RESUMEN
BACKGROUND: Foreign body aspiration from tracheostomy is very rare, and materials related to tracheostomy are usually aspirated. This condition, which can lead to serious complications, can be treated using bronchoscopic procedures. In this study, we aimed to present our clinical experience in foreign body aspiration via tracheostomy. METHODS: Data from 26 patients who presented to our hospital for foreign body aspiration via tracheostomy from 2006 to 2020 were analyzed retrospectively. RESULTS: Foreign bodies were removed by fiber optic bronchoscopy in 15 (57.7%) cases, by rigid bronchoscopy in 9 (34.6%) cases and both methods were used in 2 (7.7%) cases. During bronchoscopy, local anesthetic procedures were used in 13 (50%) cases and general anesthesia was used in 11 (42.3%) cases. No anesthesia was used in two (7.7%) patients who underwent bronchoscopy under intensive care conditions. While the mean operative time for flexible bronchoscopy was 8.77±0.83 (CI: 26.03-29.43) minutes, the mean operative time for rigid bronchoscopy was 27.73±2.53 (CI: 26.03-29.43) minutes. CONCLUSION: Both rigid bronchoscopy and fiberoptic bronchoscopy (FOB) have advantages and disadvantages in foreign body removal. In our opinion, it is more reasonable to perform fiber optic bronchoscopy first in patients with a tracheostoma. In the light of our experiences, fiber optic bronchoscopy does not require general anesthesia and the operation time is shorter than rigid bronchoscopy. This feature makes fiber optic bronchoscopy advantageous.
Asunto(s)
Cuerpos Extraños , Traqueostomía , Bahías , Broncoscopía/métodos , Cuerpos Extraños/cirugía , Humanos , Estudios Retrospectivos , Tráquea , Traqueostomía/efectos adversosRESUMEN
The azygos lobe is a rare congenital anomaly of the right upper lobe of the lung. There are few surgical cases that azygos lobectomy reported arise from an azygos lobe primary lung cancer in the literature. We share our treatment experience in our case who a 65-year-old male and he has a primary lung cancer arise from azygos lobe. Lung cancer surgery principiles for segmentectomy (azygos lobectomy) can be performed it by avoiding complications.
Asunto(s)
Vena Ácigos/anomalías , Neoplasias Pulmonares/patología , Neoplasias Pulmonares/cirugía , Neumonectomía/métodos , Adenocarcinoma/patología , Adenocarcinoma/cirugía , Anciano , Humanos , Masculino , Resultado del TratamientoRESUMEN
Foreign body aspirations are a serious respiratory condition that can threaten life, particularly in childhood, in the first three years of life. In our article, the approach observed in physicians who face foreign body aspirations in the pediatric age group are analyzed and the approach proposed in these cases are discussed under the current literature and relevant legal regulations.