First Affiliated Hospital，Guangxi Medical University
Objective The aim of this study was to present the characteristics of tracheobronchial foreign bodies (TFBs) in Guangxi, and to provide clinical experience and reference for its diagnosis and treatment in the general hospitals. Methods Medical records of 699 TFBs patients who were treated in otolaryngology head and neck surgery, pediatrics, respiratory medicine department and other departments in our hospital between January 2005 to December 2019 were evaluated retrospectively. Features of these TFBs were analyzed. Results A total of 699 cases were included in this study, including 549 cases (78.5%) in otolaryngology head and neck surgery department, 70 cases (10%) in pediatrics department, 65 cases (9.3%) in respiratory department and 15 cases (2.1%) in other departments. By 2019, the proportion of pediatric and respiratory cases increased to 56.10%, P=0.000. While the proportion of bronchofibroscope applications increased from 6.30% in 2012 to 61.00% in 2019. Cases were mostly examined by chest X-ray (253 cases,36.2%) and chest CT (404 cases, 57.8%). The detection rate of Chest X-ray and chest CT were 71.1% and 91.3% respectively (P=0.000). The average length of stays were 3.68 days,6.89 days and 11.00 days respectively in otolaryngology department, pediatrics department and in respiratory and other departments (P=0.000). The incidence of complications was 3.4% (24 / 699), including 2.0% (12 / 591) in the use of rigid bronchoscopy, and 11.1% (12 / 108) in fiber optic bronchoscopy (P= 0.000). Conclusion Both rigid bronchoscopy and fiber optic bronchoscopy can effectively remove the TFBs. Before removal of special and complex TFBs, multi-disciplinary team (MDT) consultation should be conducted to formulate a comprehensive treatment plan, to maximize the benefits of patients.