RESUMEN
OBJECTIVES/HYPOTHESIS: Turban pin aspiration syndrome is a new clinical entity afflicting young Islamic girls wearing a turban.The goal of this study was to present our experience in diagnosis and treatment of this new entity, define its clinical and epidemiologic features, and shed a new light on the role of fashion in the increased incidence. STUDY DESIGN: A retrospective study in a tertiary university hospital. METHODS: Review of clinical parameters and epidemiologic features of 26 patients diagnosed with turban pin aspiration syndrome admitted to the Hadassah-Hebrew University Hospitals in Jerusalem from 1990 to 2010. RESULTS: All patients were Muslim females with an average age of 16 years. In all cases, the history was positive for accidental aspiration. Most of the pins were located in the trachea (42%). In 20 cases, the pins were extracted by rigid bronchoscopy without major complications. Fluoroscopy-assisted rigid bronchoscopy was used successfully in three cases. In one case, the object was self-ejected by coughing before the bronchoscopy, and two patients were referred to the chest unit for thoracotomy. CONCLUSIONS: Clinicians should be aware of this distinct form of foreign body aspiration, its method of diagnosis, and extraction techniques. A cultural investigation showed a difference in the turban-fastening technique of young girls as compared with their mothers. Removal by rigid bronchoscopy is a safe method with a high success rate and should be considered as the preferred extraction method of choice.
Asunto(s)
Bronquios , Broncoscopía/métodos , Vestuario , Cuerpos Extraños/diagnóstico , Adolescente , Adulto , Niño , Diagnóstico Diferencial , Femenino , Estudios de Seguimiento , Cuerpos Extraños/epidemiología , Cuerpos Extraños/cirugía , Humanos , Islamismo , Israel/epidemiología , Estudios Retrospectivos , Síndrome , Adulto JovenAsunto(s)
Endoscopía/métodos , Senos Etmoidales/lesiones , Heridas por Arma de Fuego/cirugía , Adulto , Estudios de Seguimiento , Humanos , Puntaje de Gravedad del Traumatismo , Masculino , Evaluación de Necesidades , Plásticos , Medición de Riesgo , Tomografía Computarizada por Rayos X , Resultado del Tratamiento , Heridas por Arma de Fuego/diagnósticoAsunto(s)
Adenocarcinoma/diagnóstico , Neoplasias del Oído/diagnóstico , Neoplasias Pulmonares/patología , Adenocarcinoma/complicaciones , Adenocarcinoma/diagnóstico por imagen , Adenocarcinoma/secundario , Neoplasias del Oído/complicaciones , Neoplasias del Oído/diagnóstico por imagen , Neoplasias del Oído/secundario , Enfermedades del Nervio Facial/etiología , Pérdida Auditiva Sensorineural/etiología , Humanos , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Invasividad Neoplásica , RadiografíaRESUMEN
Nasogastric tube (NGT) syndrome is a rarely reported complication of NGT use that can cause life-threatening laryngeal obstruction. The syndrome results from post-cricoid ulceration, which affects the posterior cricoarytenoid muscles, thus causing vocal cord abduction paralysis and upper airway obstruction. We describe a case of a 72-year-old patient with this syndrome who was treated successfully and emphasise the difficulty of diagnosis in frail older adults.