Abstract
The aspiration of foreign bodies is more common in the extremes of age. The increased risk in the elderly patient results from multiple factors including poor dentition, altered sensorium, poor coordination of deglutition mechanisms, and significant comorbidities. Unfortunately, non-specific symptoms contributing to a delay in diagnosis often result in complicated management issues. We describe the epidemiology, clinical presentation, and treatment options in the elderly patient. A high index of suspicion and prompt multidisciplinary approach maximize the likelihood of a positive outcome. An assessment of the technological and human capital necessary to address this life-threatening condition will likely guide the decision to treat or transfer the patient to the appropriate facility. Flexible and rigid bronchoscopies are the cornerstones of the diagnosis and treatment and should always be offered to the patient, regardless of the overall clinical condition. The probability of successful foreign body removal in trained hands is very high.
Published Version
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