PurposeAssessment of bronchoscopy usefulness for diagnosis and treatment in children suspected of foreign body aspiration.Material and methodThere were 27 boys and 18 girls in the age from 15 month to 14 years (average 5.5 years). Rigid bronchoscopy was performed under general anaesthesia. Assessment of the respiratory tract was done and in cases with foreign body bronchoscopic evacuation was executed. Medical records and video recordings of bronchoscopy procedures were subjected to retrospective analysis.ResultsIn 28 children (62.2%) during bronchoscopy, foreign body aspiration recognized in 17 (37.8%) bronchoscopy cases was negative. In 27 patients, foreign bodies were removed. In one child, foreign body was evacuated during second bronchoscopy after preparing proper instrumentation. There were no complications in post-bronchoscopic period. Operating time was from 5 to 90 min, average time was noted to be 24 min. Average time of hospital stay was 2–3 days.ConclusionsAspiration of foreign body should be suspected in all cases of bronchopulmonary infection with atypical course. Bronchoscopy is the best diagnostic and therapeutic method in all suspicions of foreign body. In children rigid bronchoscopy is still the method of choice.

MIRPE proposed by Nuss has all the features of a minimally invasive procedure and is straightforward. Better clinical results are achievable in patients under 12 years of age with a symmetric deformity. In older patients (over 15 years of age) with a rigid chest or with an asymmetric deformity, additional procedures are required to achieve a comprehensive correction of the deformity. Recent results and forward clinical observations may give proof to establish MIRPE as a method of choice in funnel chest correction.

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The paper presents the influence of mechanical surface damage on the physicochemical properties of plates after implantation made of crnimo stainless steel, used in the treatment of anterior surface deformity of the chest. analysis of the data allowed us to investigate the effect of implant design and condition of their surface on the results of chest deformation treatment. results of electrochemical, impedance and surface wettability tests and Sem observations were compared with clinical observations. When removing the plates we found only slight inflammatory-periosteal reactions. On the basis of obtained results, it can be stated that plates, in spite of mechanical damage of the surface, were characterized by good corrosion resistance, a fact which is confirmed by the results of clinical evaluation.

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