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.
References
[1]
Black, R.E., Choi, K.J., Syme, W.C., Johnson, D.G. and Matlak, M.E. (1984) Bronchoscopic Removal of Aspirated Foreign Bodies in Children. The American Journal of Surgery, 148, 778-781. https://doi.org/10.1016/0002-9610(84)90436-7
[2]
Taha, A.Y. (2013) The Use of Fiberoptic Bronchoscope to Remove Aspirated Tracheobronchial Foreign Bodies: Our Experience. Case Reports in Clinical Medicine, 2, 285-290. https://doi.org/10.4236/crcm.2013.25077
[3]
Elhassani, N.B. (1988) Tracheobronchial Foreign Bodies in the Middle East. Baghdad Study. The Journal of Thoracic and Cardiovascular Surgery, 96, 621-625.
[4]
Kula, O., Gurkan, S., Latinos, H., et al. (2003) Foreign Body Aspiration in Infants and Children. Turkish Respiratory Journal, 4, 76-78.
[5]
Rizk, N., Gwely, N., Biron, V., et al. (2010) Metallic Hair Pin Inhalation: A Health Care Problem Facing Young Muslim Females. Journal of Otolaryngology—Head & Neck Surgery, 267, 1957-1962.
[6]
Limper, A.H. and Prakash, U.B. (1990) Tracheobronchial Foreign Bodies in Adults. Annals of Internal Medicine, 112, 604-609. https://doi.org/10.7326/0003-4819-112-8-604
[7]
Lan, R.S. (1994) Non-Asphyxiating Tracheobronchial Foreign Bodies in Adults. The European Respiratory Journal, 7, 510-514. https://doi.org/10.1183/09031936.94.07030510
[8]
Chen, C.H., Lai, C.L., Tsai, T.T., et al. (1997) Foreign Body Aspiration into the Lower Airway in Chinese Adults. Chest, 112, 129-133. https://doi.org/10.1378/chest.112.1.129
[9]
Debeljak, A., Sorli, J., Music, E. and Kecelj, P. (1999) Bronchoscopic Removal of Foreign Bodies in Adults: Experience with 62 Patients from 1974-1998. The European Respiratory Journal, 14, 792-795. https://doi.org/10.1034/j.1399-3003.1999.14d11.x
[10]
Weissberg, D. (1992) Foreign Bodies in the Tracheobronchial Tree. Chest, 2, 656. https://doi.org/10.1378/chest.102.2.656b
[11]
Ciftci, A.O., Bingol-Kologlu, M., Senocak, M.E., Tanyel, F.C. and Buyukpamukcu, N. (2003) Bronchoscopy for Evaluation of Foreign Body Aspiration in Children. Journal of Pediatric Surgery, 38, 1170-1176. https://doi.org/10.1016/S0022-3468(03)00263-X
[12]
Ucan, E.S., Tahaoglu, K., Mogolkoc, N., Dereli, S., Basozdemir, N., Basok, O., et al. (1996) Turban Pin Aspiration Syndrome: A New Form of Foreign Body Aspiration. Respiratory Medicine, 90, 427-428. https://doi.org/10.1016/S0954-6111(96)90117-1
[13]
Kaptanoglu, M., Dogan, K., Onen, A. and Kunt, N. (1999) Turban Pin Aspiration; a Potential Risk for Young Islamic Girls. International Journal of Pediatric Otorhinolaryngology, 48, 131-135. https://doi.org/10.1016/S0165-5876(99)00020-8
[14]
Murthy, P.S.N., Ingle, V.S., George, E., Ramakrishna, S. and Shah, F.A. (2001) Sharp Foreign Bodies in the Tracheobronchial Tree. American Journal of Otolaryngology, 22, 154-156. https://doi.org/10.1053/ajot.2001.22585
[15]
Shabb, B., Taha, A.M., Hamada, F. and Kanj, N. (1996) Straight Pin Aspiration in Young Women. Journal of Trauma, 40, 827-828. https://doi.org/10.1097/00005373-199605000-00026
[16]
Gokirmak, M., Hasanoglu, H.C., Koksal, N., Yildirim, Z., Hacievliyagil, S.S. and Soysal, O. (2002) Retrieving Aspirated Pins by Flexible Bronchoscopy. Journal of Bronchology, 9, 10-14. https://doi.org/10.1097/00128594-200201000-00004
[17]
Baram, A., Kakamad, F.H. and Bakir, D.A. (2015) Scarf Pin Related Hijab Syndrome: A New Name of an Unusual Type of Foreign Body Aspiration. Journal of International Medical Research, 1-7.
