Research Article, J Otol Rhinol Vol: 5 Issue: 1
Thoracotomy for Bronchial Foreign Bodies: A Propos of 3 Cases
|Ndiaye M1,3, Deguenonvo REA1*, Thiam NF1, Nao EEM1, Dieng PA2, Ndiaye A2, Sy A3, Kelly, Ndiaye C1, Diouf MS1, Diom ES1, Tall A1, Diallo BK1, Ndiaye IC1, Diouf R1, M Ndiaye2 and Diop EM1|
|1ENT Clinic of National Teaching Hospital (NTH) of Fann, Faculty of Medicine of Cheikh Anta Diop University, Dakar, Senegal, West-Africa|
|2Department of Thoracic and Cardiovascular Surgery of NTH of Fann, Faculty of Medicine of Cheikh Anta Diop University, Dakar, Senegal, West-Africa|
|3Research and Training Unit for Health Sciences, University of Thiès, Thiès, Senegal, West-Africa|
|Corresponding author : Deguenonvo REA, MD
ENT Lecturer at Faculty of Medicine - Cheikh Anta Diop University of Dakar, Senegal, West-Africa
Tel: +221 77 656 13 21
|Received: November 11, 2015 Accepted: December 29, 2015 Published: January 03, 2016|
|Citation: Ndiaye M, Deguenonvo REA, Thiam NF, Nao EEM, Dieng PA (2016) Thoracotomy for Bronchial Foreign Bodies: A Propos of 3 Cases. J Otol Rhinol 5:1. doi:10.4172/2324-8785.1000262|
Objective: To report 3 cases of bronchial foreign bodies removed by thoracotomy
Patients and Methods: Retrospective study was conducted from January 1st 2005 to December 31 2011 in the ENT Clinic of NTH of Fann. During this 7-year period, 96 cases of foreign bodies of lower respiratory tract were managed with 63 cases of bronchial location. Bronchoscopic removal was achieved in 60 cases but failed in 3 cases. Removal of bronchial foreign bodies was finally performed through thoracotomy.
Results: In 3% (3/96 cases), thoracotomy was performed. The patients were 5, 8 and 12 years old. The foreign bodies were non organic (nail, pearl, dolphin-like hair styling accessory). Chest X-ray showed one case of radiolucent object. Bronchoscopic removal failed twice or 3 times, in each case. Therefore, external thoracic surgery was done: 2 bronchotomies and 1 right posterior inferior lobectomy. Posterior lateral thoracic incision was used. No complication occurred.
Conclusion: Bronchoscopy remains the gold standard treatment in the management of airway foreign bodies. Because of recent technological improvements in instrumentation, external thoracic surgery is avoided.