Introduction: Foreign bodies account to about 0.2% to 0.33% of the indications for all the bronchoscopies performed in the west. Foreign bodies in the laryngotracheal tree have several dire complications ranging from aspiration, causing stridor, pulmonary atelectasis, lobe collapse, to development of infection in the form of pneumonia, recurrent cough. Sometimes sharp FBs lodged for a long duration may develop granulation tissue and adhesions all around them and making it difficult to remove them. The risks of haemorrhage, dislodgement elsewhere or fragmentation, can also occur during the course of removal of the foreign body. In spite of newer modalities, it is still seen that in cases of trachea-bronchial foreign bodies, owing to their wide spectrum of presentations and difficulty in manipulation, conventional rigid bronchoscopy is a reliable and safe method in their retrieval.
Aims and Objectives The study was done to analyse in detail the ordeals faced while diagnosing as well as while performing rigid bronchoscopy for retrieval of challenging tracheo-bronchial foreign bodies
Materials And Methodology: An observational study was done on all challenging tracheo-bronchial foreign bodies presenting to us at our tertiary care centre during a course of 2 years, in patients, encompassing all age groups and this data was analysed.
Conclusion: we conclude by reiterating the need for always ruling out tracheo-bronchial foreign bodies as a foreseeable cause among cases of respiratory distress. Rigid bronchoscopy is the treatment of choice, especially in the paediatric patients, due to the advantages such as ease of instrumentation, adequate ventilation and visualization during the surgery. Retained or missed foreign bodies can cause grave consequences and their diagnosis along with immediate removal is crucial.
Comments
No have any comment !