Document Detail

Asymptomatic near-total airway obstruction by a cylindrical tracheal foreign body.
MedLine Citation:
PMID:  15689749     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES/ HYPOTHESIS: The objective was to present the unique case of previously unreported asymptomatic cylindrical tracheal foreign body causing near-total airway obstruction. The asymptomatic nature of the case made diagnosis and management challenging.
STUDY DESIGN: A retrospective case review at an urban health maintenance organization medical center.
METHODS: A 3.5-year-old asymptomatic boy was incidentally discovered to have a metallic foreign body in his mid trachea on a screening scoliosis roentgenogram. He underwent rigid bronchoscopic retrieval the following day.
RESULTS: The foreign body was found to be a corroded, 9 x 6-mm metallic cylinder with a narrowed luminal diameter of 2.0 mm. Intubation was maintained in the pediatric intensive care unit for 48 hours, and extubation was performed in the operating room under direct bronchoscopy. Mitomycin C was applied to a circumferential area of denuded tracheal mucosa.
CONCLUSION: Tracheal foreign bodies are distinctly different clinical entities from bronchial foreign bodies. Asymptomatic bronchial foreign bodies are relatively common, but to the authors' knowledge, an asymptomatic tracheal foreign body had not been reported previously. Discussion focused on pathophysiology with reference to Poiseuille's law, diagnosis, and management of asymptomatic tracheal foreign bodies, including the possibility of elective bronchoscopic retrieval.
Ronald A Mathiasen; Raul M Cruz
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Laryngoscope     Volume:  115     ISSN:  0023-852X     ISO Abbreviation:  Laryngoscope     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2005-02-03     Completed Date:  2005-03-07     Revised Date:  2013-11-06    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  United States    
Other Details:
Languages:  eng     Pagination:  274-7     Citation Subset:  IM    
Department of Head and Neck Surgery, Kaiser Permanente Medical Center, Oakland, California 94611, USA.
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MeSH Terms
Airway Obstruction / etiology*,  radiography,  surgery
Child, Preschool
Foreign Bodies / complications*,  radiography,  surgery
Intubation, Intratracheal
Trachea* / radiography

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