Progress in diagnosis and treatment of tracheobronchial foreign bodies in adults_West China Medical Journal

Authors：

HONG Liuyan ¹ ,  LUO Miao ²

1. Graduate School of Guilin Medical University, Guilin, Guangxi 514004, P. R. China;
2. Department of Respiratory and Critical Care Medicine, Affiliated Hospital of Guilin Medical University, Guilin, Guangxi 514001, P. R. China;

Corresponding?author：

LUO Miao, Email: 449372818@qq.com

Keywords：

Tracheobronchial foreign body; Bronchoscope; Adult

DOI：

10.7507/1002-0179.202004488

Video：

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Abstract Full text Figures/Tables Video References Cited by

The specificity of the clinical characteristics and examination results of adult tracheobronchial foreign bodies may not be obvious, which may lead to delay in diagnosis, thereby reducing patients’ quality of life and even life-threatening. However, the current clinicians’ understanding of the disease is still insufficient. Based on the current status of relevant research at home and abroad, this article introduces the medical history collection, clinical features and examination methods (including chest X-ray, chest CT and bronchoscopy), and the treatment and precautions of adult tracheobronchial foreign bodies, and aims to deepen doctors’ understanding of the disease, so as to minimize missed diagnosis and misdiagnosis.

Citation： HONG Liuyan, LUO Miao. Progress in diagnosis and treatment of tracheobronchial foreign bodies in adults. West China Medical Journal, 2021, 36(4): 519-523. doi: 10.7507/1002-0179.202004488 Copy

