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CASE REPORT
Successful flexible bronchoscopic management of a large-sized aspirated partial denture
  1. Nayer Jamshed1,
  2. Karan Madan2,
  3. Meera Ekka1,
  4. Randeep Guleria2
  1. 1Department of Emergency Medicine, All India Institute of Medical Sciences, New Delhi, India
  2. 2Department of Pulmonary Medicine and Sleep Disorders, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Karan Madan, drkaranmadan{at}gmail.com

Summary

A 48-year-old male patient presented to the emergency room with a history of chest pain and breathlessness. Chest X-ray demonstrated a large radio-opaque foreign body in relation to the proximal right bronchial tree. The patient subsequently revealed a history of a misplaced denture 4 months previously. Urgent flexible bronchoscopy (FB) examination demonstrated a large partial denture impacted in the right intermediate bronchus, which was removed successfully using a flexible bronchoscope. Although rigid bronchoscopy (RB) is the procedure of choice for large-sized and impacted airway foreign bodies, the present case highlights the utility of FB in airway foreign body removal. In clinically stable patients with foreign body inhalation, FB can be employed initially as it is an outpatient and cost-effective procedure which can obviate the need for administration of general anaesthesia.

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