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Eur J Cardiothorac Surg 2006;29:125
© 2006 Elsevier Science NL
Letter to the Editor |
Nasser Institute, Cardiac Surgery Department, Cairo 12, Egypt
Received 25 September 2005; accepted 3 October 2005.
* Tel.: +20 10 1563030; fax: +20 50 2234111. (Email: bahaabadry{at}yahoo.com).
Key Words: Sersar Technique
I read with interest the article entitled as Inhaled Foreign Bodies: Management according to Early or Late Presentation by Sersar et al. [1]. I must congratulate the authors for their novel technique (Sersar Technique) [2]. I was lucky to work with Sersar group for 3 years 4 years ago. I witnessed the delivery of the technique introduced by Dr Sameh Ibrahim Sersar. The chance helped them a lot. Postural drainage associated with chest percussion and gentle manipulation are the basic principles of this technique. I must recongratulate them for their extensive experience in this practice, a few of which I have attended. This series includes an apparently large number (2165 of proved inhaled FB) as it was done in Mansoura University Hospitals (1512 beds) and Mansoura Emergency Hospital (184 beds). This Department serves more than 13 million people. Accurate history and a high index of suspicion are needed to prevent delayed diagnosis and the complications. The causes of late diagnosis of foreign body aspiration (group III) in those children were parental negligence, fear to tell the father, misdiagnosis by the fellow professionals and pediatricians, the normal chest roentgenographic findings, lack of typical symptoms and signs, mismanagement and a negative bronchoscopic finding. I have few comments. I noticed that left-sided FB are more common than right-sided FB opposite to the general belief that right-sided FB are more common.
Second, the number of radio-opaque FB is too much, why?
References
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