1.	陳琨, 李芳, 毛世才. 成人不典型氣管支氣管異物臨床特點分析. 醫學食療與健康, 2020, 18(13): 197, 199.
2.	劉文廣, 李勇, 廖風云, 等. 纖維支氣管鏡治療成人氣管支氣管異物 18 例臨床分析. 中國醫學工程, 2016, 24(11): 111-113.
3.	賈衛紅, 李建英, 卜麗娜. 成人氣管支氣管異物 2222 例臨床 Meta 分析. 中華肺部疾病雜志(電子版), 2018, 11(2): 195-199.
4.	Dong YC, Zhou GW, Bai C, et al. Removal of tracheobronchial foreign bodies in adults using a flexible bronchoscope: experience with 200 cases in China. Intern Med, 2012, 51(18): 2515-2519.
5.	Ciolek PJ, Lorenz RR. Misdiagnosis of a tracheal foreign body of decades-long duration. JAMA Otolaryngol Head Neck Surg, 2017, 143(1): 95-96.
6.	高楓, 黃斌, 高璐, 等. 成人氣道異物發病原因及診治體會. 廣西醫科大學學報, 2017, 34(12): 1792-1793.
7.	Fang N, Wang Z, Shang J, et al. Unusual aspiration of coin in the lower respiratory tract: two case reports. Medicine (Baltimore), 2018, 97(50): e13462.
8.	Ramos MB, Fernández-Villar A, Rivo JE, et al. Extraction of airway foreign bodies in adults: experience from 1987-2008. Interact Cardiovasc Thorac Surg, 2009, 9(3): 402-405.
9.	麻李思雨, 李王平, 潘蕾, 等. 10 年氣管、支氣管異物診治回顧性分析. 中華肺部疾病雜志(電子版), 2019, 12(3): 275-280.
10.	Digoy GP. Diagnosis and management of upper aerodigestive tract foreign bodies. Otolaryngol Clin North Am, 2008, 41(3): 485-496.
11.	Osman EZ, Swift A. Management of foreign bodies in the ears and upper aerodigestive tract. Br J Hosp Med (Lond), 2007, 68(11): M189-M191.
12.	M?ller J, Rasmussen F, Hilberg O, et al. Airway foreign body aspiration: common, yet easily overlooked! Two interesting cases. BMJ Case Rep, 2015, 2015: bcr2014209240.
13.	Hsu AA. Endoscopic intervention of lower airway foreign matter in adults-a different perspective. J Thorac Dis, 2015, 7(10): 1870-1877.
14.	王濤, 劉業海, 童步升, 等. 成人支氣管異物誤診十年一例. 中華耳鼻咽喉頭頸外科雜志, 2015, 50(4): 329-330.
15.	Altuntas B, Ayd?n Y, Eroglu A. Foreign bodies in trachea: a 25-years of experience. Eurasian J Med, 2016, 48(2): 119-123.
16.	張勁梅. 256 層極速螺旋 CT 三維重建在氣管支氣管異物診斷及術前規劃中的臨床分析. 河南: 新鄉醫學院, 2019: 1-64.
17.	Aggarwal SK, Sinha SK, Ratan SK, et al. Complications of long-standing foreign body in the airway and their outcomes after endoscopic management: an experience of 20 cases. J Laparoendosc Adv Surg Tech A, 2015, 25(1): 81-87.
18.	Marouf R, Hamraoui S, Alloubi I. A neglected bronchial foreign body for 23 years. Rev Mal Respir, 2019, 36(8): 1002-1007.
19.	Al Maary J, Alahmari AS. Distal airway aspirated metallic foreign body, case report of spontaneous expectoration. Am J Case Rep, 2020, 21: e917608.
20.	張捷, 王長利. 支氣管鏡發展史. 中華醫史雜志, 2006, 36(2): 96-99.
21.	?zgül MA, ?etinkaya E, Turan D, et al. What have we learned in interventional pulmonology in the past decade?. Turk J Med Sci, 2019, 49(5): 1455-1463.
22.	Rodrigues AJ, Oliveira EQ, Scordamaglio PR, et al. Flexible bronchoscopy as the first-choice method of removing foreign bodies from the airways of adults. J Bras Pneumol, 2012, 38(3): 315-320.
23.	蔣德雄, 王紅軍, 張雪漫, 等. 成人支氣管異物取出方法探討. 現代臨床醫學, 2018, 44(6): 417-419.
24.	田王斌, 謝永宏, 金發光, 等. 成人氣道吸入辣椒皮的支氣管鏡治療方式及文獻復習. 中華肺部疾病雜志(電子版), 2018, 11(1): 86-88.
25.	周足力, 楊鋒, 李運, 等. 成人支氣管內異物的診斷與治療. 中國微創外科雜志, 2018, 18(6): 491-493, 500.
26.	Sehgal IS, Dhooria S, Ram B, et al. Foreign body inhalation in the adult population: experience of 25,998 bronchoscopies and systematic review of the literature. Respir Care, 2015, 60(10): 1438-1448.
27.	Bist SS, Luthera M, Arora P, et al. Missing aspirated impacted denture requiring tracheotomy for removal. Iran J Otorhinolaryngol, 2017, 29(95): 359-363.
28.	張毅, 范虹, 張新, 等. 硬質支氣管鏡聯合纖維支氣管鏡在氣管支氣管病變中的應用. 復旦學報(醫學版), 2012, 39(5): 511-514.
29.	Hao G, Tang L, Ji Z, et al. Endobronchial foreign body removal using fiberoptic bronchoscope together with gastroscope biopsy forceps: a case report. Medicine (Baltimore), 2019, 98(40): e17424.
30.	Elsharkawy H, Abd-Elsayed AA, Karroum R. Management challenges in the passing-through technique using a fogarty catheter to remove an endobronchial foreign body from an infant. Ochsner J, 2015, 15(1): 110-113.
31.	Elsayed HH, Mostafa AM, Soliman S, et al. A magnet built on bronchoscopic suction for extraction of tracheobronchial headscarf pins: a novel technique and review of a tertiary centre experience. Interact Cardiovasc Thorac Surg, 2016, 22(5): 531-536.
32.	Wankhede RG, Maitra G, Pal S, et al. Successful removal of foreign body bronchus using C-arm-guided insertion of fogarty catheter through plastic bead. Indian J Crit Care Med, 2017, 21(2): 96-98.
33.	Hewlett JC, Rickman OB, Lentz RJ, et al. Foreign body aspiration in adult airways: therapeutic approach. J Thorac Dis, 2017, 9(9): 3398-3409.
34.	Khidr AM, El Tahan MR, Doyle DJ, et al. Combined use ofa fiberscope and fuji uniblocker for removal of retained bronchial tissue glue after repair of a disrupted left main bronchus. Semin Cardiothorac Vasc Anesth, 2019, 23(3): 333-337.
35.	李時悅, 何穎, 遲峰, 等. 經可彎曲支氣管鏡應用冷凍方法摘除難取性氣道異物. 中華結核和呼吸雜志, 2006, 29(9): 641-642.
36.	黨焱, 何小鵬, 陳劍輝. 冷凍法去除氣道難取異物 26 例臨床分析. 中國內鏡雜志, 2012, 18(1): 95-97.
37.	Fruchter O, Kramer MR. Retrieval of various aspirated foreign bodies by flexible cryoprobe: in vitro feasibility study. Clin Respir J, 2015, 9(2): 176-179.
38.	程勝, 王正云, 饒曉玲, 等. 可彎曲支氣管鏡下應用冷凍治療取出氣道內玻璃異物. 華中科技大學學報(醫學版), 2014(6): 729-730.
39.	楊中傳, 熊志舉, 李榮慶. 二氧化碳冷凍法取出氣管內水蛭 2 例分析. 臨床肺科雜志, 2016, 21(6): 1159-1160.
40.	Rubio E, Gupta P, Ie S, et al. Cryoextraction: a novel approach to remove aspirated chewing gum. Ann Thorac Med, 2013, 8(1): 58-59.
41.	Fang YF, Hsieh MH, Chung FT, et al. Flexible bronchoscopy with multiple modalities for foreign body removal in adults. PLoS One, 2015, 10(3): e0118993.
42.	Blanco Ramos M, Botana-Rial M, García-Fontán E, et al. Update in the extraction of airway foreign bodies in adults. J Thorac Dis, 2016, 8(11): 3452-3456.

