A Study of Foreign Body Aspiration in Children

Bakal, Ünal; Keleş, Erol; Saraç, Mehmet; Karlıdağ, Turgut; Kaygusuz, İrfan; Kazez, Ahmet

doi:10.1097/scs.0000000000002582

Cited by 18 publications

(24 citation statements)

References 15 publications

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“…Dört yaşın altındaki ço-cuklar yabancı cisim aspirasyonuna daha açıktırlar; bu oral eksplorasyon davranışı (3) , arka azı dişlerin gelişmemiş olması nedeniyle yeterli çiğneyememe ve yutma refleksi koordinasyonunun zayıf olmasın-dan kaynaklanmaktadır (3,4) . Olguların %80'i 3 yaş altındadır.…”

Section: Epidemiyolojiunclassified

“…Bir-iki yaş tepe yaşıdır. Erkek çocuklarda biraz daha fazla (%62) oranda görülür (4,5) . Akut aspirasyonda tam tıkanma sonucu mortalite görülebilir.…”

Section: Epidemiyolojiunclassified

“…gibi bazı uygunsuz nesneleri yutabilirler. Çocuklar beslenme sırasında konuşur veya hareket ederlerse aspire edebilirler (3,4) . Fiziksel aktivite çocukların konsantrasyonunu bozabilir, solunum hızı ve derinliğini artırır ve aspirasyona yol açar (2) .…”

Section: Etiyolojiunclassified

“…Batı ülkelerinde organik maddeler %91 oranındadır ve bunun yarısını fındık, fıstık oluşturmaktadır. Benzer şekilde, karpuz, ayçiçeği ve kabak çekirdeği de Mısır, Türkiye ve Yunanistan'da daha yaygındır (4,5) . Güneydoğu Asya ve Çin'de kemik daha sık görülür.…”

Section: Etiyolojiunclassified

“…Ayrıca, dini alışkanlıkların rolü de önemlidir (3) . Başörtüsü kullanan toplumlarda türban iğnesi aspirasyonu sıkça görülür (4,6) .…”

Section: Etiyolojiunclassified

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Foreign Body Aspirations in Children

İlhan¹

2017

tcdd

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Section: Epidemiyolojiunclassified

“…Bir-iki yaş tepe yaşıdır. Erkek çocuklarda biraz daha fazla (%62) oranda görülür (4,5) . Akut aspirasyonda tam tıkanma sonucu mortalite görülebilir.…”

Section: Epidemiyolojiunclassified

Section: Etiyolojiunclassified

“…Ayrıca, dini alışkanlıkların rolü de önemlidir (3) . Başörtüsü kullanan toplumlarda türban iğnesi aspirasyonu sıkça görülür (4,6) .…”

Section: Etiyolojiunclassified

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Foreign Body Aspirations in Children

İlhan¹

2017

tcdd

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An apple a day won't keep the doctor away: presentation, treatment, and outcome in pediatric apple aspirations

Scharff

Schwerk

Baumann

et al. 2020

Pediatric Pulmonology

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Introduction Foreign body (FB) aspiration is a frequent and preventable source of morbidity and mortality, especially in children under 4 years of age. Few comprehensive studies exist on presentation and outcome of apple aspirations in children. Methods In a retrospective analysis of bronchoscopy records of a tertiary medical care center from January 2007 to August 2019, we identified pediatric cases of suspected apple aspirations. Results A total of 11 suspected apple aspirations were identified (observation time 12.7 years, n = 5858 bronchoscopies, n = 226 interventions due to suspected FB aspirations in total). The mean age of patients was 24 months (standard error mean, 7 months; range, 8‐83 months), and 6 out of 11 cases (55%) were male. Bronchoscopy confirmed apple aspiration in n = 6/11 cases (55%). In n = 2/11 cases (18%), a bite of the apple was located in the esophagus causing significant tracheal narrowing, and in n = 3/11 cases (27%), no FB was found. In all cases of airway FB identification, extraction was successful. Hypersalivation was associated with esophageal FB location, whereas persistent cough, stridor, or dyspnea were associated with airway FB location. Outcomes ranged from complete reconstitution 1 day after bronchoscopy in most cases to hypoxemia with severe brain damage in one patient. Discussion This analysis shows that apple aspirations are not entirely uncommon in children and may lead to disastrous complications. Typical signs of airway location are persistent cough, stridor or dyspnea, whereas hypersalivation may point toward an esophageal location. In each case of suspected apple aspiration, timely bronchoscopy with possible FB extraction should be performed by an experienced team.

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The characteristics of foreign bodies aspirated by children across different continents: A comparative review

Parvar

Sarasyabi

Moslehi

et al. 2022

Pediatric Pulmonology

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Background Foreign body aspiration (FBA) is a common issue in pediatric emergencies, with regional variations. Various cultures and foods, parents' and physicians' inadequate experience, and lack of bronchoscopy equipment are some attributable factors in the regional variation of FBA. Aim To more accurately represent the demographic characteristics of aspirated foreign bodies (FBs) across various continents, this review attempted to provide organized information based on the reviewed articles. Methodology A search was conducted in PubMed/PubMed Central, EMBASE, and google scholar. From the 36 included articles, information on age, gender, bronchoscopy type, type of FB, location, history of choking, and time elapsed between aspiration and admission were extracted. Results A total of 14,469 cases were evaluated. According to the findings, children under two accounted for more than 75% of FBAs. Nuts and seeds were the most common FBs in most countries, whereas plastic and metal objects had higher rates in Brazil, and calcified objects were more prevalent in Thailand. The right bronchus was the most frequent location, and rigid bronchoscopy was the most often utilized type of bronchoscope. In addition, a significant percentage of patients were referred to the emergency rooms in the first 12−24 h following the aspiration incident. Moreover, Asian patients reported more choking history, and Europeans had fewer witnesses of FBA. Conclusions There is a lack of standardized reporting systems and organized guidelines in pediatric FBA. To select the ideal time for endoscopies and create educational programs, a collaboration between experienced researchers, pediatric pulmonologists, radiologists, and otolaryngologists is required.

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A Study of Foreign Body Aspiration in Children

Cited by 18 publications

References 15 publications

Foreign Body Aspirations in Children

Foreign Body Aspirations in Children

An apple a day won't keep the doctor away: presentation, treatment, and outcome in pediatric apple aspirations

The characteristics of foreign bodies aspirated by children across different continents: A comparative review

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