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A Case of Metallic Tracheostomy Tubes as Foreign Bodies Broken for a Long Time and Lodged in the Bilateral Main Bronchi

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The case that fragments of metallic tracheostomy tubes lodged in bilateral main bronchi as foreign bodies rarely occurs. A 52-year-old male presented with excessive cough and purulent sputum induced by fragments of metal-lic tracheostomy tube in both main bronchi and the left pleural effusion. With the assistance of anesthesiologist with abundant experience, ventilating bronchoscopy under local anesthesia was attempted, and both the frag-ments of tubes were removed by the order of the right and the left. The patient showed the rapid improvement of symptoms after ventilating brochoscopy. This case is the first report in the world literatures that successful remov-al of fragments of metallic tracheostomy tube lodged in the both main bronchi as foreign bodies was done under local anesthesia maintaining self-respiration.

Abstract

The case that fragments of metallic tracheostomy tubes lodged in bilateral main bronchi as foreign bodies rarely occurs. A 52-year-old male presented with excessive cough and purulent sputum induced by fragments of metal-lic tracheostomy tube in both main bronchi and the left pleural effusion. With the assistance of anesthesiologist with abundant experience, ventilating bronchoscopy under local anesthesia was attempted, and both the frag-ments of tubes were removed by the order of the right and the left. The patient showed the rapid improvement of symptoms after ventilating brochoscopy. This case is the first report in the world literatures that successful remov-al of fragments of metallic tracheostomy tube lodged in the both main bronchi as foreign bodies was done under local anesthesia maintaining self-respiration.

참고문헌 (8)

  1. Qureshi SS, "Fractured tracheostomy tube in the tracheobronchial tree", J Coll Physicians Surg Pak, 16(4), pp.303~304 (2006)
  2. Hajipour A, "Fractured and aspiration of metallic tracheostomy tube", Saudi Med J, 28(3), pp.468~ (2007)
  3. Gana PN, "Fractured tracheostomy tubes in the tracheobronchial tree of a child", Int J pediatr Otorhinolaryngol, 53(1), pp.45~48 (2000)
  4. Banerjee A, "Laryngo-tracheo-bronchial foreign bodies in children", J Laryngol Otol, 102(11), pp.1029~1032 (1988)
  5. Bowder DA, "Tracheostomy tube fatigue: an unusual cause of inhaled foreign body", J laryngol Otol, 99(5), pp.517~521 (1985)
  6. Maru YK, "An unusual foreign body in the tracheobronchial tree", J Laryngol Otol, 92(11), pp.1045~1048 (1978)
  7. Rogers JH, "Tracheostomy and decannulation, In Scott Brown", pp.5~7 (1997), Butterworth Heinemann
  8. Gupta SC, "Fractured tracheostomy tube: an overlooked foreign body", J Laryngol Otol, 110(11), pp.1069~1071 (1996)

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