1. 陳琨, 李芳, 毛世才. 成人不典型氣管支氣管異物臨床特點分析. 醫學食療與健康, 2020, 18(13): 197, 199.
2. 劉文廣, 李勇, 廖風云, 等. 纖維支氣管鏡治療成人氣管支氣管異物 18 例臨床分析. 中國醫學工程, 2016, 24(11): 111-113.
3. 賈衛紅, 李建英, 卜麗娜. 成人氣管支氣管異物 2222 例臨床 Meta 分析. 中華肺部疾病雜志(電子版), 2018, 11(2): 195-199.
4. Dong YC, Zhou GW, Bai C, et al. Removal of tracheobronchial foreign bodies in adults using a flexible bronchoscope: experience with 200 cases in China. Intern Med, 2012, 51(18): 2515-2519.
5. Ciolek PJ, Lorenz RR. Misdiagnosis of a tracheal foreign body of decades-long duration. JAMA Otolaryngol Head Neck Surg, 2017, 143(1): 95-96.
6. 高楓, 黃斌, 高璐, 等. 成人氣道異物發病原因及診治體會. 廣西醫科大學學報, 2017, 34(12): 1792-1793.
7. Fang N, Wang Z, Shang J, et al. Unusual aspiration of coin in the lower respiratory tract: two case reports. Medicine (Baltimore), 2018, 97(50): e13462.
8. Ramos MB, Fernández-Villar A, Rivo JE, et al. Extraction of airway foreign bodies in adults: experience from 1987-2008. Interact Cardiovasc Thorac Surg, 2009, 9(3): 402-405.
9. 麻李思雨, 李王平, 潘蕾, 等. 10 年氣管、支氣管異物診治回顧性分析. 中華肺部疾病雜志(電子版), 2019, 12(3): 275-280.
10. Digoy GP. Diagnosis and management of upper aerodigestive tract foreign bodies. Otolaryngol Clin North Am, 2008, 41(3): 485-496.
11. Osman EZ, Swift A. Management of foreign bodies in the ears and upper aerodigestive tract. Br J Hosp Med (Lond), 2007, 68(11): M189-M191.
12. M?ller J, Rasmussen F, Hilberg O, et al. Airway foreign body aspiration: common, yet easily overlooked! Two interesting cases. BMJ Case Rep, 2015, 2015: bcr2014209240.
13. Hsu AA. Endoscopic intervention of lower airway foreign matter in adults-a different perspective. J Thorac Dis, 2015, 7(10): 1870-1877.
14. 王濤, 劉業海, 童步升, 等. 成人支氣管異物誤診十年一例. 中華耳鼻咽喉頭頸外科雜志, 2015, 50(4): 329-330.
15. Altuntas B, Ayd?n Y, Eroglu A. Foreign bodies in trachea: a 25-years of experience. Eurasian J Med, 2016, 48(2): 119-123.
16. 張勁梅. 256 層極速螺旋 CT 三維重建在氣管支氣管異物診斷及術前規劃中的臨床分析. 河南: 新鄉醫學院, 2019: 1-64.
17. Aggarwal SK, Sinha SK, Ratan SK, et al. Complications of long-standing foreign body in the airway and their outcomes after endoscopic management: an experience of 20 cases. J Laparoendosc Adv Surg Tech A, 2015, 25(1): 81-87.
18. Marouf R, Hamraoui S, Alloubi I. A neglected bronchial foreign body for 23 years. Rev Mal Respir, 2019, 36(8): 1002-1007.
19. Al Maary J, Alahmari AS. Distal airway aspirated metallic foreign body, case report of spontaneous expectoration. Am J Case Rep, 2020, 21: e917608.
20. 張捷, 王長利. 支氣管鏡發展史. 中華醫史雜志, 2006, 36(2): 96-99.
21. ?zgül MA, ?etinkaya E, Turan D, et al. What have we learned in interventional pulmonology in the past decade?. Turk J Med Sci, 2019, 49(5): 1455-1463.
22. Rodrigues AJ, Oliveira EQ, Scordamaglio PR, et al. Flexible bronchoscopy as the first-choice method of removing foreign bodies from the airways of adults. J Bras Pneumol, 2012, 38(3): 315-320.
23. 蔣德雄, 王紅軍, 張雪漫, 等. 成人支氣管異物取出方法探討. 現代臨床醫學, 2018, 44(6): 417-419.
