We report such a case of removal of a large denture impacted in the right bronchus
of an adult male who suffered maxillofacial trauma and cervical spine fracture following an RTA.
Scoring was based on a 5point probability Likert scale: (1) not probable, (2) somewhat improbable, (3) neutral, (4) somewhat probable, or (5) very probable for right bronchus
, mainstem bronchus, and left bronchus.
The bronchoscopy revealed severe obstruction of the right bronchus
intermedious and a complete obstruction of the bronchus to the RML due to external compression.
Caption: Figure 2: (a) The patient's large right mediastinal bronchogenic cyst displacing other mediastinal structures and compressing the right bronchus
intermedius and middle/lower lobe bronchi.
The most common location for a foreign body is the right bronchus
, especially the right lower lobe, due to its vertical orientation .
In one case, a small peanut particle was removed by a flexible bronchoscopy from the distal right bronchus
after the failure of a rigid bronchoscopy.
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Entry into the right main bronchus is more often than into left bronchus as the right bronchus
is straight in line with trachea, shorter and more in diameter.
However, during the operation, the cocklebur fruit in the right bronchus
was pushed to a deeper level by the trielcon.
Ground nuts were the most common foreign body (71.52%) and the right bronchus
was the most common location of foreign body lodgment (58.27%).
The length from tracheal bifurcation to the hilus of the lungs was also measured as length of right bronchus
(LR) and left bronchus (LB) (Table 1).
Laryngeal fibreoscopy revealed stenosis below the vocal cords; computed tomography confirmed considerable stenosis (about 8 cm in total) extending from 2 cm below the vocal cords to the fourth tracheal cartilage and down the right bronchus
to 1 cm below the bifurcation.