Head Scurf pin Aspiration, A sub type of Foreign Body Aspiration

Abstract

Background: Scurf pin inhalation is serious problem especially in muslim girls, who wear head cover and holding the pin by using her teeth or lips during wearing her scurf or laughing or coughing leading to accidental foreign body aspiration. Rigid Bronchoscopy is the treatment of choice and rarely surgery is needed. Objective:To study a presentation, management and prognosis of those patient. Patients and Methods: A retrospective study involving the patients with a history of pin aspiration conducted at the department of thoracic surgery , Imam Hussein medical city in kerbala for Dec. 2012 till Dec. 2017. Results: 262 patients are included. The pins were removed by using rigid bronchoscopy in 251 cases safely without any complications ,4patients were coughed the pin before enter the theatre room&7patients were coughed and swallowed it in digestive tract. Conclusion: Scurf pin aspiration is a common problem in Iraqi Muslim females who wear Hijab. It can be easily preventable by health education and/or newly fashioned scarves that do not need pins for fixation but use press studs or something else. The left main bronchus is the site were the pin is commonly impacted and Rigid bronchoscope is mostly used for pin removal.