Noh K B, Salim R, Abdullah M S, Mohamad I
Department of Otorhinolaryngology - Head & Neck Surgery School of Medical Sciences Universiti Sains Malaysia Health Campus, 16150 Kota Bharu Kelantan, Malaysia. Email:
Department of Otorhinolaryngology-Head & Neck Surgery School of Medical Sciences Universiti Sains Malaysia Health Campus, 16150 Kota Bharu Kelantan, Malaysia.
Malays Fam Physician. 2018 Aug 31;13(2):36-38. eCollection 2018.
Foreign body aspiration is commonly described in infants and children. However, recently, a new high-risk group was identified among young women, especially those from the Muslim population who wear the traditional hair scarf. This is due to the habit of holding the scarf pin in between the lips to free hands to adjust the scarf more easily. Talking, laughing, or coughing while fixing the scarf may result in inadvertent inhalation of the pin into the tracheobronchial tree. We present a case of scarf pin inhalation and the challenges encountered in managing this patient during the successful removal of the pin via flexible bronchoscopy under fluoroscopy guidance. This particular case was technically challenging for us as the sharp tip of the needle was pointing upward and piercing the bronchial mucosa.
异物吸入常见于婴幼儿和儿童。然而，最近在年轻女性中发现了一个新的高危群体，尤其是那些来自穆斯林群体且佩戴传统头巾的女性。这是因为她们有将头巾别针含在嘴唇间以便腾出双手更轻松地调整头巾的习惯。在固定头巾时说话、大笑或咳嗽可能会导致别针意外吸入气管支气管树。我们报告一例头巾别针吸入病例，以及在荧光透视引导下通过可弯曲支气管镜成功取出别针过程中管理该患者时遇到的挑战。对我们来说，这个特殊病例在技术上具有挑战性，因为针的尖锐尖端向上并刺入支气管黏膜。
