Flexible bronchoscopy with multiple modalities for foreign body removal in adults

Yueh-Fu Fang, Meng-Heng Hsieh, Fu-Tsai Chung, Yao-Kuang Huang, Guan-Yuan Chen, Shu-Min Lin, Horng-Chyuan Lin, Chin-Hwa Wang, Han-Pin Kuo

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

OBJECTIVES: Aspiration of the lower airways due to foreign body is rare in adults. This study aimed to determine the outcome of patients who received flexible bronchoscopy with different modalities for foreign body removal in the lower airways.

PATIENTS AND METHODS: Between January 2003 and January 2014, 94 patients diagnosed with foreign body in the lower airways underwent flexible bronchoscopy with different modalities, which included forceps, loop, basket, knife, electromagnet, and cryotherapy. The clinical presentation, foreign body location and characteristics, and applications of flexible bronchoscopy were analyzed.

RESULTS: Forty (43%) patients had acute aspiration, which developed within one week of foreign body entry and 54 (57%) had chronic aspiration. The most common foreign bodies were teeth or bone. More patients with chronic aspiration than those with acute aspiration were referred from the out-patient clinic (48% vs. 28%), but more patients with acute aspiration were referred from the emergency room (35% vs. 6%) and intensive care unit (18% vs. 2%). Flexible bronchoscopy with different modalities was used to remove the foreign bodies (85/94, 90%). Electromagnet or cryotherapy was used in nine patients to eliminate the surrounding granulation tissue before foreign body removal. In the nine patients with failed flexible bronchoscopy, eight underwent rigid bronchoscopy instead and one had right lower lung lobectomy for lung abscess.

CONCLUSIONS: Flexible bronchoscopy with multiple modalities is effective for diagnosing and removing foreign bodies in the lower respiratory airways in adults, with a high success rate (90%) and no difference between acute and chronic aspirations.

Original languageEnglish
Pages (from-to)e0118993
JournalPLoS One
Volume10
Issue number3
DOIs
Publication statusPublished - 2015
Externally publishedYes

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bronchoscopy
foreign bodies
Bronchoscopy
Foreign Bodies
Cryotherapy
Electromagnets
Emergency rooms
Intensive care units
Granulation
cryosurgery
Magnets
Bone
Tissue
lungs
Lung Abscess
granulation tissue
knives
Granulation Tissue
abscess
Surgical Instruments

Keywords

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Bronchoscopy/instrumentation
  • Cryotherapy
  • Female
  • Foreign Bodies/complications
  • Humans
  • Magnets
  • Male
  • Mechanical Phenomena
  • Middle Aged
  • Respiratory Aspiration/complications
  • Retrospective Studies
  • Young Adult

Cite this

Fang, Y-F., Hsieh, M-H., Chung, F-T., Huang, Y-K., Chen, G-Y., Lin, S-M., ... Kuo, H-P. (2015). Flexible bronchoscopy with multiple modalities for foreign body removal in adults. PLoS One, 10(3), e0118993. https://doi.org/10.1371/journal.pone.0118993

Flexible bronchoscopy with multiple modalities for foreign body removal in adults. / Fang, Yueh-Fu; Hsieh, Meng-Heng; Chung, Fu-Tsai; Huang, Yao-Kuang; Chen, Guan-Yuan; Lin, Shu-Min; Lin, Horng-Chyuan; Wang, Chin-Hwa; Kuo, Han-Pin.

In: PLoS One, Vol. 10, No. 3, 2015, p. e0118993.

Research output: Contribution to journalArticle

Fang, Y-F, Hsieh, M-H, Chung, F-T, Huang, Y-K, Chen, G-Y, Lin, S-M, Lin, H-C, Wang, C-H & Kuo, H-P 2015, 'Flexible bronchoscopy with multiple modalities for foreign body removal in adults', PLoS One, vol. 10, no. 3, pp. e0118993. https://doi.org/10.1371/journal.pone.0118993
Fang Y-F, Hsieh M-H, Chung F-T, Huang Y-K, Chen G-Y, Lin S-M et al. Flexible bronchoscopy with multiple modalities for foreign body removal in adults. PLoS One. 2015;10(3):e0118993. https://doi.org/10.1371/journal.pone.0118993
Fang, Yueh-Fu ; Hsieh, Meng-Heng ; Chung, Fu-Tsai ; Huang, Yao-Kuang ; Chen, Guan-Yuan ; Lin, Shu-Min ; Lin, Horng-Chyuan ; Wang, Chin-Hwa ; Kuo, Han-Pin. / Flexible bronchoscopy with multiple modalities for foreign body removal in adults. In: PLoS One. 2015 ; Vol. 10, No. 3. pp. e0118993.
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abstract = "OBJECTIVES: Aspiration of the lower airways due to foreign body is rare in adults. This study aimed to determine the outcome of patients who received flexible bronchoscopy with different modalities for foreign body removal in the lower airways.PATIENTS AND METHODS: Between January 2003 and January 2014, 94 patients diagnosed with foreign body in the lower airways underwent flexible bronchoscopy with different modalities, which included forceps, loop, basket, knife, electromagnet, and cryotherapy. The clinical presentation, foreign body location and characteristics, and applications of flexible bronchoscopy were analyzed.RESULTS: Forty (43{\%}) patients had acute aspiration, which developed within one week of foreign body entry and 54 (57{\%}) had chronic aspiration. The most common foreign bodies were teeth or bone. More patients with chronic aspiration than those with acute aspiration were referred from the out-patient clinic (48{\%} vs. 28{\%}), but more patients with acute aspiration were referred from the emergency room (35{\%} vs. 6{\%}) and intensive care unit (18{\%} vs. 2{\%}). Flexible bronchoscopy with different modalities was used to remove the foreign bodies (85/94, 90{\%}). Electromagnet or cryotherapy was used in nine patients to eliminate the surrounding granulation tissue before foreign body removal. In the nine patients with failed flexible bronchoscopy, eight underwent rigid bronchoscopy instead and one had right lower lung lobectomy for lung abscess.CONCLUSIONS: Flexible bronchoscopy with multiple modalities is effective for diagnosing and removing foreign bodies in the lower respiratory airways in adults, with a high success rate (90{\%}) and no difference between acute and chronic aspirations.",
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AU - Fang, Yueh-Fu

