Scarf pin inhalation: clinical characteristics and surgical treatment.
OBJECTIVE
Scarf pin inhalation is becoming a frequent accident among young Moroccan woman who wears islamic veil. The aim of the study is to highlight indications, principles and challenges of surgical removal of that particular foreign body.


METHODS
Twenty-eight patients were hospitalized in Thoracic Surgery department of Ibn Sina Hospital at Rabat between January 2008 and June 2013 for surgical removal of a pin scarf after unsuccessful endoscopy.


RESULTS
Mean age was 20 years. Inhalation was accidental in all cases. Average interval between inhalation and surgery was 10 days. Penetration syndrome was found in 82% of patients. Pin was located at the left tracheo-bronchial tree in 53.5% of cases and at the right one in 46.4%. All were operated by thoracotomy. Surgery was conservative in all cases, and postoperative course was uneventful.


CONCLUSIONS
In case of failure endoscopic treatment, surgery remains the only alternative. It must be as conservative as possible. Short interval between inhalation accident and surgery prevents parenchymal resection.
Department of Thoracic Surgery, Ibn Sina University Hospital, BP 353, Rabat Principale, 10001, Morocco. hichamfenane@hotmail.fr.
Hicham
H
Fenane
Department of Thoracic Surgery, Ibn Sina University Hospital, BP 353, Rabat Principale, 10001, Morocco. m.bouchikh@um5s.net.ma.|Unit of pedagogy and research in Thoracic Surgery, Faculty of Medicine and Pharmacy, University Mohamed V, Rabat, Morocco. m.bouchikh@um5s.net.ma.
Mohammed
M
Bouchikh
Respiratory Department, Regional Hospital Center of Tetuan, Tetuan, Morocco. khalidbouti@gmail.com.
Khalid
K
Bouti
Department of Thoracic Surgery, Ibn Sina University Hospital, BP 353, Rabat Principale, 10001, Morocco. maidimehdi@hotmail.com.
Mehdi
M
El Maidi
Department of Thoracic Surgery, Ibn Sina University Hospital, BP 353, Rabat Principale, 10001, Morocco. drfahdouchen@gmail.com.
Fahd
F
Ouchen
Department of Thoracic Surgery, Ibn Sina University Hospital, BP 353, Rabat Principale, 10001, Morocco. tchely08@gmail.com.
Tchely-Oaly
TO
Mbola
Department of Thoracic Surgery, Ibn Sina University Hospital, BP 353, Rabat Principale, 10001, Morocco. damsane@yahoo.fr.
Lamboni
L
Damessane
Department of Thoracic Surgery, Ibn Sina University Hospital, BP 353, Rabat Principale, 10001, Morocco. abdachir@yahoo.fr.|Unit of pedagogy and research in Thoracic Surgery, Faculty of Medicine and Pharmacy, University Mohamed V, Rabat, Morocco. abdachir@yahoo.fr.
Abdellah
A
Achir
Department of Thoracic Surgery, Ibn Sina University Hospital, BP 353, Rabat Principale, 10001, Morocco. abenos@menara.ma.|Unit of pedagogy and research in Thoracic Surgery, Faculty of Medicine and Pharmacy, University Mohamed V, Rabat, Morocco. abenos@menara.ma.
Abdellatif
A
Benosman
D001980:Bronchi / Q000293:injuries / Q000601:surgery*; D001999:Bronchoscopy; D015331:Cohort Studies; D005260:Female; D005547:Foreign Bodies / Q000601:surgery*; D006801:Humans; D009018:Morocco; D053120:Respiratory Aspiration / Q000601:surgery*; D013908:Thoracotomy; D014132:Trachea / Q000293:injuries / Q000601:surgery*; D017211:Treatment Failure; D014950:Wounds, Penetrating; D055815:Young Adult