglottic area while smaller ones can pass into the bronchi. It outlines the most common objects aspirated by children and adults and details diagnostic techniques and treatments for removal.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    FOREIGN BODIES IN TRACHEA AND BRONCHI

    Site of lodgement depends on size and nature of foreign body


    A larger one will lodge in the supraglottic area while
    smaller one can pass through the larynx to treat and bronchi but foreign
    bodies with sharp points such as pins, needles, fish bones etc. can lodge
    anywhere
    in children younger than 15 years; mainly 1-4
    Vegetable matter tends to be the most common; peanuts are the most
    common food item aspirated. Also, almond seed, peas, beans , wheat seet , seets
    pieces of carrot apples etc
    Non vegetable plastic whistle, toys, safety pins, nails, wires etc.
    In adults this mainly occurs during coma, deep sleep or intoxication e.g. loose
    teeth/ denture
    Most foreign bodies get lodged in bronchi 80 %

    Nature of object

    Non-irritating

    Plastic, glass, metallic foreign bodies and can thus remain symptomsless

    Irritating

    Vegetable causing severe congestion, odema called vegetal bronchitis


    Which then causes airway obstruction and later suppuration in lung

    Initial phase marked by reflex mechanism such as gagging and coughing

    Asymptomatic phase the object is lodged and symptoms are milder or


    may decrease significantly

    Complication phase/symptomatic phase


    Laryngeal : total obstruction may cause to sudden death and would need
    resuscitate measures if it is partial pain, horseness, , croupy coughing,
    aphonia, dyspnoea , wheezing and haemoptysis

    Tracheal a sharp object will cause bleeding and cough


    A movable object if small can produce an audible slap as it moves between
    the carina and the under surface of the vocal cords+ wheezing can also be heard
    when mouth is opened

    Bronchial mainly right bronchus producing atelectasis or obstructive


    emphysema if it only allows air in but not out
    - These emphysema bullae can then rupture causing pneumothorax
    - If it is not removed , it may cause pneumonia, bronchiectasis and lung abscess

    Diagnosis and treatment

    Lateral views and posterior anterior can be helpful


    It may show radiopaque object giving info about its size, shape and location
    Lobar or segmental atelectasis ( collapse)
    Unilateral hyperinflation causing mediastinal shift in the opposite due to the
    emphysema mention
    Pneumomediastinum and pneumothorax may occurs
    Signs of pneumonia and bronchiectasis

    Heimlich maneuver has improved the mortality rate if it fails than


    tracheostomy
    Surgical removal of the object using direct laryngoscopy

    Antibiotic therapy +
    anti-inflammatory drugs to treat pneumonia
    Treatment of other complications such as bleeding and areas in the
    surrounding that have been affected
    Tracheal and bronchial Can be removed using bronchioscopy under general
    aesthesia

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