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  Patronage of the Polish Society of Audiology and Phoniatrics

vol 10. no 3. September 2011  

 Original articles
A rare case of a foreign body in the respiratory tract in patient after total laryngectomy
Ewa Komoń-Kotecka, Krzysztof Morawski, Dariusz Kaczmarczyk

In patients after total laryngectomy air enters and leaves trachea
through a breathing stoma. Their mechanisms protecting them
from inspiration of foreign bodies into the lower portion of the
respiratory tract are impaired. This article report a rare foreign
body (a nail) found in the right bronchus, used by the patient
to clean a breathing stoma and trachea following laryngectomy.
The nail was urgently removed from the right bronchus using
a bronchoscope.
The reported case is an example of inappropriate hygienic
habits practised by patients with breathing stoma. It is advisable
that, during regular follow-up visits, the patients are not only
examined for the condition of the stoma but are also given stoma
hygiene instructions.

keywords: tracheostoma, laryngektomia całkowita, ciało obce, tracheostomy, total laryngectomy, foreign body

pages: from 131 to 133

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