GKD Anest Yoð Bak Dern Derg. 2022; 28(4): 334-338 | DOI: 10.14744/GKDAD.2022.54715

Eriþkinlerde Yabancý Cisim Aspirasyonlarýnýn Erken ve Geç Dönem Bulgu ve Tedavileri

Mehmet Deðirmenci
Kahramanmaraþ Sütçü Ýmam Üniversitesi Týp Fakültesi, Göðüs Cerrahisi Anabilim Dalý, Kahramanmaraþ, Türkiye

Amaç: Bu çalýþmanýn amacý, yabancý cisim aspirasyonlarýnýn erken ve geç dönem tedavi, morbidite ve mortalitesini deðerlendirmektir.
Yöntem: Ekim 2006 ile Ekim 2021 tarihleri arasýnda göðüs cerrahisi kliniðine baþvuran yabancý cisim aspirasyonu olgularý retrospektif olarak incelendi. Hastalar klinik ve radyolojik olarak deðerlendirildi. Taný ve tedavi amacýyla fiberoptik veya rijit bronkoskopi uygulandý. Gereðinde torakotomi yapýldý.
Bulgular: Yaþ ortalamasý 38,30±16,60 yýl olan 23 hastanýn 15’i (%65,21) erkek idi. Hastalardan 17’si (%73,91) erken dönemde, 6’sý (%26,09) geç dönemde baþvurdu. Hastalardan 12’sinde (%52,17) risk faktörü vardý. Geç dönemde gelen hastalarda risk faktörü bulunma oraný erken dönemde gelenlere göre daha fazla idi (p=0,014). Hastalardan dördüne medikal tedavi uygulanýrken, üç hastada yabancý cisim fiberoptik bronkoskopiyle, 10 hastada rijit bronkoskopiyle, altý hastada ise torakotomiyle çýkarýldý. Geç baþvuruda bulunanlarda torakotomi ihtiyacý erken baþvuranlara göre fazlaydý (p=0,001). En sýk yerleþim yeri trakea ve sað bronþiyal sistem, en sýk rastlanan yabancý cisim toplu iðne idi. Hastalarýn 7’sinde (%30,43) komplikasyon geliþti. Geç dönemde baþvuran hastalarda komplikasyon oraný daha fazlaydý (p<0,001). Mortalite görülmedi.
Sonuç: Eriþkinlerde fark edilmeyen yabancý cisimler uzun dönemde ciddi komplikasyonlara yol açar. Risk faktörü taþýyan hastalarýn yakýnlarý yabancý cisim aspirasyonu konusunda dikkatli olmalý ve aspirasyon þüphesi durumunda hemen bir saðlýk kuruluþuna baþvurmalýdýr.

Anahtar Kelimeler: Eriþkinler, aspirasyon, bronkoskopi, yabancý cisimler, torakotomi

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Early and Late Findings and Treatments of Foreign Body Aspirations in Adults

Mehmet Deðirmenci
Department of Thoracic Surgery, Kahramanmaraþ Sütçü Ýmam University Faculty of Medicine, Kahramanmaraþ, Türkiye

Objectives: This study aims to determine the early and late treatment, morbidity, and mortality of foreign body aspiration (FBA).
Methods: The retrospectively analyzed FBA cases admitted to the thoracic surgery clinic. The patients were evaluated clinically and radiologically. Fiber optic or rigid bronchoscopy was used for diagnosis and treatment. Thoracotomy was performed when necessary.
Results: Of the 23 patients evaluated, 15 (65.21%) were male. The mean age was 38.30±16.60. Of the patients, 17 (73.91%) were admitted early, and 6 (26.09%) in the late period. Twelve (52.17%) patients had risk factors. Risk factors were higher in patients admitted later than in the early period (p=0.014). Medical treatment was sufficient in four patients. The foreign body (FB) was removed by fiber optic bronchoscopy in three patients, rigid bronchoscopy in ten patients, and thoracotomy in six patients. The thoracotomy rate in patients who came to the hospital late was higher than in those who came in the early period (p=0.001). The most common localization was the trachea and right bronchial system, and the most common FB was a pin. Complications developed in 7 (30.43%) patients. The complication rate was higher in patients admitted in the late period (p<0.001). No mortality was observed.
Conclusion: Unnoticed foreign bodies in adults can lead to severe complications in the long term. Relatives of patients with risk factors should be careful about FBA and immediately apply to a health institution in case of suspicion of aspiration.

Keywords: Adults, aspiration, bronchoscopy, foreign bodies, thoracotomy

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