Burak KARABULUT, Kadir Serkan ORHAN, Murat ULUSAN, Bora BAŞARAN, Kemal DEĞER

Yabancı cisim aspirasyonu: Acil bir havayolu durumu

Amaç: Bu çalışmada yabancı cisim aspirasyonu olan hastaların demografik özellikleri, yabancı cisimlerinin cinsi ve konumu, ortalama hastanede kalış süresi ve ameliyat sırası ve sonrası komplikasyon oranları araştırıldı.Hastalar ve Yöntemler: Ocak 2007 - Ağustos 2010 tarihleri arasında kliniğimizde yabancı cisim aspirasyonu tanısı konulan ve genel anestezi altında rijit bronkoskopi yapılan 70 hasta 23 erkek, 47 kız; ort. yaş 32±14.5 ay; dağılım 3 ay-10 yıl çalışmaya dahil edildi.Bulgular: Ana bulgular öksürük, hırıltı ve tanıklı aspirasyon idi. On dört hastada %20 yabancı cisme rastlanmadı. Elli altı hastanın %80 tamamında yabancı cisim başarı ile çıkartıldı. Yabancı cisimler 23 hastada %41 sol ana bronşta, 18 hastada %32 sağ ana bronşta, dört hastada %7 trakeada, üç hastada %5 iki taraflı ana bronşta, iki hastada %3 karinada, iki hastada %3 subglottik bölgede, iki hastada %2 piriform sinüste, bir hastada %1.7 larenks ventrikülünde ve bir hastada %1.7 sağ vokal kordda idi. Hastaların 23’ünde %41 yabancı cisim sert kabuklu kuruyemişler, 14’ünde %25 baklagiller, 11’inde %19 plastik malzemeler ve sekizinde %14 diğer cisimlerdi.Sonuç: Yabancı cisim aspirasyonu özellikle dört yaş altı çocuklar için riskli bir durumdur. Bronkoskopi hala en yaygın kullanılan, güvenilir bir tanı ve tedavi yöntemidir. Geçmeyen öksürüğü, hırıltısı ve radyolojik görüntülemede tek taraflı akciğer bulguları olan çocuklarda yabancı cisim aspirasyonu akla gelmelidir

Anahtar Kelimeler:

Havayolu tıkanıklığı, bronkoskopi, yabancı cisim aspirasyonu

Foreign body aspiration: an urgent airway condition

Objectives: This study aims to investigate demographic features, type and localization of foreign bodies, mean hospitalization duration, and peri- and postoperative complication ratios of patients with foreign body aspiration. Patients and Methods: Seventy patients 23 males, 47 females; mean age 32±14.5 months; range 3 months to 10 years who were diagnosed with foreign body aspiration in our clinic between January 2007 and August 2010, and performed rigid bronchoscopy under general anesthesia were included in this study. Results: Main findings were cough, wheezing, and witnessed aspiration. No foreign body was detected in 14 patients 20% . Foreign bodies in 56 patients 80% were successfully removed. Foreign bodies were located in the left bronchial tree in 23 patients 41% , right bronchial tree in 18 patients 32% , trachea in four patients 7% , bilateral bronchial tree in three patients 5% , carina in two patients 3% , subglottic region in two patients 3% , pyriform sinus in two patients 2% , laryngeal ventricle in one patient 1.7% , and right vocal cord in one patient 1.7% . Foreign bodies were hard-shelled nuts in 23 patients 41% , beans in 14 patients 25% , plastic materials in 11 patients 19% , and other bodies in eight patients 14% . Conclusion: Foreign body aspiration is a risky condition particularly for children under the age of four. Bronchoscopy is still the most commonly used and reliable diagnosis and treatment method. Foreign body aspiration should be kept in mind in children with persistent cough, wheezing, and unilateral pulmonary findings in radiologic imaging.

Keywords:

Airway obstruction, bronchoscopy, foreign body aspiration,

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The Turkish Journal of Ear Nose and Throat-Cover

ISSN: 2602-4837
Yayın Aralığı: Yılda 4 Sayı
Başlangıç: 1991
Yayıncı: İstanbul Üniversitesi

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