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Thoracotomy for Bronchial Foreign Bodies : A propos of 3 cases

Objective: To report 3 cases of bronchial foreign bodies removed by thoracotomy Patients and Methods: Retrospective study was conducted from January 1st 2005 to December 31 2011 in the ENT Clinic of NTH of Fann. During this 7-year period, 96 cases of foreign bodies of lower respiratory tract were managed with 63 cases of bronchial location. Bronchoscopic removal was achieved in 60 cases but failed in 3 cases. Removal of bronchial foreign bodies was finally performed through thoracotomy. Results: In 3% (3/96 cases), thoracotomy was performed. The patients were 5, 8 and 12 years old. The foreign bodies were non organic (nail, pearl, dolphin-like hair styling accessory). Chest X-ray showed one case of radiolucent object. Bronchoscopic removal failed twice or 3 times, in each case. Therefore, external thoracic surgery was done: 2 bronchotomies and 1 right posterior inferior lobectomy. Posterior lateral thoracic incision was used. No complication occurred. Conclusion: Bronchoscopy remains the gold standard treatment in the management of airway foreign bodies. Because of recent technological improvements in instrumentation, external thoracic surgery is avoided.

Auteur(s) : Ndiaye M, Deguenonvo REA, Thiam NF, Nao EEM, Dieng PA, Ndiaye A, Sy A, Kelly A, Ndiaye C, Diouf MS, Diom ES, Tall A, Diallo BK, Ndiaye IC, Diouf R, Nd
Année de publication : 2016
Revue : Journal of Otology & Rhinology
N° de volume : 5(1)
Type : Article
Mise en ligne par : DEGUENONVO Richard Edouard Alain