Turban pin aspiration is a health problem facing Egyptian Muslim females, this study shows how to manage these cases and offer recommendations for community to avoid this problem with recommendations to doctors faced by this condition, the study included 34 female patients with aspirated turban pins, the study conducted at department of cardiothoracic surgery, Benha University Hospital since Dec. 2008 till Dec. 2011. All patients underwent routine laboratory investigations, radiological work-up. Patients were prepared for pin retrieval by bronchoscope, and if failed, another bronchoscopic trial was done few days later and thoracotomy was done on failure of the second trial. All studied patients were females with age ranging from 10 to 29 years and mean of 15.4 years. 70.6% of patients were from rural areas and 29.4% were from urban areas. In 52.9% of patients the pin was located in the right bronchial tree (Rt. BT), 23.5% located in the left bronchial tree (Lt. BT) and 23.5% located in the trachea. In 67.6% of patients pins were retrieved by rigid bronchoscope, in 11.8% by fiber-optic bronchoscope, in 8.8% by bronchotomy, and in one patient right lower lobectomy was done. Turban pin aspiration can be easily avoided. Heavy percussion on the back of the chest while the patient is in kneeling position is a simple maneuver that could be tried with patients who can tolerate it. Bronchoscopy either rigid or fiber-optic is the treatment of choice which if failed thoracotomy and bronchotomy or even pulmonary resection may be needed. |
