TITLE:
Extraction of Aspirated Headscarf Pins with Fiberoptic Bronchoscopy
AUTHORS:
Ahmed I. Al-Azzawi
KEYWORDS:
Fiberoptic Bronchoscopy, Headscarf Pin Aspiration
JOURNAL NAME:
World Journal of Cardiovascular Surgery,
Vol.7 No.12,
December
7,
2017
ABSTRACT: Background: Foreign body aspiration is a common yet preventable health problem. Headscarf
pin aspiration is a unique example of aspirated foreign bodies in young Muslim
women usually removed using the rigid bronchoscope. However, the flexible
bronchoscope is increasingly used for this purpose. This prospective study was
conducted in Sulaimaniyah Teaching Hospital, Sulaimaniyah, Iraq and aimed to
evaluate the usefulness of fiberoptic bronchoscope for removal of aspirated
headscarf pins in view of the relevant literature. Methodology: Fifty
female patients with headscarf pin aspiration were managed by fiberoptic
bronchoscopy over an 8-year period (January 2008 to December 2015). The
procedure was performed under local anesthesia and conscious sedation through
the mouth. Results: The
age ranged from 10 to 45 years with a mean of 27.5. All patients had cough,
five had unilateral wheeze (10%) while haemoptysis occurred twice (4%).
Fiberoptic bronchoscopy succeeded in 45 cases (90%). Rigid bronchoscopy under
general anesthesia was necessary in (n = 4, 8%) while one patient (2%) required
thoracotomy. Conclusion: Fiberoptic
bronchoscopy is safe and effective in removal of aspirated headscarf pins and
should be tried first.