Bronchial foreign body: should bronchoscopy be performed in all patients with a choking crisis?

Barrios, J. E.; Gutiérrez, Cristina; Lluna, J; Vila, J. J.; Poquet, J; Ruiz-Company, S.

doi:10.1007/bf01349976

Cited by 55 publications

(35 citation statements)

References 14 publications

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“…This percentage of thoracotomy is in line with that reported by other authors [7,8]. A history of chocking is very important in diagnosis and directing subsequent diagnostic modality in cases of suspected FBA [15]. The history of a chocking crisis has been reported to have a sensitivity of 75.4% and a speciWcity of 92% [16].…”

Section: Discussionsupporting

confidence: 65%

Headscarf pin, a sharp foreign body aspiration with particular clinical characteristics

Hamad

Elmistekawy

Ragab

2010

Eur Arch Otorhinolaryngol

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The process of wearing head scarf is very complex; girls used to hold a number of pins in the mouth and utilize them one by one to fix the scarf. Loss of concentration results in pin aspiration. We presented our experience with scarf pin aspiration and discussed the unique clinical characteristics of this problem. We reviewed the records of 73 patients who underwent bronchoscopy for scarf pin inhalation during the period from January 1995 to May 2009. The following data were collected, history of aspiration, time lag before presentation, symptoms and signs, radiological findings, bronchoscopic findings, number of repeated bronchoscopy, complications, need for thoracotomy and time of discharge. All patients were female, mean age 13.4 years. The time lag before admission was <12 h for 59 (81%) patients. Positive history was present in all cases. Chest radiography identified the pins in all cases. The foreign bodies were seen in the left bronchial system in 37 (50.7%) patients, in the right bronchial system in another 24 (32.9%), and in the trachea in 12 (16.4%) patients. In 66 (90.4%) patients, the foreign body was removed in the first bronchoscopic trial; a second trial was needed in 5 (6.8%) patients, and thoracotomy was performed in two patients. In conclusion, head scarf pin aspiration occurs in adolescent Islamic girls. The clinical presentation and radiological findings are diagnostic in all cases. Rigid bronchoscopy is the preferred treatment modality. Health education is the key issue in the prevention of this problem.

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Section: Discussionsupporting

confidence: 65%

Headscarf pin, a sharp foreign body aspiration with particular clinical characteristics

Hamad

Elmistekawy

Ragab

2010

Eur Arch Otorhinolaryngol

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“…Previous studies have suggested the use of 'empirical diagnostic rigid bronchoscopy' when the symptoms and Wndings on chest X-ray were suspicious for bronchial FBs [1][2][3][4][5][6][7][8][9][10][11]. However, observation of symptoms, physical examination and/or chest X-ray provides variable sensitivity, from 37 to 94% [7,10].…”

Section: Discussionmentioning

confidence: 98%

“…It occurs especially in children between 1 and 3 years of age [1][2][3][4]. The reasons include absence of molar teeth, a tendency to put everything into their mouth, less-controlled coordination of swallowing, and immaturity of the laryngeal elevation and glottic closure [1].…”

Section: Discussionmentioning

confidence: 99%

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Three-dimensional CT with virtual bronchoscopy: a useful modality for bronchial foreign bodies in pediatric patients

Jung

Pae

Chung

et al. 2011

Eur Arch Otorhinolaryngol

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Bronchial foreign bodies (FB) in children are difficult to diagnose when there is no witness to the aspiration event. The experience with three-dimensional CT and virtual bronchoscopic reconstruction (3D-CTVB) was reviewed for the diagnosis of bronchial FB in pediatric patients in this study. A retrospective review of ten pediatric patients (M:F = 5:5) who underwent rigid bronchoscopy by one otolaryngologist for the impression of a bronchial FB, at a tertiary training hospital, from February 2006 to September 2010 is reported. All patients had a plain chest X-ray and 3D-CTVB. The physical, radiological and bronchoscopic findings of the patients were analyzed. The mean duration from the aspiration event to hospital evaluation was 7 days (0-21 days). Four patients (44%) had witnesses to the aspiration event. Hyperaeration of the affected lung was noted in nine patients (90%) on the plain chest X-ray. In all of the patients, the foreign body location, suspected on the preoperative 3D-CTVB, was consistent with the intra-operative bronchoscopic findings. All FBs were successfully removed by rigid bronchoscopy without any complications. In conclusion, the 3D-CTVB was a very safe and useful diagnostic modality for bronchial FBs. The findings of this study suggest that the 3D-CTVB should be considered for the diagnosis of all patients with suspected bronchial FBs.

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“…After aspiration of the foreign body in a significant number of patients, clinical pictures including choking attacks, coughing, wheezing, asphyxia and sudden death can be observed in the acute period. Barrios et al [6] reported that bronchoscopy should be performed in all patients with the history of choking attack, even if they have minimal symptoms or no radiological signs. The most important symptom other than coughing was hemoptysis in our case.…”

Section: Discussionmentioning

confidence: 99%

A Foreign Body Aspiration Showing Migration and Penetration: Hordeum Murinum

Sayır¹

2012

Ann Clin Anal Med

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ÖzetYabancı cisim aspirasyonu çocukluk çağında morbidite ve mortalitenin önemli bir sebebidir. Trakeobronşial yabancı cisim aspirasyonları içerisinde oldukça nadir rastlanan Pisipisi otu atipik bir kliniğe sahiptir. Bronşial sistemdeki geç kalınmış olgularda kaçınılmaz olarak bronşektazi ve akciğer parankim destrüksiyo-nu gibi cerrahi gerektiren sekellere yol açabilir. İlerleyici özelliğinden dolayı bronkoskopik olarak çıkarılması güç olan Pisipisi otu ilginç klinik tablolara neden olabilir. Bu çalışmada da erken dönemde hemoptiziye yol açması ile tespit edilen ve negatif bronkoskopi sonucu torakotomi ile çıkarılabilen Pisipisi otu aspirasyon olgusu sunulmuştur. Anahtar KelimelerYabancı Cisim; Pisipisi Otu; Hemoptizi AbstractAspiration of foreign bodies is an important cause of mortality and morbidity in the childhood period. Very rarely seen among the tracheobronchial foreign body aspirations is the Hordeum Murinum, which has an atypical clinical presentation.

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Bronchial foreign body: should bronchoscopy be performed in all patients with a choking crisis?

Cited by 55 publications

References 14 publications

Headscarf pin, a sharp foreign body aspiration with particular clinical characteristics

Headscarf pin, a sharp foreign body aspiration with particular clinical characteristics

Three-dimensional CT with virtual bronchoscopy: a useful modality for bronchial foreign bodies in pediatric patients

A Foreign Body Aspiration Showing Migration and Penetration: Hordeum Murinum

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