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Headscarf pin tracheobronchial aspiration: a distinct clinical entity

Department of Thoracic Surgery, Chest Disease Hospital, Kuwait

*Corresponding author. Al-Jabriah, P.O. Box 718, Postal Code: 46308, Kuwait. Tel.: +965 66600543; fax: +965 24741504.

E-mail address: trinityq8{at}hotmail.com (N. Al-Sarraf).

Foreign body (FB) aspiration is commonly seen in children and less commonly in the elderly. However, due to some social and cultural factors, a distinct group of tracheobronchial FB aspiration is increasingly recognized. We sought to assess our experience with such entity. A retrospective review of all cases with veil pin tracheobronchial FB aspiration in a single center over a 13-year period was carried out. There were 35 cases of headscarf tracheobronchial FB aspiration. All were females with mean age of 14 years. All patients experienced coughing and all had positive chest radiography findings. Commonest anatomical location was right main bronchus (32%) followed by left main bronchus (23%). Tracheal pins occurred in 17%. Rigid bronchoscopy was used more often than flexible bronchoscopy (83% vs. 17%, respectively). Repeat bronchoscopy was required in two cases (6%). Thoracotomy was required in one patient (3%). There were no complications or hospital deaths. Headscarf pin aspiration is seen in middle-aged women who inappropriately place the pins between their lips prior to securing their veils. Bronchoscopy is the treatment modality of choice and surgery is rarely required. Preventative educational strategies should be implemented to reduce such an avoidable risk.

Key Words: Bronchoscopy; Foreign body; Tracheobronchial aspiration