Faculty of Medicine
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Item type:Publication, Complication of ignored Foreign body in the respiratory tract(Macedonian Otorhinolaryngology society, 2022-06-01) ;Micevski, Goran; ;Kamsikovski, Igor; Complications of ignored foreign body in the respiratory tract Introduction: Foreign body aspiration is an emergency condition and may be fatal. Delayed diagnosis and treatment may be associated with complications. Objective: This study evaluated the association between complication of delayed treatment and complications during the procedure of extracting. Materials and methods: Foreign bodies are not normally found in the respiratory tract. The complications of delayed treatment could be: obstructive emphysema, atelectasis, tracheoesophageal fistula, bronchiectasis, haemoptysis, lung abscess, bronchopleural fistula, pneumonia, persistent coughing. Complications during treatment could be: coughing, dyspnoea, wheezing, stridor, haemoptysis, asphyxia, laryngeal oedema, pneumothorax, pneumomediastinitis, tracheobronchial rupture, cardiac arrest. The analysis is to be executed for the period 2016- 2021 year and the data for the survey were obtained from the records of the Department of Ear, Nose and Throat at the University Clinical Centre in Skopje. Results: All entities that can be aspirated, it can be said that organic, vegetal foreign bodies cause the biggest problems are the most dangerous and life treating conditions, given their unique nature and specific physical and chemical properties. Conclusion: A history of sudden-onset choking and cough, plus abnormal auscultation and radiological findings, are leading signs in the profile of foreign body aspiration. In these patients bronchoscopy is indicated. As time passes after aspiration the risk of complications is higher. The high prevalence of foreign bodies of vegetal origin is seen in children younger than 3 years of age.
