Septiany, Dwi Tika
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A case report Management of Foreign Body “Scarf Pin” Stuck in the Left Bronchus Through Rigid Bronchoscope: Article Case Report Septiany, Dwi Tika; Asyari, Ade
Jurnal Ilmu Kesehatan Indonesia Vol. 6 No. 4 (2025): Desember 2025
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v6i4.1713

Abstract

Introduction: Aspiration of foreign body a scarf pin happens in teenagers who wear the headscarf. The diagnosis of foreign body aspiration is established on the anamnesis, choking history and chest X-ray. Rigid bronchoscopy is an option to extracted foreign body in the tracheobronchial tree. Objective: Understanding diagnosis dan management of foreign body scarf pin stuck in the left bronchus. Case Report: Reported a case 14-year-old girl came to Emergency room with chief complaint of accidentally choked a pin 7 hours before admission. Chest X-ray examination revealed a homogeneous opacity of metallic density in the projection of the left primarius bronchus at the level of the thoracic vetebra 6-7. The patient was diagnosed foreign body a pin at the left bronchus. Patient was treated by diagnostic and therapeutic rigid bronchoscope. Conclusion: A headscarf pin foreign body can be found in the left bronchus because the tracheal angle symmetric and effect of Bernoulli phenomenon. Rigid bronchoscope can be used to diagnostic and therapeutic in this case. If there are postoperative complications such as laceration and perforation of the bronchus, immediately consult to the Department of Cardiothoracic Vascular Surgery for further management Kata kunci: Foreign body in bronchus; rigid bronchoscopy; headscarf pin
Delayed management of blowout fractures: A case report on challenges and clinical recommendations Hafiz, Al; Septiany, Dwi Tika
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 17, No 1, (2026)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol17.Iss1.art13

Abstract

Maxillofacial trauma is frequently encountered in emergency departments. Approximately 40% of orbital fractures are associated with concomitant maxillofacial fractures. Blowout fractures often result in both aesthetic and functional impairments. Clinical manifestations may include enophthalmos, hypoglobus, diplopia, ocular motility disorders, and visual disturbances. Optimal reconstruction is recommended within 14 days after trauma to prevent long-term sequelae. We reported a 24-year-old male patient diagnosed with a closed nasal bone fracture, deviated nasal septum, and orbital blowout fracture, with a month delayed since injury. The patient underwent endoscopic septorhinoplasty and orbital floor reconstruction utilizing a titanium plate and screw fixation. Proper and timely management of blowout fractures leads to satisfactory functional and aesthetic outcomes while significantly reducing the risk of permanent deformities. Delayed management of blowout fractures presents several challenges, including identifying orbital soft-tissue involvement, determining the optimal timing for intervention, and selecting appropriate implant materials. Clinical recommendations emphasize the importance of CT imaging and an integrated multidisciplinary approach involving ENT, ophthalmology, and radiology specialists to achieve the best possible functional and aesthetic outcomes for the patient.