24. 田王斌, 謝永宏, 金發光, 等. 成人氣道吸入辣椒皮的支氣管鏡治療方式及文獻復習. 中華肺部疾病雜志(電子版), 2018, 11(1): 86-88.
25. 周足力, 楊鋒, 李運, 等. 成人支氣管內異物的診斷與治療. 中國微創外科雜志, 2018, 18(6): 491-493, 500.
26. Sehgal IS, Dhooria S, Ram B, et al. Foreign body inhalation in the adult population: experience of 25,998 bronchoscopies and systematic review of the literature. Respir Care, 2015, 60(10): 1438-1448.
27. Bist SS, Luthera M, Arora P, et al. Missing aspirated impacted denture requiring tracheotomy for removal. Iran J Otorhinolaryngol, 2017, 29(95): 359-363.
28. 張毅, 范虹, 張新, 等. 硬質支氣管鏡聯合纖維支氣管鏡在氣管支氣管病變中的應用. 復旦學報(醫學版), 2012, 39(5): 511-514.
29. Hao G, Tang L, Ji Z, et al. Endobronchial foreign body removal using fiberoptic bronchoscope together with gastroscope biopsy forceps: a case report. Medicine (Baltimore), 2019, 98(40): e17424.
30. Elsharkawy H, Abd-Elsayed AA, Karroum R. Management challenges in the passing-through technique using a fogarty catheter to remove an endobronchial foreign body from an infant. Ochsner J, 2015, 15(1): 110-113.
31. Elsayed HH, Mostafa AM, Soliman S, et al. A magnet built on bronchoscopic suction for extraction of tracheobronchial headscarf pins: a novel technique and review of a tertiary centre experience. Interact Cardiovasc Thorac Surg, 2016, 22(5): 531-536.
32. Wankhede RG, Maitra G, Pal S, et al. Successful removal of foreign body bronchus using C-arm-guided insertion of fogarty catheter through plastic bead. Indian J Crit Care Med, 2017, 21(2): 96-98.
33. Hewlett JC, Rickman OB, Lentz RJ, et al. Foreign body aspiration in adult airways: therapeutic approach. J Thorac Dis, 2017, 9(9): 3398-3409.
34. Khidr AM, El Tahan MR, Doyle DJ, et al. Combined use ofa fiberscope and fuji uniblocker for removal of retained bronchial tissue glue after repair of a disrupted left main bronchus. Semin Cardiothorac Vasc Anesth, 2019, 23(3): 333-337.
35. 李時悅, 何穎, 遲峰, 等. 經可彎曲支氣管鏡應用冷凍方法摘除難取性氣道異物. 中華結核和呼吸雜志, 2006, 29(9): 641-642.
36. 黨焱, 何小鵬, 陳劍輝. 冷凍法去除氣道難取異物 26 例臨床分析. 中國內鏡雜志, 2012, 18(1): 95-97.
37. Fruchter O, Kramer MR. Retrieval of various aspirated foreign bodies by flexible cryoprobe: in vitro feasibility study. Clin Respir J, 2015, 9(2): 176-179.
38. 程勝, 王正云, 饒曉玲, 等. 可彎曲支氣管鏡下應用冷凍治療取出氣道內玻璃異物. 華中科技大學學報(醫學版), 2014(6): 729-730.
39. 楊中傳, 熊志舉, 李榮慶. 二氧化碳冷凍法取出氣管內水蛭 2 例分析. 臨床肺科雜志, 2016, 21(6): 1159-1160.
40. Rubio E, Gupta P, Ie S, et al. Cryoextraction: a novel approach to remove aspirated chewing gum. Ann Thorac Med, 2013, 8(1): 58-59.
41. Fang YF, Hsieh MH, Chung FT, et al. Flexible bronchoscopy with multiple modalities for foreign body removal in adults. PLoS One, 2015, 10(3): e0118993.
42. Blanco Ramos M, Botana-Rial M, García-Fontán E, et al. Update in the extraction of airway foreign bodies in adults. J Thorac Dis, 2016, 8(11): 3452-3456.

West China Medical Journal

Progress in diagnosis and treatment of tracheobronchial foreign bodies in adults

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