Clinico-radiological predictors of positive rigid bronchoscopy findings in children with suspected tracheobronchial foreign body aspiration

Kwok, Matthew Ming Kei; Wong, Aaron; Paddle, Paul; Goergen, Stacy; Rimmer, Joanne

doi:10.21037/ajo.2018.01.07

Cited by 3 publications

(2 citation statements)

References 41 publications

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“…This is comparable with previous studies. 31 , 32 Conversely, Kwok et al 33 reported the absence of a significant difference for children with and without FBA and a clinical history of aspiration, auscultation, and radiographic abnormalities. Though their study was limited by a small sample size (43 participants), it was valuable to evaluate children with suspected FBA for viral respiratory infection especially in infants younger than 1 year.…”

Section: Discussionmentioning

confidence: 99%

Foreign Body Aspiration in Egyptian Children Clinical, Radiological and Bronchoscopic Findings

Reyad¹,

El-Deeb²,

Abbas³

et al. 2021

JMDH

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Purpose: Foreign body aspiration (FBA) is a frequent cause of childhood morbidity and mortality. Diagnosis of FBA is challenging in the absence of a witnessed aspiration event. The aim of this study was to determine the accuracy of presenting symptoms as well as physical and radiologic findings as predictors of FBA in children. Thus, indications for bronchoscopy could be determined in such cases. Methods: This retrospective cohort study was conducted in the ENT department, Kafrelsheikh University Hospital. The medical records of patients younger than 16 years old who underwent rigid bronchoscopy for suspected FBA were included. Data including age, gender, symptoms, physical examination findings, radiological features, nature and location of foreign body, and outcome of the bronchoscopy were collected. Results: This study included 130 patients, 105 (80.8%) patients were positive for the presence of a foreign body in their airways. Foreign bodies were most frequently (43.8%) lodged in the right main bronchus, and nuts (66.7%), were the most commonly retrieved. Multivariate regression analysis identified the presence of suggestive signs or symptoms as independent predictors of FBA on rigid bronchoscopy. Conclusion:Objective finding of clinical signs eg unilateral wheezes on chest examination in the presence of symptoms such as a sudden cough, dyspnea, and hoarseness could predict FBA and help physicians in deciding bronchoscopy.

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Section: Discussionmentioning

confidence: 99%

Foreign Body Aspiration in Egyptian Children Clinical, Radiological and Bronchoscopic Findings

Reyad¹,

El-Deeb²,

Abbas³

et al. 2021

JMDH

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show abstract

“…Removal of foreign bodies is certainly challenging to the otolaryngologist because of the variety of objects swallowed or aspirated. The technical difficulties involved and complication which may occur due to the lack of knowledge about the foreign body complication of layman and unavailability of specialists are the main reason for life threatening morbidity and mortality [4].…”

Section: Introductionmentioning

confidence: 99%

Foreign Body in Aero-Digestive Tract: A Descriptive Analysis at Tertiary Care Teaching Hospital

Mahich

SOLANKI

MATHUR

2022

Asian J Pharm Clin Res

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Objectives: The objectives of the study were to analyze some of the key issues about the presentation, types, complications, and management arising about foreign body in the upper aero-digestive tract. Methods: All the patients presenting with or without history of swallowing or inhaling foreign bodies with symptoms such as dysphagia, drooling of saliva, stridor, and acute respiratory distress were included in study. Extraction of foreign body in airway tract was done by bronchoscopy and in digestive tract by esophagoscopy. Patient’s demographic details, types, symptoms and nature, size, and location of the inhaled foreign bodies were analyzed. Results: Patients aged more than 10 years constituted maximum number 14 (28%) in digestive tract. Patient aged 1–2 and 2–3 years accounted for most of the cases 10 (50%) in airway. Sensation dysphagia (100%) and foreign body sensation including cough (100%) were the most common symptom of digestive tract and airway tract, respectively. Currency coins (64%) were the most common type of foreign body in case of digestive tract ground nut (30%) was the most common type of airway foreign body. Conclusions: This study concluded that symptoms of foreign bodies in the aerodigestive tract are mainly nonspecific and needs high degree of suspicion, experience, and clinical acumen to diagnose and manage these patients.

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Successful Removal of a Pulmonary Foreign Body Using C-Arm-Guided Flexible Bronchoscopy from Distal Airways of a Seven-Year-Old Boy: A Case Report

Abedini

Razavi

Mehravaran

et al. 2018

J Minim Invasive Surg Sci

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Clinico-radiological predictors of positive rigid bronchoscopy findings in children with suspected tracheobronchial foreign body aspiration

Cited by 3 publications

References 41 publications

Foreign Body Aspiration in Egyptian Children Clinical, Radiological and Bronchoscopic Findings

Foreign Body Aspiration in Egyptian Children Clinical, Radiological and Bronchoscopic Findings

Foreign Body in Aero-Digestive Tract: A Descriptive Analysis at Tertiary Care Teaching Hospital

Successful Removal of a Pulmonary Foreign Body Using C-Arm-Guided Flexible Bronchoscopy from Distal Airways of a Seven-Year-Old Boy: A Case Report

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