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3D Printed Inhaled Foreign Body - Trachea
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3D Printed Inhaled Foreign Body - Trachea
Clinical History
A 57-year old male presented with a 3-week history of cough and pleuritic left
sided chest pain. Chest x-ray showed left upper lobe collapse with large left sided pleural effusion. Pleurodesis
aspirated frank pus from the pleural cavity. He later died despite pleural drainage and antibiotic treatment.
Pathology
This specimen shows the lower trachea and main bronchi. These have been cut open and
the left upper lobe has been sliced to display the cut surface. At the point of origin of the left upper lobe
bronchus there is an impacted foreign body; an inhaled rabbit vertebra! As a result of the obstruction, the upper
lobe has collapsed, pneumonia has developed and the pleural surface is covered by fibrinous exudate. This is an
inhaled foreign body with associated collapse and pneumonic consolidation of the left upper lobe and empyema.
Further Information
Inhalation of a foreign body or foreign body aspiration (FBA) occurs when a
foreign body is inhaled into the airway causing partial or complete obstruction of the airway. This can potentially
be fatal. It is more common in children than adults. It is a leading cause of accidental death worldwide. FBA poses
greatest risk of death to those less than 1-year old and patients over 75 years of age.
Risk factors for FBA in adults include decreased level of consciousness, drug or alcohol intoxication, or anaesthesia. In the elderly additional risk factors include medication use (impairing cough and swallowing), stroke-related dysphagia, and degenerative neurologic diseases, such as Alzheimer‘s or Parkinson‘s disease. In adults, the most commonly aspirated foreign bodies include inorganic items (e.g. nails, pins, dental debris) and organic material (e.g. bones, improperly chewed meat, and watermelon seeds). Symptoms on presentation vary depending on the degree of airway obstruction caused. Larger obstruction may present as choking or sudden asphyxia. Smaller foreign bodies may present with more insidious symptoms such as cough, dyspnoea, fevers, chest pain and haemoptysis. Airway collapse distal to the foreign body will lead to infection. Treatment involves retrieval of the foreign body with bronchoscopy or emergency tracheostomy.
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The models are very detailed and delicate. With normal production machines you cannot realize such details like shown in these models.
The printer used is a color-plastic printer. This is the most suitable printer for these models.
The plastic material is already the best and most suitable material for these prints. (The other option would be a kind of gypsum, but this is way more fragile. You even cannot get them out of the printer without breaking them).The huge advantage of the prints is that they are very realistic as the data is coming from real human specimen. Nothing is shaped or stylized.
The users have to handle these prints with utmost care. They are not made for touching or bending any thin nerves, arteries, vessels etc. The 3D printed models should sit on a table and just rotated at the table.