J Otolaryngol Head Neck Surg. 2014 Aug 2;43(1):21. doi: 10.1186/s40463-014-0021-y.
To perform an epidemiological assessment of metallic hairpin inhalation in young Muslim females and highlight the need for a health education program in this population.
We performed a retrospective analysis of females with a history of metallic hairpin inhalation presenting to the Otolaryngology and Cardiothoracic Surgery Departments at Mansoura University Hospitals from January 2000 to October 2006.
A total of 83 patients were identified with metallic hairpin inhalation, of which 2 were excluded as they were coughed and expelled by the patient. Ages ranged from 7 to 19 years. A history of inhaled foreign body (FB) was found in all cases but the majority of patients were asymptomatic, with only 6 patients (7%) presenting with cough. Chest x-rays confirmed the presence of metallic hairpin inhalation in all cases. The metallic hairpins were present in the trachea in 7 patients (9%), in the left bronchial tree in 43 patients (53%) and in the right bronchial tree in 31 patients (38%). Rigid bronchoscopy was performed in all patients with a retrieval rate of 80%. Repeat bronchoscopy was performed in 16 patients (20%), which was successful in 11 patients (14%). The remaining 5 patients required thoracotomy for removal of the metallic hairpin (6%).
The significant number of inhaled metallic hairpins in young Muslim females highlights the need for a health education program in this population. Rigid bronchoscopy remains the primary tool for retrieval of these inhaled foreign bodies. However, when repeat broncoscopy is necessitated, a thoracotomy may be required.
对年轻穆斯林女性金属发夹吸入进行流行病学评估，并强调在该人群中开展健康教育计划的必要性。
我们对 2000 年 1 月至 2006 年 10 月间在曼苏拉大学医院耳鼻喉科和心胸外科就诊的有金属发夹吸入史的女性进行了回顾性分析。
共发现 83 例金属发夹吸入患者，其中 2 例因被患者咳出而被排除在外。年龄 7 至 19 岁。所有病例均有吸入异物（FB）史，但大多数患者无症状，仅 6 例（7%）出现咳嗽。胸部 X 线片证实所有病例均有金属发夹吸入。7 例（9%）金属发夹位于气管内，43 例（53%）位于左支气管树，31 例（38%）位于右支气管树。所有患者均行硬性支气管镜检查，取出率为 80%。16 例患者（20%）行重复支气管镜检查，11 例（14%）成功。其余 5 例（6%）患者需行开胸手术取出金属发夹。
年轻穆斯林女性吸入大量金属发夹，这突出表明需要在该人群中开展健康教育计划。硬性支气管镜仍然是取出这些吸入性异物的主要工具。然而，当需要重复支气管镜检查时，可能需要开胸手术。
