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Flexible bronchoscopy for removal of airway foreign bodies: A single center experience Authors

creativeworkseries.issnISSN 2822-1893 eISSN 2822-2016
dc.contributor.authorDhungana, Ashesh
dc.contributor.authorShrestha, Prajowl
dc.contributor.authorShrestha, Deepa Kumari
dc.contributor.authorVerma, Avatar
dc.contributor.authorOli, Ritamvara
dc.contributor.authorThakur, Laxman
dc.date.accessioned2026-02-02T07:50:40Z
dc.date.available2026-02-02T07:50:40Z
dc.date.issued2023
dc.descriptionAshesh Dhungana Chest Unit, Department of Medicine, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal Prajowl Shrestha Chest Unit, Department of Medicine, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal Deepa Kumari Shrestha Chest Unit, Department of Medicine, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal Avatar Verma Chest Unit, Department of Medicine, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal Ritamvara Oli Chest Unit, Department of Medicine, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal Laxman Thakur Chest Unit, Department of Medicine, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal
dc.description.abstractAbstract: Background: Airway foreign bodies are rare in occurrence and challenging to manage. The presentation varies depending upon the size, site, and nature of the aspirated material. Although rigid bronchoscopy is the preferred choice in children; distally lodged foreign bodies in adults have high success rate of extraction with flexible bronchoscope. Objective: The aim of this study is to evaluate the utility of flexible bronchoscopy for removal of airway foreign bodies in adolescents and adults. Methods: In a retrospective study conducted between January 2018 to March 2024 at National Academy of Medical Sciences, Bir hospital; medical records of patients undergoing bronchoscopy for airway foreign bodies were extracted. Methods and Material: Demographic parameters, type and location of foreign body, extraction procedure, accessory equipment used, and the success rates were analyzed. Complications during and after the procedure were also recorded. Results: During the study period, a total of 3143 bronchoscopies were performed, of which 18 (0.57%) were done for foreign body extraction. Patients were aged between 12 to 89 years; cough was the commonest symptom and lobar collapse was the commonest radiological sign. Organic foreign bodies accounted for 61% cases and inorganic 39%. Right lower lobe was the commonest site. Successful flexible bronchoscopy assisted extraction was achieved in 89%. Of the 18 patients, 12 (67%) were successfully removed with rat toothed forceps and five (28%) with basket device. No major complications were noted. Conclusions: Flexible bronchoscopy has a high success rate in management of airway foreign bodies and should always be considered as first line in adults.
dc.identifierhttps://doi.org/10.3126/nrj.v2i2.69195
dc.identifier.urihttps://hdl.handle.net/20.500.14572/4445
dc.language.isoen_US
dc.publisherNepalese Respiratory Society
dc.subjectAirway Foreign Body
dc.subjectAdults
dc.subjectBronchoscopy
dc.subjectFlexible bronchoscopy
dc.titleFlexible bronchoscopy for removal of airway foreign bodies: A single center experience Authors
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage16
oaire.citation.startPage12
relation.isJournalIssueOfPublication6842ca83-3822-4638-b90f-02f66b7db826
relation.isJournalIssueOfPublication.latestForDiscovery6842ca83-3822-4638-b90f-02f66b7db826
relation.isJournalOfPublication91ea7cc8-46b2-4796-94bd-2998c28b5ebb

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