[18]
Salih, A.K. (2015) Use of FOB for Removal of Inhaled Endobronchial Headscarf Pin in Adults. TQMJ, 10, 175-184.
[19]
Lan, R.S., Lee, C.H., Chiang, Y.C. and Wang, W.J. (1989) Use of Fiberoptic Bronchoscopy to Retrieve Bronchial Foreign Bodies in Adults. The American Review of Respiratory Disease, 140, 1734-1737. https://doi.org/10.1164/ajrccm/140.6.1734
[20]
Martinot, A., Closset, M., Marquette, C.H., Hue, V., Deschildre, A., Ramon, P., et al. (1997) Indications for Flexible versus Rigid Bronchoscopy in Children with Suspected Foreign Body Aspiration. American Journal of Respiratory and Critical Care Medicine, 155, 1676-1679. https://doi.org/10.1164/ajrccm.155.5.9154875
[21]
Swanson, K.L., Prakash, U.B., Midthun, D.E., Edell, E.S., Utz, J.P., McDougall, J.C., et al. (2002) Flexible Bronchoscopic Management of Airway Foreign Bodies in Children. Chest, 121, 1695-1700. https://doi.org/10.1378/chest.121.5.1695
[22]
Chen, W., Cheng, D. and Ji, C. (1999) The Diagnostic and Therapeutic Value of Flexible Bronchoscopy in Foreign Body Aspiration Misdiagnosed as Other Respiratory Diseases. Journal of Huaxi Medical University, 30, 327-328.
[23]
Gerritsen, J. (2003) Flexible Bronchoscopy in Children: An Open Airway. The European Respiratory Journal, 22, 576-577. https://doi.org/10.1183/09031936.03.00084102
[24]
Rafanan, A.L. and Mehta, A.C. (2004) Bronchoscopy in Foreign Body Removal. In: Wang, K.P., Mehta, A.C. and Turner, J.F., Eds., Flexible Bronchoscopy, 2nd Edition, Blackwell, Malden, 197-209.
[25]
Rafanan, A.L. and Mehta, A.C. (2001) Adult Airway Foreign Body Removal: What’s New? Clinics in Chest Medicine, 22, 319-330. https://doi.org/10.1016/S0272-5231(05)70046-0
[26]
Ruegemer, J.L. and Perkins, J.A. (1999) Combined Rigid and Flexible Endoscopic Removal of a BB Foreign Body from a Peripheral Bronchus. International Journal of Pediatric Otorhinolaryngology, 47, 77-80. https://doi.org/10.1016/S0165-5876(98)00164-5
[27]
Taha, A.Y. (2017) The History of Introducing the Fiberoptic Bronchoscopy in Iraq. Journal of the Egyptian Society of Cardiothoracic Surgery. https://doi.org/10.1016/j.jescts.2017.11.003
[28]
Hebbazi, A., Afif, H., El Khattabi, W., Aichane, A. and Bouayad, Z. (2010) Scarf Pin: A New Intra-Bronchial Foreign Body. Revue des Maladies Respiratoires, 27, 724-728. https://doi.org/10.1016/j.rmr.2010.06.021
[29]
Zaghba, N., Benjelloun, H., Bakhatar, A., Yassine, N. and Bahlaoui, A. (2013) Scarf Pin: An Intra-Bronchial Foreign Body Who Is Not Unusual. Revue De Pneumologie Clinique, 69, 65-69. https://doi.org/10.1016/j.pneumo.2012.09.003
[30]
Al-Ali, M.A., Khassawneh, B. and Alzoubi, F. (2007) Utility of Fiberoptic Bronchoscopy for Retrieval of Aspirated Headscarf Pins. Respiration; International Review of Thoracic Diseases, 74.
[31]
Fenane, H., Bouchikh, M., Bouti, K., EL Maidi, M., Ouchen, F., Mbola, T.O., et al. (2015) Scarf Pin Inhalation: Clinical Characteristics and Surgical Treatment. Journal of Cardiothoracic Surgery, 10, 61. https://doi.org/10.1186/s13019-015-0268-z
