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Bronchial stricture secondary to pill aspiration.

A 65-year-old woman developed slowly progressive dyspnea over a period of several months following aspiration of a potassium supplement tablet. Findings on her chest x-ray were unremarkable. Following administration of topical anesthesia, a transnasal esophagoscope (TNE) was used to perform tracheobronchoscopy. A circumferential stricture of approximately 60% was noted near the origin of the left middle lobe bronchus (figure).


The patient was taken to the operating room for laser bronchoscopy, and the strictured area was dilated and the airway restored to a near-normal status. By using topical anesthesia delivered via the TNE working channel, an otolaryngologist can easily perform in-office tracheobronchoscopy.

From the Center for Disorders, Department of Otolaryngology, Wake Forest University Medical Center, Winston-Salem, N.C.;
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Article Details
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Title Annotation:Esophagology Clinic
Author:Bach, Kevin K.
Publication:Ear, Nose and Throat Journal
Article Type:Brief Article
Geographic Code:1USA
Date:Dec 1, 2003
Previous Article:CSF fistula secondary to sphenoid meningoencephalocele.
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