Karaman Emin, Acioğlu Engin, Mamak Aydin, Cansiz Harun
Department of Otolaryngology, Cerrahpaşa Medicine Faculty of Istanbul University, Istanbul, Turkey.
Kulak Burun Bogaz Ihtis Derg. 2006;16(5):232-4.
Tracheobronchial foreign body aspiration is uncommon in adults and one etiologic factor is laryngeal surgery. A 50-year-old male patient presented with cough, high fever, and severe dyspnea three months after partial laryngectomy for squamous cell carcinoma of the larynx. A computed tomography scan of the thorax showed a hyperdense mass lesion in the right main bronchus, suggesting a foreign body. Diagnostic bronchoscopy was performed under general anesthesia and a small bone fragment, 2 x 1.3 cm in size, was removed from the right bronchial lumen. The patient showed slow improvement due to prolonged atelectasis until complete clinical and radiologic recovery.
气管支气管异物吸入在成人中并不常见，病因之一是喉部手术。一名50岁男性患者在因喉鳞状细胞癌行部分喉切除术后三个月出现咳嗽、高热和严重呼吸困难。胸部计算机断层扫描显示右主支气管有一个高密度肿块病变，提示有异物。在全身麻醉下进行了诊断性支气管镜检查，从右支气管腔内取出了一块大小为2×1.3厘米的小骨碎片。由于长期肺不张，患者恢复缓慢，直至临床和影像学完全恢复。
