Journal of Clinical Otolaryngology Head and Neck Surgery

The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery

J Clin Otolaryngol Head Neck Surg 2013; 24(1):105-108

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.2013.24.1.105

증례

A Case of Metallic Tracheostomy Tubes as Foreign Bodies Broken for a Long Time and Lodged in the Bilateral Main Bronchi

Seok-Hwan Lee¹, Chan Hwi Park¹, Il Woo Lee¹, Soo-Geun Wang¹^,^*

¹Department of Otorhinolaryngology-Head & Neck Surgery, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea

^*교신저자: 왕수건, 602-739 부산광역시 서구 아미동 1가 10 부산대학교 의과대학 부산대학교병원 이비인후과 학교실 전화： (051) 240-7335 · 전송: (051) 246-8668 E-mail： wangsg@pusan.ac.kr

© Copyright 2013 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Mar 28, 2013; Revised: Apr 16, 2013; Accepted: May 24, 2013

Published Online: May 31, 2020

ABSTRACT

The case that fragments of metallic tracheostomy tubes lodged in bilateral main bronchi as foreign bodies rarely occurs. A 52-year-old male presented with excessive cough and purulent sputum induced by fragments of metallic tracheostomy tube in both main bronchi and the left pleural effusion. With the assistance of anesthesiologist with abundant experience, ventilating bronchoscopy under local anesthesia was attempted, and both the fragments of tubes were removed by the order of the right and the left. The patient showed the rapid improvement of symptoms after ventilating brochoscopy. This case is the first report in the world literatures that successful removal of fragments of metallic tracheostomy tube lodged in the both main bronchi as foreign bodies was done under local anesthesia maintaining self-respiration. (J Clinical Otolaryngol 2013;24:105–108)

Keywords: Foreign body; Tracheostomy tube; Bronchus