Flexible Bronchoscopy and Pulmonary Biopsy Forceps in Tracheobronchial Headscarf Pins Removal

M. Elhidsi*^a (Dr), W. Aniwidyaningsih^a (Dr), P. Prasenohadi^a (Dr), MF. Alatas^a (Dr), GA. Desianti^a (Dr), D. Soehardiman^a (Dr)

^a perbronki, Jakarta, INDONESIA

* miapulmo.ui@gmail.com

Introduction:

Headscarf pin is unusual type of aspirated foreign bodies in women wearing headscarves. The aim of this study was to evaluate the efficacy and safety of flexible bronchoscope using pulmonary biopsy forceps for removal of aspirated headscarf pins.

Methods:

This was a retrospective study performed in Indonesian national referral for respiratory diseases, Persahabatan Hospital, in January 2013 to December 2021. Diagnosis of headscarf pin aspiration was confirmed by typical history and chest x-ray. Flexible bronchoscopy was performed under general anesthesia on day of admission. The bronchoscope was passed through the laryngeal mask airway. Pins were removed using a pulmonary biopsy forceps. Clinical characteristics, time of procedure, Conversion rate to surgery and complications were recorded.

Results:

Twenty female patients with headscarf pin aspiration were managed by flexible bronchoscopy. The age ranged from 11 to 46 years with a median of 14. The time interval between aspiration and admission was less than 24 hours in 5 patients (25%). All patients had cough and hemoptysis occurred one patient. The pin was located in the trachea in 7 cases (35%), the right basal bronchus in 5 cases (25%) and left main bronchus in 4 cases (20%). All aspirated pins were found with the pearl head down and the sharp tip impacted in the mucosa. Median time of procedure was 4 minute 35 second. No case was converted to surgery. No major complication occurred.

Conclusion:

flexible bronchoscope using pulmonary biopsy forceps was effective and safe in Tracheobronchial Headscarf Pins Removal

Keywords:

Headscarf pin, flexible bronchoscopy, pulmonary biopsy forceps

Disclosure of funding source(s): none