AU - Hsieh, Meng-Heng

AU - Chung, Fu-Tsai

AU - Huang, Yao-Kuang

AU - Chen, Guan-Yuan

AU - Lin, Shu-Min

AU - Lin, Horng-Chyuan

AU - Wang, Chin-Hwa

AU - Kuo, Han-Pin

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N2 - OBJECTIVES: Aspiration of the lower airways due to foreign body is rare in adults. This study aimed to determine the outcome of patients who received flexible bronchoscopy with different modalities for foreign body removal in the lower airways.PATIENTS AND METHODS: Between January 2003 and January 2014, 94 patients diagnosed with foreign body in the lower airways underwent flexible bronchoscopy with different modalities, which included forceps, loop, basket, knife, electromagnet, and cryotherapy. The clinical presentation, foreign body location and characteristics, and applications of flexible bronchoscopy were analyzed.RESULTS: Forty (43%) patients had acute aspiration, which developed within one week of foreign body entry and 54 (57%) had chronic aspiration. The most common foreign bodies were teeth or bone. More patients with chronic aspiration than those with acute aspiration were referred from the out-patient clinic (48% vs. 28%), but more patients with acute aspiration were referred from the emergency room (35% vs. 6%) and intensive care unit (18% vs. 2%). Flexible bronchoscopy with different modalities was used to remove the foreign bodies (85/94, 90%). Electromagnet or cryotherapy was used in nine patients to eliminate the surrounding granulation tissue before foreign body removal. In the nine patients with failed flexible bronchoscopy, eight underwent rigid bronchoscopy instead and one had right lower lung lobectomy for lung abscess.CONCLUSIONS: Flexible bronchoscopy with multiple modalities is effective for diagnosing and removing foreign bodies in the lower respiratory airways in adults, with a high success rate (90%) and no difference between acute and chronic aspirations.

AB - OBJECTIVES: Aspiration of the lower airways due to foreign body is rare in adults. This study aimed to determine the outcome of patients who received flexible bronchoscopy with different modalities for foreign body removal in the lower airways.PATIENTS AND METHODS: Between January 2003 and January 2014, 94 patients diagnosed with foreign body in the lower airways underwent flexible bronchoscopy with different modalities, which included forceps, loop, basket, knife, electromagnet, and cryotherapy. The clinical presentation, foreign body location and characteristics, and applications of flexible bronchoscopy were analyzed.RESULTS: Forty (43%) patients had acute aspiration, which developed within one week of foreign body entry and 54 (57%) had chronic aspiration. The most common foreign bodies were teeth or bone. More patients with chronic aspiration than those with acute aspiration were referred from the out-patient clinic (48% vs. 28%), but more patients with acute aspiration were referred from the emergency room (35% vs. 6%) and intensive care unit (18% vs. 2%). Flexible bronchoscopy with different modalities was used to remove the foreign bodies (85/94, 90%). Electromagnet or cryotherapy was used in nine patients to eliminate the surrounding granulation tissue before foreign body removal. In the nine patients with failed flexible bronchoscopy, eight underwent rigid bronchoscopy instead and one had right lower lung lobectomy for lung abscess.CONCLUSIONS: Flexible bronchoscopy with multiple modalities is effective for diagnosing and removing foreign bodies in the lower respiratory airways in adults, with a high success rate (90%) and no difference between acute and chronic aspirations.

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KW - Female

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KW - Humans

KW - Magnets

KW - Male

KW - Mechanical Phenomena

KW - Middle Aged

KW - Respiratory Aspiration/complications

KW - Retrospective Studies

KW - Young Adult

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DO - 10.1371/journal.pone.0118993

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JO - PLoS One

JF - PLoS One

SN - 1932-6203

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ER -