Management of Airway Foreign Body Aspiration with Atelectasis Complication

Authors

  • Puji Utami
  • Rizka Fathoni Perdana

DOI:

https://doi.org/10.37506/ijfmt.v16i3.18300

Keywords:

flexible bronchoscopy; foreign body; rigid bronchoscopy; straight-pinaspiration; child neglect

Abstract

Background: A sharp foreign body aspirationis a problem that is usually found in teenage women who wear hijab.
Straight-pins are used in wearing hijab to make a model and to hold it tight in place. Straight-pin aspiration has the
potential to become a serious problem if it is inhaled in the airway and must be removed immediately in optimal
conditions by using complete equipment to prevent complications.
Case Report: A 14 year old girl with straight-pin aspiration in the airwayhad come to emergency room of
DrSoetomo General AcademicHospital, Surabaya, Indonesia. The initial location of the straight-pinwas in the right
main bronchus and a rigid bronchoscopy was planned. Rigid bronchoscopy was performed but the foreign object
failed to be removed and the foreign object moved further down and difficult to reach. A flexible bronchoscopy
was performed and the foreign body was successfully removed. However, there was a complication of left lung
atelectasis after the procedure. It was treated conservatively and healed.
Conclusion: Straight-pin aspirationin the airway is treated by rigid and flexible bronchoscopy with atelectasis as
a complication. Flexible bronchoscopy is an alternative therapy for inhaled foreign bodies that are located distally
and cannot be reached by rigid instruments.

Author Biographies

  • Puji Utami

    Researcher, Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine,
    UniversitasAirlangga, Surabaya, Indonesia

  • Rizka Fathoni Perdana

    Tutor, Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Universitas Airlangga, Jalan Mayjen Prof. Dr. Moestopo 47, Surabaya 60131,Indonesia.

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Published

2022-07-04

How to Cite

Management of Airway Foreign Body Aspiration with Atelectasis Complication. (2022). Indian Journal of Forensic Medicine & Toxicology, 16(3), 292-296. https://doi.org/10.37506/ijfmt.v16i3.18300