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

Oliveira, Cláudio Flauzino de; Almeida, João Fernando Lourenço de; Troster, Eduardo Juan; Vaz, Flávio Adolfo Costa

doi:10.1590/s0041-87812002000300005

Cited by 49 publications

(55 citation statements)

References 16 publications

(27 reference statements)

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“…Both the presence of and the attempts at removal of a large and sharp foreign body lodged in the trachea may be associated with life-threatening complications. [11] In the present case, pneumomediastinum, pneumothorax and slight erosion in the posterior membranous wall of the upper trachea were thought to have been caused by the sharp and irregular edge of the large foreign body that was subjected to repeated instrumentation.…”

Section: Iatrogenic Aspiration Of a Large Piece Of A Wooden Spoon In mentioning

confidence: 58%

Iatrogenic aspiration of a large piece of a wooden spoon in a 14-year-old epilepsy patient

Sazak¹,

Yazıcı²,

Gülgösteren³

et al. 2011

Ulus Travma Acil Cerrahi Derg

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Section: Iatrogenic Aspiration Of a Large Piece Of A Wooden Spoon In mentioning

confidence: 58%

Iatrogenic aspiration of a large piece of a wooden spoon in a 14-year-old epilepsy patient

Sazak¹,

Yazıcı²,

Gülgösteren³

et al. 2011

Ulus Travma Acil Cerrahi Derg

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“…Bu •alÝß-mada da erkek hakimiyeti (%63.6) vardÝ. Bu muhtemelen diÛer kazai istatistiklerde olduÛu gibi erkek •ocuklarÝn yŸksek aktivitesine baÛlÝdÝr (3,6,9,(15)(16)(17) Fatal ve fatal olmayan YCA'larÝ ilgilendiren serilerin •oÛunda saÛ akciÛer'in %48.62 oranÝyla en yaygÝn tÝkanma bšlgesi olduÛu gšsterilmißtir (1,3,8,9,12,14,16,21). YCA'-nun lokalizasyonunu bildiren az sayÝda •alÝßma vardÝr.…”

Section: Tartiþmaunclassified

“…Bu acil durum erkek •ocuklarda genellikle 4 yaßÝn altÝndaki •ocuklarda gelißir (6,8,9,(14)(15)(16)(17). A.B.D.…”

Section: Introductionunclassified

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Çocuklarda Fatal Yabancı Cisim Aspirasyonları

Gören¹,

Gürkan²,

Tıraşçı³

et al. 2003

Bull Leg Med

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…ZET SUMMARYAs a very serious reason of accidental deaths in childhood, we have aimed to investigate deaths due to foreign body aspiration (FBA), since its incidence has not decreased despite advances in the techniques and instruments for its emergency treatment.We retrospectively reviewed the records of forensic cases due to FBA examined at the DiyarbakÝr Branch of the Council of Forensic Medicine between 1990 and 2003. Over this period this office investigated 8330 medicolegal deaths cases, 22 of which were children under 15 years of age due to FBA.Of the victims, 14 (63.6%) were male and 8 (36.4%) were females. The mean age of the victims was 2.2±0.6 years. There were 20 (90.9 %) children between 1 and 3 years, and two other cases at 2/12 and 5 years of ages. All fatal aspirations occurred at home. Food was the most commonly aspirated foreign body in 81.8% of the cases, nuts being the most common in 50%. Carina (54.5%) was the most common site of the foreign body in the respiratory tract.In conclusion, food asphyxiation remains a common problem particularly in children between 1 and 3 years of age in our region. These fatal accidents could be prevented by parent education and early recognition and management of the situation.Key words: Foreign body, aspiration, child, death GÜRÜÞ ‚ocukluk •aÛÝ kaza šlŸmlerinin šnemli bir bšlŸmŸ-nŸ olußturan yabancÝ cisim aspirasyonu (YCA) •ok ciddi bir kazadÝr (1-6). Aspire edilen materyaller •oÛunluk-la gÝdalar olmasÝna raÛmen evde bulunan metal, plastik,

