Department of Thoracic Surgery, Faculty of Medicine,Kocaeli University, Kocaeli, Turkey.
Department of Thoracic Surgery, Kocaeli State Hospital, Kocaeli, Turkey.
Arch Iran Med. 2022 May 1;25(5):308-313. doi: 10.34172/aim.2022.50.
Foreign body aspiration from tracheostomy is very rare, and materials related to tracheostomy are usually aspirated. This condition, which can lead to serious complications, can be treated using bronchoscopic procedures. In this study, we aimed to present our clinical experience in foreign body aspiration via tracheostomy.
Data from 26 patients who presented to our hospital for foreign body aspiration via tracheostomy from 2006 to 2020 were analyzed retrospectively.
Foreign bodies were removed by fiber optic bronchoscopy in 15 (57.7%) cases, by rigid bronchoscopy in 9 (34.6%) cases and both methods were used in 2 (7.7%) cases. During bronchoscopy, local anesthetic procedures were used in 13 (50%) cases and general anesthesia was used in 11 (42.3%) cases. No anesthesia was used in two (7.7%) patients who underwent bronchoscopy under intensive care conditions. While the mean operative time for flexible bronchoscopy was 8.77±0.83 (CI: 26.03-29.43) minutes, the mean operative time for rigid bronchoscopy was 27.73±2.53 (CI: 26.03-29.43) minutes.
Both rigid bronchoscopy and fiberoptic bronchoscopy (FOB) have advantages and disadvantages in foreign body removal. In our opinion, it is more reasonable to perform fiber optic bronchoscopy first in patients with a tracheostoma. In the light of our experiences, fiber optic bronchoscopy does not require general anesthesia and the operation time is shorter than rigid bronchoscopy. This feature makes fiber optic bronchoscopy advantageous.
经气管切开术吸入异物非常罕见，通常吸入的是与气管切开术相关的材料。这种情况可能导致严重的并发症，可以通过支气管镜检查来治疗。在本研究中，我们旨在介绍经气管切开术吸入异物的临床经验。
回顾性分析了 2006 年至 2020 年期间我院 26 例经气管切开术吸入异物的患者资料。
15 例（57.7%）采用纤维支气管镜取出异物，9 例（34.6%）采用硬支气管镜取出异物，2 例（7.7%）两种方法均采用。在支气管镜检查中，13 例（50%）采用局部麻醉，11 例（42.3%）采用全身麻醉，2 例（7.7%）在重症监护条件下进行支气管镜检查时未使用麻醉。软性支气管镜的平均手术时间为 8.77±0.83 分钟（置信区间：26.03-29.43），硬性支气管镜的平均手术时间为 27.73±2.53 分钟。
硬性支气管镜和纤维支气管镜（FOB）在异物清除方面各有优缺点。在我们看来，对气管造口患者首先进行纤维支气管镜检查更为合理。根据我们的经验，纤维支气管镜不需要全身麻醉，手术时间短于硬性支气管镜。这一特点使纤维支气管镜具有优势。
