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：

Export PDF Favorites Scan Get Citation

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.	陈琨, 李芳, 毛世才. 成人不典型气管支气管异物临床特点分析. 医学食疗与健康, 2020, 18(13): 197, 199.
2.	刘文广, 李勇, 廖风云, 等. 纤维支气管镜治疗成人气管支气管异物 18 例临床分析. 中国医学工程, 2016, 24(11): 111-113.
3.	贾卫红, 李建英, 卜丽娜. 成人气管支气管异物 2222 例临床 Meta 分析. 中华肺部疾病杂志(电子版), 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.	高枫, 黄斌, 高璐, 等. 成人气道异物发病原因及诊治体会. 广西医科大学学报, 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 年气管、支气管异物诊治回顾性分析. 中华肺部疾病杂志(电子版), 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.	Møller 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.	王涛, 刘业海, 童步升, 等. 成人支气管异物误诊十年一例. 中华耳鼻咽喉头颈外科杂志, 2015, 50(4): 329-330.
15.	Altuntas B, Aydın Y, Eroglu A. Foreign bodies in trachea: a 25-years of experience. Eurasian J Med, 2016, 48(2): 119-123.
16.	张劲梅. 256 层极速螺旋 CT 三维重建在气管支气管异物诊断及术前规划中的临床分析. 河南: 新乡医学院, 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.	张捷, 王长利. 支气管镜发展史. 中华医史杂志, 2006, 36(2): 96-99.
21.	Özgül MA, Çetinkaya 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.	蒋德雄, 王红军, 张雪漫, 等. 成人支气管异物取出方法探讨. 现代临床医学, 2018, 44(6): 417-419.
24.	田王斌, 谢永宏, 金发光, 等. 成人气道吸入辣椒皮的支气管镜治疗方式及文献复习. 中华肺部疾病杂志(电子版), 2018, 11(1): 86-88.
25.	周足力, 杨锋, 李运, 等. 成人支气管内异物的诊断与治疗. 中国微创外科杂志, 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.	张毅, 范虹, 张新, 等. 硬质支气管镜联合纤维支气管镜在气管支气管病变中的应用. 复旦学报(医学版), 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.	李时悦, 何颖, 迟峰, 等. 经可弯曲支气管镜应用冷冻方法摘除难取性气道异物. 中华结核和呼吸杂志, 2006, 29(9): 641-642.
36.	党焱, 何小鹏, 陈剑辉. 冷冻法去除气道难取异物 26 例临床分析. 中国内镜杂志, 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.	程胜, 王正云, 饶晓玲, 等. 可弯曲支气管镜下应用冷冻治疗取出气道内玻璃异物. 华中科技大学学报(医学版), 2014(6): 729-730.
39.	杨中传, 熊志举, 李荣庆. 二氧化碳冷冻法取出气管内水蛭 2 例分析. 临床肺科杂志, 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. 陈琨, 李芳, 毛世才. 成人不典型气管支气管异物临床特点分析. 医学食疗与健康, 2020, 18(13): 197, 199.
2. 刘文广, 李勇, 廖风云, 等. 纤维支气管镜治疗成人气管支气管异物 18 例临床分析. 中国医学工程, 2016, 24(11): 111-113.
3. 贾卫红, 李建英, 卜丽娜. 成人气管支气管异物 2222 例临床 Meta 分析. 中华肺部疾病杂志(电子版), 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. 高枫, 黄斌, 高璐, 等. 成人气道异物发病原因及诊治体会. 广西医科大学学报, 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 年气管、支气管异物诊治回顾性分析. 中华肺部疾病杂志(电子版), 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. Møller 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. 王涛, 刘业海, 童步升, 等. 成人支气管异物误诊十年一例. 中华耳鼻咽喉头颈外科杂志, 2015, 50(4): 329-330.
15. Altuntas B, Aydın Y, Eroglu A. Foreign bodies in trachea: a 25-years of experience. Eurasian J Med, 2016, 48(2): 119-123.
16. 张劲梅. 256 层极速螺旋 CT 三维重建在气管支气管异物诊断及术前规划中的临床分析. 河南: 新乡医学院, 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. 张捷, 王长利. 支气管镜发展史. 中华医史杂志, 2006, 36(2): 96-99.
21. Özgül MA, Çetinkaya 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. 蒋德雄, 王红军, 张雪漫, 等. 成人支气管异物取出方法探讨. 现代临床医学, 2018, 44(6): 417-419.
24. 田王斌, 谢永宏, 金发光, 等. 成人气道吸入辣椒皮的支气管镜治疗方式及文献复习. 中华肺部疾病杂志(电子版), 2018, 11(1): 86-88.
25. 周足力, 杨锋, 李运, 等. 成人支气管内异物的诊断与治疗. 中国微创外科杂志, 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. 张毅, 范虹, 张新, 等. 硬质支气管镜联合纤维支气管镜在气管支气管病变中的应用. 复旦学报(医学版), 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. 李时悦, 何颖, 迟峰, 等. 经可弯曲支气管镜应用冷冻方法摘除难取性气道异物. 中华结核和呼吸杂志, 2006, 29(9): 641-642.
36. 党焱, 何小鹏, 陈剑辉. 冷冻法去除气道难取异物 26 例临床分析. 中国内镜杂志, 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. 程胜, 王正云, 饶晓玲, 等. 可弯曲支气管镜下应用冷冻治疗取出气道内玻璃异物. 华中科技大学学报(医学版), 2014(6): 729-730.
39. 杨中传, 熊志举, 李荣庆. 二氧化碳冷冻法取出气管内水蛭 2 例分析. 临床肺科杂志, 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

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content