Comprehensive Analysis of the Diagnosis and Treatment of Tracheobronchial Foreign Bodies in Children

Abstract

Objective: To analyze the factors influencing the diagnosis and treatment of tracheobronchial foreign bodies (TFBs) in children. Methods: The clinical data of 300 consecutive children with suspected TFBs who were admitted to our department between January 2016 and December 2019 were retrospectively collected, including demographics, diagnosis, history of foreign body inhalation, preoperative chest computed tomography (CT) findings, duration of foreign body retention, time from admission to operation, operation duration, duration of hospitalization, and complications. Results: Among the 300 cases, the male:female ratio was 193:107, and the age range was 6 months to 12 years (median age: 19 months). A total of 291 cases (97.0%) involved TFBs confirmed by rigid bronchoscopy, while the other 9 cases (3.0%) involved bronchopneumonia. The diagnostic accuracy, sensitivity, and specificity of a history of foreign body inhalation and chest CT were 96.0%, 98.6%, and 11.1% and 97.7%, 97.6%, and 100%, respectively. The duration of hospitalization, time from admission to operation, and operation duration were all related to bronchopneumonia ( P < .05). Conclusions: A detailed history, adequate physical examination, and preoperative imaging examination help improve the diagnostic accuracy. Preoperative bronchopneumonia in children with TFBs will increase the surgical risks and treatment costs, prolonging the duration of hospitalization.

Characteristics and Treatment of Pediatric Tracheobronchial Foreign Bodies: A Retrospective Analysis of 715 Cases

“…Thin-slice CT is the best means of locating foreign bodies, and its accuracy can be as high as 99.4% [ 22 – 24 ]. We found the distribution of foreign bodies in the trachea to be slightly higher on the right, which is consistent with previous reports [ 25 – 27 ].…”

Pseudobronchial crista-like change in children: A case report

“…Foreign bodies in the trachea/bronchus are common in children. Chronic retention of foreign bodies and foreign plant bodies are risk factors of bronchial foreign bodies complicated with granulation tissue hyperplasia [ [2] , [3] , [4] ]. Plant foreign bodies (especially nuts) are rich in fatty acids and can promote the proliferation of fibroblasts and new thin-walled capillaries and activate various inflammatory cells, thus forming granulation tissue [ 5 ].…”

Prediction of Bronchopneumonia Inpatients’ Total Hospitalization Expenses Based on BP Neural Network and Support Vector Machine Models

“…Bronchopneumonia (also known as lobular pneumonia) is one of the most common respiratory infections [ 1 ], with an incidence rate of more than 20% [ 2 ]. Bronchopneumonia is a severe disease that threatens people's health in China.…”

“…After the onset, the inflammation of lung tissue thickens the respiratory membrane and blocks the lower respiratory tract, causing dysfunction of ventilation and ventilation. The clinical manifestations are fever, cough, and shortness of breath [ 2 ].…”