Bronchoscopic removal of aspirated foreign bodies in children

Black, Richard E.; Johnson, Dale G.; Matlak, Michael E.

doi:10.1016/0022-3468(94)90740-4

Cited by 234 publications

(212 citation statements)

References 5 publications

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“…The first ever successful bronchoscopic removal of foreign body was performed by Gustav Killian in 1897 and since then bronchoscopy has come a long way. Currently the mortality following foreign body inhalation is only 1% compared to pre bronchoscopy era [4]. This study was aimed at discussing the symptomatology, duration of presentation, types of foreign bodies their removal by rigid bronchoscopy and their consequent management.…”

Section: Introductionmentioning

confidence: 99%

Foreign body in tracheobronchial tree

Sinha

Chhaya

Barot

et al. 2010

Indian J Otolaryngol Head Neck Surg

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Foreign body inhalation into the tracheobronchial tree can prove to be a life threatening unless timely intervened and appropriate steps are being taken towards its management [1]. A review of 32 cases was done at MP Shah Medical College Jamnagar over a period of 2 years. Children were most susceptible to aspiration of foreign bodies. All the cases were selected on the basis of detailed clinical history, clinical features, and radiological findings. The cases which had a strong index of suspicion without any positive clinical history were also subjected to rigid bronchoscopy under general anesthesia. Maximum number of cases was in the age group of 1 to 3 years (62.5%). The minimum age group ranging from 6 months to maximum 8 years. The time of presentation of the patients varied from within 24 hours to upto 6 months. Only four patients presented within 24 hours. The maximum presenting period was within 1 week. Organic foreign bodies were most common presentation (groundnut). Other foreign bodies were grains, seeds, ball pen cap, stones and slate pencil. Definite history of inhalation was available only in 19 cases with symptoms of choking, breathlessness, cough and recurrent upper respiratory tract infection. Right main bronchus was found to be most common site of impaction (52%) followed by left main bronchus (32%) and tracheal foreign body (16%).

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Section: Introductionmentioning

confidence: 99%

Foreign body in tracheobronchial tree

Sinha

Chhaya

Barot

et al. 2010

Indian J Otolaryngol Head Neck Surg

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“…We describe 5 cases of serious acute complications following aspiration of foreign bodies that became lodged in the tracheobronchial tree, including pneumomediastinum, pneumothorax, total atelectasis, foreign body dislodgment, and need for thoracotomy in children admitted into our intensive care unit in 1999 and 2000; these were all situations that could have been prevented with early recognition and prompt therapeutic intervention. Foreign body aspiration (FBA) is a very common occurrence in children, especially among those younger than 3 years of age (79%) 1 , with a higher incidence in boys (63%) 2 . Sometimes, FBA can be life threatening, acting as a significant cause of fatal home accidents in children younger than 6 years 3 and causing more than 300 deaths per year in the United States 4 .…”

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confidence: 99%

“…Usually, there is a suggestive history of choking, although the classic clinical presentation, with coughing, wheezing, and diminished air inflow, is seen in less than 40% of the patients 1,6,7 ; other symptoms include cyanoses, fever, and stridor. Sometimes, FBA can be completely assymptomatic 2 .…”

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Complications of tracheobronchial foreign body aspiration in children: report of 5 cases and review of the literature

et al. 2002

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Foreign body aspiration (FBA) is one of leading causes of death in children, especially among those younger than 3 years of age. The inhalation of a foreign body may cause a wide variety of symptoms, and early diagnosis is highly associated with the successful removal of the inhaled foreign material. Despite the great advances in endoscopic procedures and anesthesia, a large number of difficulties and complications still result from foreign body aspiration. We describe 5 cases of serious acute complications following aspiration of foreign bodies that became lodged in the tracheobronchial tree, including pneumomediastinum, pneumothorax, total atelectasis, foreign body dislodgment, and need for thoracotomy in children admitted into our intensive care unit in 1999 and 2000; these were all situations that could have been prevented with early recognition and prompt therapeutic intervention.

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“…Black et al described symptom triad-coughing, choking and wheeze in 91% of patients presented with FBA [7].…”

Section: Site Of Lodgmentsmentioning

confidence: 99%

Foreign Body Aspiration: Demographic Trends and Foreign Bodies Posing a Risk

Mukherjee

Paul

2011

Indian J Otolaryngol Head Neck Surg

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This study was done to find out modern demographic trends of aspiration and different foreign bodies posing a risk. For this study, 94 patients with suspected foreign body aspiration (FBA) were selected. Detailed history, especially age, suspected Foreign body (FB) and mode of onset were noted and a thorough clinical examination was done. X-ray chest and neck, antero-posterior and lateral view was the only investigation done in all. Rigid bronchoscopy under general anaesthesia was done in all the cases of suspected FBA for diagnostic cum therapeutic purpose. Among 94 patients 70.2% i.e. 66 were within 5 years of age and most were within 2-3 years of age. Rigid bronchoscopy was done in all the cases and foreign body was successfully retrieved in 78.7% of cases. Bronchoscopy was negative in the rest of the cases. The Most common site of lodgment was the right bronchus followed by the left bronchus, the trachea and other sites. Vegetables were the most common FBs as they were found in 26 cases. Whistles from small plastic toys were the single most common FB(15). Other foreign bodies were small plastic and metallic parts, safety pins, jewellery etc. Children under 5 years of age are at greatest risk of FBA. Different vegetables and whistles of low grade toys are the most commonly aspirated FB. Detailed history is most important for diagnosis. X-ray is not a reliable tool for diagnosis. Bronchoscopy should be done whenever a foreign body is suspected in the airway.

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Bronchoscopic removal of aspirated foreign bodies in children

Cited by 234 publications

References 5 publications

Foreign body in tracheobronchial tree

Foreign body in tracheobronchial tree

Complications of tracheobronchial foreign body aspiration in children: report of 5 cases and review of the literature

Foreign Body Aspiration: Demographic Trends and Foreign Bodies Posing a Risk

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