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Title: Aspiration of a speaking valve
Authors: Schembri, John
Cortis, Kelvin
Mallia Azzopardi, Charles
Montefort, Stephen
Keywords: Bronchoscopy
Tracheotomy -- Malta
Tracheotomy -- Patients -- Care
Issue Date: 2013
Publisher: BMJ
Citation: Schembri, J., Cortis, K., Azzopardi, C. M., & Montefort, S. (2013). Aspiration of a speaking valve. BMJ Case Reports, 1-4.
Abstract: Foreign body aspiration (FBA) is a relatively common and serious condition that can result in a spectrum of presentations ranging from incidental to acutely life-threatening. Described here is a case of aspiration of a tracheo-oesophageal speaking valve through a permanent tracheostomy that went unnoticed for a number of years, and an overview of the technique used for its removal. A 70-year-old ex-heavy smoker with a permanent tracheo-oesophageal fistula presented with a relatively recent history of increasing shortness of breath, sputum purulence and haemoptysis. Further investigation with a CT scan and bronchoscopy revealed the presence of a foreign body within his right lower lobe bronchus which was later removed by advancing a flexible bronchoscope over a rigid one.
Appears in Collections:Scholarly Works - FacM&SMed

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