Airway Foreign Body in Children

Chew, Hui Sing; Tan, Hak Koon

doi:10.4236/ijcm.2012.37117

Cited by 12 publications

(16 citation statements)

References 39 publications

(54 reference statements)

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“…In a study by Pinto et al [42] , a higher proportion of patients complained of cough (87.1%), whereas choking, fever and cyanosis were seen in 85.1%, 22.6% and 16.1%, respectively. According to Chew and Tan, [43] the former two constituted 61.5% and 46.2%, respectively. They noted that, choking is usually missed or downplayed by parents as a principal complaint.…”

Section: Clinical Featuresmentioning

confidence: 95%

Airway foreign bodies: A critical review for a common pediatric emergency

Salih

Alfaki

Alam-Elhuda

2016

World Journal of Emergency Medicine

153

150

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Section: Clinical Featuresmentioning

confidence: 95%

Airway foreign bodies: A critical review for a common pediatric emergency

Salih

Alfaki

Alam-Elhuda

2016

World Journal of Emergency Medicine

153

150

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“…Excellent post-operative recovery again emphasized the safety and favorable outcome of timely and properly performed bronchoscopy. 25,26,32 Gastric coins can generally be managed expectantly, unless overt GI symptoms are noted. In asymptomatic patients, parents should be instructed to monitor the stools for passage of the coin and serial X-rays obtained every 1 to 2 weeks until clearance can be documented.…”

Section: Discussionmentioning

confidence: 99%

“…It is the procedure of choice to identify and remove the object due to its better control of the airway, allowing good visualization and manipulation. 22,[25][26][27] In our institution, all cases of foreign body aspiration were extracted using rigid bronchoscopy. Flexible bronchoscopy is also advocated by some author sand complication rate reported to be as low as 0.3% versus 1.1% from rigid bronchoscopy.…”

Section: Discussionmentioning

confidence: 99%

Foreign bodies in aero-digestive tract in children: spectrum of presentation and management

Patil¹,

Prakash

2017

Int Surg J

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INTRODUCTIONForeign body (FB) ingestion and aspiration is quite common in children. It is a life-threatening condition. In any child presenting with sudden history of respiratory distress and associated decreased chest movement and air entry on the affected side, FB aspiration should be strongly suspected. Even the absence of signs and symptoms does not rule out FB especially when there is positive history of FB ingestion present. Early diagnosis of foreign body aspiration is essential as delay in its recognition and treatment results in multitude of complications.1 Nevertheless, clinical presentation of aspiration can be subtle, mimicking other respiratory conditions, resulting in mismanagement.2,3 High index of suspicion is the cornerstone of diagnosis. Emergency surgery is life saving and also decreases mortality and morbidity. ABSTRACTBackground: Foreign body (FB) ingestion and aspiration is quite common in children. It can be a life-threatening condition. Early diagnosis of foreign body aspiration is essential as delay in its recognition and treatment results in high morbidity and mortality. Symptoms seem to mostly depend on the anatomical location. The absence of specific symptoms indicating the occurrence of FB injury can lead to delay in diagnosis, thereby increasing the risk of complications. Methods: This is a prospective study which comprised of 50 patients with between 8 months and 4.5 years. FB involving different parts of the aero-digestive tract were included in the study. The site, side, symptoms and radiographic findings were recorded for each patient. Different procedures were used for retrieval of various FB at different locations. Majority of these procedures were performed under anaesthesia. Results: Most of the FB were organic in nature. Right side bronchus was more commonly involved. A combination of different procedures was used according to the site involved. All the FB were removed successfully and smoothly. There was minimum morbidity with no mortality and the overall outcome was excellent. Hospital stay varied according to the site of involvement. Conclusions: The symptoms of FB change with the site involved and many patients are even asymptomatic. A differential diagnosis of foreign body should always be made in an acute or chronic presentation of respiratory cases. Aspiration of foreign body should be suspected in all cases of broncho-pulmonary infection with atypical course. High index of suspicion is the cornerstone of diagnosis. Bronchoscopy is the best diagnostic and therapeutic method in all suspicions of foreign body of tracheo-bronchial tree. Proper and timely intervention optimizes the outcome.

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“…Abdulazeez Omeza Ahmad and IliyasuYunusa Shuiabu (2014) advocate strong legislature to be put in place to regulate the sweet or toy producing companies on whistles (toys) manufactured with candies, and if possible these be totally withdrawn from the market. Besides, the parents have a fundamental role to play by providing constant supervision to children particularly in the infants H. Chew and H. Tan [29] suggest a high clinical suspicion and prevention to be the key factors in the management of inhaled foreign bodies in children. Mohammad Shafi et al…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Prognosis in the Endoscopic Extraction of Foreign Bodies in Kashmiri Population

Sheikh¹,

Afshan²,

Sheikh³

et al. 2019

IJOHNS

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An updated approach in the management of 50 patients with foreign body inhalation is presented. Certain risk factors that lead to complications and mortality due to endoscopic extraction of foreign bodies and thus determine prognosis were identified. Remedial measures to reduce morbidity and mortality due to bronchoscopic removal of foreign bodies are suggested. Fifty patients of suspected foreign body inhalation presented to a Unit of the Department of ENT, Head and Neck Surgery of Government Medical College associated SMHS Hospital Srinagar, Kashmir from March 2007 to June 2017. Of these, 49 patients were subjected to rigid tube bronchoscopy for removal of the aspirated foreign bodies and one coughed out the foreign body spontaneously during admission for bronchoscopy. History of foreign body inhalation was positive in 90% of patients and remaining was mostly referred from Paediatric Units with un-resolving collapse-consolidation of the lung. Whereas plain radiography of the chest and the soft tissues of neck were the primary imaging modality used in this study to detect the inhaled foreign bodies or their effects there are reports of virtual bronchoscopy being done with a multidetector computed tomography scanner in 3D image generation from axial cuts of the internal walls of the tracheobronchial tree in the management of patients suspected with foreign body aspiration. Bronchoscopy is a difficult and potentially hazardous procedure in the infant and young child. Telescopes and telescopic forceps were used during bronchoscopy to facilitate extraction of a foreign body inhaled. The type of a foreign body, site of its enlodgement and the complications encountered during its extraction were noted. During bronchoscopy the patients were connected to an ECG monitor How to cite this paper: Sheikh, M.S.,

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Airway Foreign Body in Children

Cited by 12 publications

References 39 publications

Airway foreign bodies: A critical review for a common pediatric emergency

Airway foreign bodies: A critical review for a common pediatric emergency

Foreign bodies in aero-digestive tract in children: spectrum of presentation and management

Factors Influencing Prognosis in the Endoscopic Extraction of Foreign Bodies in Kashmiri Population

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