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“…(8) The sensitivity and specificity of this diagnostic method are 67% and 68%, respectively. (9)(10)(11)(12)(13) Localized hyperinflation in the affected lung is one of the most frequently observed alterations, being considered the classical abnormality. (7,14) However, most foreign bodies are radiotransparent, which makes bronchoscopy the procedure of choice for diagnostic confirmation and foreign body removal, especially in inconclusive clinical cases.…”

Section: Introductionmentioning

confidence: 99%

Aspiração de corpo estranho por menores de 15 anos: experiência de um centro de referência do Brasil

et al. 2009

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Objective: To describe the clinical, radiological and endoscopic characteristics of foreign body aspiration among individuals under the age of 15 treated at a referral center in the city of São Luís, Brazil. Methods: This was a descriptive study using data from the medical charts of patients treated for foreign body aspiration at the Hospital Universitário Materno Infantil between 1995 and 2005. We investigated 72 confirmed cases of foreign body aspiration, evaluating the place of residence, as well as biological, clinical, radiological and endoscopic variables. We used the chi-square test to identify statistically significant differences in frequency among the variables studied. Results: The majority of the patients were from outlying areas (55.6%). The following variables presented the highest frequencies: 0-3 year age bracket (81.9%); male gender (63.9%); evolution > 24 h (66.7%); hypotransparency on chest X-ray (57.7%); foreign body in the right lung (41.2%) or in the larynx (20.5%); organic nature of the foreign body (83.3%); complication in the form of localized inflammation (59.4%); glottal edema as an endoscopic complication (47.6%); and seeds (46.6%), fish bone (28.3%) or plastics (25.5%) as the type of foreign body. There were no deaths. Conclusions: Preventive care should be a priority for male children under the age of 3 living in outlying areas. Such children should not be given access to substances that can be aspirated, including certain foodstuffs. Simple and easily accessible radiological tests have been underused, which jeopardizes the quality of the initial treatment.Keywords: Foreign bodies; Inhalation; Bronchoscopy. ResumoObjetivo: Descrever as características clínicas, radiológicas e endoscópicas da aspiração de corpo estranho por menores de 15 anos em um centro de referência em São Luís, MA. Métodos: Estudo descritivo realizado a partir de dados de prontuários dos pacientes atendidos no Hospital Universitário Materno Infantil devido à aspiração de corpo estranho entre 1995 e 2005. Avaliamos 72 casos confirmados de aspiração de corpo estranho em relação à procedência, variáveis biológicas, clínico-radiológicas e endoscópicas. Para verificar se as frequências observadas das variáveis em estudo foram estatisticamente significantes, utilizamos o teste do qui-quadrado. Resultados: A maioria do pacientes era procedente das cidades do interior (55,6%). As maiores frequências das diferentes variá-veis estudadas foram as seguintes: faixa etária de 0-3 anos (81,9%); sexo masculino (63,9%); tempo de evolução > 24 h (66,7%); hipotransparência na radiografia de tórax (57,7%); localização do corpo estranho no pulmão direito (41,2%) ou na laringe (20.5%); natureza orgânica do corpo estranho (83,3%); complicação como processo inflamatório localizado (59,4%); edema de glote como complicação do exame endoscópico (47,6%); e sementes (46,6%), espinha de peixe (28,3%) e plásticos (25,5%) como tipos mais frequentes de corpos estranhos aspirados. Não houve óbitos. Conclusões: Cuidados preventivos devem p...

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

Cited by 49 publications

References 16 publications

Iatrogenic aspiration of a large piece of a wooden spoon in a 14-year-old epilepsy patient

Iatrogenic aspiration of a large piece of a wooden spoon in a 14-year-old epilepsy patient

Çocuklarda Fatal Yabancı Cisim Aspirasyonları

Aspiração de corpo estranho por menores de 15 anos: experiência de um centro de referência do Brasil

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