{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:04:50Z","timestamp":1756339490139,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Foreign body aspiration (FBA) is a relatively common and serious condition that can result in a spectrum of presentations ranging from incidental to acutely life-threatening. Described here is a case of aspiration of a tracheo-oesophageal speaking valve through a permanent tracheostomy that went unnoticed for a number of years, and an overview of the technique used for its removal. A 70-year-old ex-heavy smoker with a permanent tracheo-oesophageal fistula presented with a relatively recent history of increasing shortness of breath, sputum purulence and haemoptysis. Further investigation with a CT scan and bronchoscopy revealed the presence of a foreign body within his right lower lobe bronchus which was later removed by advancing a flexible bronchoscope over a rigid one.<\/jats:p>","DOI":"10.1136\/bcr-2013-200066","type":"journal-article","created":{"date-parts":[[2013,7,16]],"date-time":"2013-07-16T08:34:11Z","timestamp":1373963651000},"page":"bcr2013200066","source":"Crossref","is-referenced-by-count":2,"title":["Aspiration of a speaking valve"],"prefix":"10.1136","volume":"2013","author":[{"given":"John","family":"Schembri","sequence":"first","affiliation":[{"name":"Department of Medicine, Department of Health, Dingli, Malta"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelvin","family":"Cortis","sequence":"additional","affiliation":[{"name":"Department of Radiology, Mater Dei Hospital, Msida, Malta"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"Mallia Azzopardi","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, Mater Dei Hospital, Msida, Malta"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Montefort","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, Mater Dei Hospital, Msida, Malta"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,7,16]]},"reference":[{"key":"2025082707522477000_2013.jul16_1.bcr2013200066.1","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1111\/j.1440-1843.2004.00621.x","article-title":"Occult bronchial foreign body aspiration in adults: analysis of four cases","volume":"2013","author":"Yilmaz","year":"2004","journal-title":"Respirology"},{"key":"2025082707522477000_2013.jul16_1.bcr2013200066.2","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1016\/S1569-9293(03)00171-3","article-title":"Empyema thoracis caused by a foreign body inhaled 30\u2005years previously","volume":"2013","author":"Schembri","year":"2003","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"2025082707522477000_2013.jul16_1.bcr2013200066.3","doi-asserted-by":"crossref","first-page":"312","DOI":"10.4103\/0970-2113.85700","article-title":"Two cases of aspiration of calcium tablets","volume":"2013","author":"Micallef","year":"2011","journal-title":"Lung India"},{"key":"2025082707522477000_2013.jul16_1.bcr2013200066.4","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1177\/0310057X1003800131","article-title":"\u2018Speaking valve\u2019 aspiration in a laryngectomy patient","volume":"2013","author":"Rao Kadam","year":"2010","journal-title":"Anaesth Intensive Care"},{"key":"2025082707522477000_2013.jul16_1.bcr2013200066.5","first-page":"849","article-title":"Case series of bronchoscopic removal of tracheobronchial foreign body in six adults","volume":"2013","author":"Loo","year":"1998","journal-title":"Ann Acad Med Singapore"},{"key":"2025082707522477000_2013.jul16_1.bcr2013200066.6","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1016\/S0272-5231(05)70046-0","article-title":"Adult airway foreign body removal. What's new?","volume":"2013","author":"Rafanan","year":"2001","journal-title":"Clin Chest Med"},{"key":"2025082707522477000_2013.jul16_1.bcr2013200066.7","first-page":"1357","article-title":"Tracheobronchial foreign bodies: presentation and management in children and adults","volume":"2013","author":"Baharloo","year":"1999","journal-title":"Chest"},{"key":"2025082707522477000_2013.jul16_1.bcr2013200066.8","doi-asserted-by":"crossref","first-page":"604","DOI":"10.7326\/0003-4819-112-8-604","article-title":"Tracheobronchial foreign bodies in adults","volume":"2013","author":"Limper","year":"1990","journal-title":"Ann Intern Med"},{"key":"2025082707522477000_2013.jul16_1.bcr2013200066.9","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1378\/chest.112.1.129","article-title":"Foreign body aspiration into the lower airway in Chinese adults","volume":"2013","author":"Chen","year":"1997","journal-title":"Chest"},{"key":"2025082707522477000_2013.jul16_1.bcr2013200066.10","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1007\/s003300000619","article-title":"CT findings of the chest in adults with foreign body aspiration","volume":"2013","author":"Zissin","year":"2001","journal-title":"Eur Radiol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-200066","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:52:34Z","timestamp":1756306354000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-200066"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,7,16]]},"references-count":10,"alternative-id":["10.1136\/bcr-2013-200066"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-200066","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,7,16]]}}}