CT Scan in Children Suspected of Foreign Body Aspiration: A Systematic Review and Meta‐analysis

Khoury, Patrick El; Makhoul, Mikhael; Hadi, Christopher El; Haber, C.; Rassi, Simon

doi:10.1002/ohn.433

Cited by 3 publications

(1 citation statement)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…CT is a diagnostic option for asymptomatic or symptomatic but stable patients with normal or inconclusive plain radiographs and continuous clinical suspicion of FB aspiration ( Figure 4 ) [ 89 , 90 ]. According to a recent systematic review and meta-analysis by El Khoury et al, chest CT has a sensitivity of 99% and a specificity of 92% for the detection of airway FB [ 91 ]. However, many cases can be definitively diagnosed only by performing a bronchoscopy [ 66 ].…”

Section: Tracheobronchial Foreign Bodiesmentioning

confidence: 99%

Foreign Bodies in Pediatric Otorhinolaryngology: A Review

Paladin,

Mizdrak,

Gabelica

et al. 2024

Pediatric Reports

View full text Add to dashboard Cite

Foreign bodies (FBs) in pediatric otorhinolaryngology represent up to 10% of cases in emergency departments (ED) and are primarily present in children under five years old. They are probably the result of children’s curiosity and tendency to explore the environment. Aural and nasal FBs are the most common and accessible, and the removal methods differ depending on the exact location and type of FB, which can be organic or inorganic. A fish bone stuck in one of the palatine tonsils is the most common pharyngeal FB. Laryngopharyngeal FBs can obstruct the upper respiratory tract and thus become acutely life-threatening, requiring an urgent response. Aspiration of FBs is common in children between 1 and 4 years old. A history of coughing and choking is an indication of diagnostic and therapeutic methods to rule out or confirm a tracheobronchial FB. Regardless of the availability of radiological diagnostics, rigid bronchoscopy is the diagnostic and therapeutic method of choice in symptomatic cases. Radiological diagnostics are more significant in treating esophageal FBs since most are radiopaque. Flexible or rigid esophagoscopy is a successful method of removal. A delayed diagnosis, as with tracheobronchial FBs, can lead to fatal consequences.

show abstract

Section: Tracheobronchial Foreign Bodiesmentioning

confidence: 99%

Foreign Bodies in Pediatric Otorhinolaryngology: A Review

Paladin,

Mizdrak,

Gabelica

et al. 2024

Pediatric Reports

View full text Add to dashboard Cite

show abstract

Improving allergy management and treatment: a proposed algorithm and curriculum for prescribing allergen immunotherapy in the primary care setting

Bustos,

Sanchez-Gonzalez,

Grogan

et al. 2024

npj Prim. Care Respir. Med.

View full text Add to dashboard Cite

Allergic rhinitis (AR), a condition characterized by sensitivity to allergens leading to poor quality of life, including disrupted sleep, reduced vitality, lowered mood, changes in blood pressure limited frustration tolerance, impaired focus, decreased performance in academic and professional settings, and millions of missed work and school days every year. Approximately 20–40% of individuals in the United States are affected by AR, which carries notable clinical and financial burdens. Interestingly, there is a strong link between AR and asthma to the extent that countries with a high prevalence of rhinitis have asthma rates ranging from 10% to 25%. Research has indicated that Allergen Immunotherapy (AIT) is associated with improved AR symptoms, a potential to resolve the AR over time, a decreased likelihood of asthma exacerbations and incidence of pneumonia in individuals with concurrent asthma, which are advantages that persist for years even after the cessation of treatment. Although patients presenting with allergies are first seen and treated in the primary care setting, gaps in training and the lack of available guidance for primary care practitioners have significantly impacted the quality of care for these patients with persistent AR symptoms, resulting in inefficient use of healthcare resources. To complicate matters, there is an insufficiency of allergists and immunologists, impacting the capacity to provide next-level care to the number of AR patients who could benefit from AIT. Hence, there is a critical need to equip primary care providers with educational experiences on essential concepts related to immune responses in allergies and asthma, recognizing the significance of the common airway in treating these entities and familiarization with the scientific evidence supporting various options for AIT. The development and implementation of medical education and algorithms designed to assess diverse patients’ symptoms, pharmacotherapy approaches, and situations where AIT can be initiated or sustained are warranted. The present commentary proposes a workflow model of the critical steps for managing and treating mild to moderate respiratory allergies via AIT in primary care settings. In addition, the initial development of medical education programs to minimize the burden on allergy-specialized care while, importantly, actively improving patient outcomes will be discussed.

show abstract

Current Approach to Diagnosis and Treatment of Foreign Body in Otorhinolaryngology

Milisavljevic,

Stankovic,

Djordjevic

et al. 2024

Updates on Foreign Body in ENT Practice [Working Title]

View full text Add to dashboard Cite

Foreign body (FB) in ENT is a condition frequently seen in, but not exclusive to, the pediatric population. In adults, poor eating habits, loss of dentition, alcohol consumption, and old age are the factors predisposing patients to FB pathology. Foreign bodies can be classified by type and by localization. By type, FB can be broadly classified as organic or inorganic. Special attention must be devoted to batteries. By location, FBs are commonly classified as aural, nasal, pharyngeal, ingested, and aspirated. High level of suspicion is essential for FB diagnosis. Normal physical exam does not exclude FB diagnosis. Frontal and lateral plain radiographs are helpful, but not sensitive in every case. The majority of ingested FB are low risk objects and pass through gastrointestinal tract without causing any problems. Bronchoscopy should be performed whenever there is a reasonable suspicion of aspirated FB. Recurrent or long-standing pulmonary problems warrant FB consideration.

show abstract

CT Scan in Children Suspected of Foreign Body Aspiration: A Systematic Review and Meta‐analysis

Cited by 3 publications

References 34 publications

Foreign Bodies in Pediatric Otorhinolaryngology: A Review

Foreign Bodies in Pediatric Otorhinolaryngology: A Review

Improving allergy management and treatment: a proposed algorithm and curriculum for prescribing allergen immunotherapy in the primary care setting

Current Approach to Diagnosis and Treatment of Foreign Body in Otorhinolaryngology

Contact Info

Product

Resources

About