Journal of Otology & RhinologyISSN: 2324-8785

Reach Us +1 850 754 6199
All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.

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
E-mail: [email protected]
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

Abstract

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.

Keywords: Bronchial foreign bodies; Bronchoscopy; Thoracotomy; External thoracic surgery

Track Your Manuscript

Share This Page

Media Partners

Associations