The value of open surgical approaches for aspirated pen caps

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dc.contributor.authorÜlkü, R
dc.contributor.authorOnen, A
dc.contributor.authorOnat, S
dc.contributor.authorÖzçelik, C
dc.date.accessioned2024-04-24T16:15:17Z
dc.date.available2024-04-24T16:15:17Z
dc.date.issued2005
dc.departmentDicle Üniversitesien_US
dc.description.abstractPurpose: The aim of this study was to present the therapeutic approach of aspirated pen cap foreign bodies, with emphasis on the importance of open surgical intervention. Methods: The records of patients who underwent bronchoscopy and bronchoscopy and surgical therapy for pen cap foreign bodies between January 1997 and June 2003 were reviewed retrospectively. Diagnosis was made based on history, physical examination, radiological methods, and bronchoscopy. Age, sex, symptoms, radiological methods, surgical procedure, complications, and outcomes were recorded. Results: A total of 24 bronchoscopies were performed on 19 patients (10 boys, 9 girls) with a median age of 11 years (range, 8 - 15 years). Pen caps were localized in the right bronchial tree in 14 cases (74%). Pen caps were extracted successfully by forceps during bronchoscopy in 9 patients. Of the remaining 10 patients, 5 underwent bronchoscopy and tracheostomy and 5 patients underwent thoracotomy and bronchotomy. Significant complications were observed in 2 patients (10.53%) (severe bronchospasm in one and pneumothorax and subglottic edema in another). Conclusions: Pen caps aspiration is a challenging problem because of the difficulties during extraction and higher morbidity compared with other foreign body aspirations. In such cases in which classic bronchoscopy failed and/or pen caps could not be removed via vocal cords, open surgical approaches, either bronchoscopy and tracheostomy or thoracotomy and bronchotomy, may be an alternative procedure of choice. (c) 2005 Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.jpedsurg.2005.07.028
dc.identifier.endpage1783en_US
dc.identifier.issn0022-3468
dc.identifier.issn1531-5037
dc.identifier.issue11en_US
dc.identifier.pmid16291169
dc.identifier.scopus2-s2.0-27744496375
dc.identifier.scopusqualityQ1
dc.identifier.startpage1780en_US
dc.identifier.urihttps://doi.org/10.1016/j.jpedsurg.2005.07.028
dc.identifier.urihttps://hdl.handle.net/11468/15743
dc.identifier.volume40en_US
dc.identifier.wosWOS:000233926000019
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherW B Saunders Co-Elsevier Incen_US
dc.relation.ispartofJournal of Pediatric Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPen Capen_US
dc.subjectForeign Bodyen_US
dc.subjectBronchoscopyen_US
dc.subjectTracheostomyen_US
dc.subjectBronchotomyen_US
dc.titleThe value of open surgical approaches for aspirated pen capsen_US
dc.titleThe value of open surgical approaches for aspirated pen caps
dc.typeArticleen_US

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