Management of Airway Foreign Body Aspiration with Atelectasis Complication


  • Puji Utami
  • Rizka Fathoni Perdana



flexible bronchoscopy; foreign body; rigid bronchoscopy; straight-pinaspiration; child neglect


Background: A sharp foreign body aspirationis a problem that is usually found in teenage women who wear hijab.
Straight-pins are used in wearing hijab to make a model and to hold it tight in place. Straight-pin aspiration has the
potential to become a serious problem if it is inhaled in the airway and must be removed immediately in optimal
conditions by using complete equipment to prevent complications.
Case Report: A 14 year old girl with straight-pin aspiration in the airwayhad come to emergency room of
DrSoetomo General AcademicHospital, Surabaya, Indonesia. The initial location of the straight-pinwas in the right
main bronchus and a rigid bronchoscopy was planned. Rigid bronchoscopy was performed but the foreign object
failed to be removed and the foreign object moved further down and difficult to reach. A flexible bronchoscopy
was performed and the foreign body was successfully removed. However, there was a complication of left lung
atelectasis after the procedure. It was treated conservatively and healed.
Conclusion: Straight-pin aspirationin the airway is treated by rigid and flexible bronchoscopy with atelectasis as
a complication. Flexible bronchoscopy is an alternative therapy for inhaled foreign bodies that are located distally
and cannot be reached by rigid instruments.

Author Biographies

Puji Utami

Researcher, Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine,
UniversitasAirlangga, Surabaya, Indonesia

Rizka Fathoni Perdana

Tutor, Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Universitas Airlangga, Jalan Mayjen Prof. Dr. Moestopo 47, Surabaya 60131,Indonesia.




How to Cite

Puji Utami, & Rizka Fathoni Perdana. (2022). Management of Airway Foreign Body Aspiration with Atelectasis Complication. Indian Journal of Forensic Medicine & Toxicology, 16(3), 292–296.