Foreign body aspiration in children

Schmidt, Holger; Manegold, B. C.

doi:10.1007/s004640000142

Cited by 87 publications

(93 citation statements)

References 18 publications

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“…In paediatrics, commonly aspirated FBs are nuts, victual particles, equipment, and parts or bits of toys, peanuts (36-55% of FBs aspirations in civilized countries), seeds and popcorn (9)(10)(11)13,14).…”

Section: Review Articlementioning

confidence: 99%

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Review of tracheobronchial foreign body aspiration in the South African paediatric age group

Sultan¹,

As²

2016

J. Thorac. Dis.

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Children, and in particular young children under the age of three, are the most vulnerable for aspiration and ingestion of foreign bodies (FBs). The Red Cross War Memorial Children's Hospital in Cape Town is the only children's hospital in South Africa and is unique in having a dedicated trauma unit for children under the age of 13 as part of its institution. Core activities of Childsafe South Africa (CSA), located at the hospital, are data accumulation and interpretation, development of educational programmes, health inculcation and advising in legislation involving child health. To achieve this task, CSA works in close co-operation with government, industry, non-governmental and community predicated organisations, community groups and individuals. A database of all children treated for trauma at CSA has been maintained since 1991; it currently contains detailed information of over 170,000 injuries in children under the age of 13.This review consists of a literature review combined with data from our database and aims to provide information on our experiences with tracheobronchial aspiration of FBs in children.

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Section: Review Articlementioning

confidence: 99%

“…It has been estimated that the vast majority of FB aspiration takes place in children under the age of 4, while the peak incidence seems to occur between the age of 12 and 24 months (7)(8)(9)(10)(11)(12)(13)(14). These children can move around…”

Section: Introductionmentioning

confidence: 99%

Review of tracheobronchial foreign body aspiration in the South African paediatric age group

Sultan¹,

As²

2016

J. Thorac. Dis.

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“…During bronchoscopy, objects were found most often in the right main stem bronchus followed by the left, as in most surveys [7][8][9][10][11][12][13][14][15][16]]. An exception was found in two studies in which patients under 3 years of age inhaled FBs into the left bronchus slightly more frequently (51.4% and 55.0%) [17,18].…”

Section: Discussionmentioning

confidence: 99%

“…Schmidt and Manegold reported fever as the predominant clinical symptom of a FB (46%), followed by pneumonia (39%) and coughing (29%) [13]. The clinical picture varies depending on how long the FB has been lodged.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis of paediatric airway foreign body: is it easy?

Rybojad¹,

Niedzielska

Rudnicka–Drożak

2014

Open Medicine

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AbstractForeign-body aspiration in children results in diagnostic problems, mainly because of nonspecific signs. Therefore, in this study, we placed particular stress on false-positive and -negative predictors. Charts of 139 consecutive paediatric patients aged 6.0 months to 15.5 years who underwent bronchoscopy for a suspected foreign body aspiration were analysed retrospectively. A foreign body was found in 95 cases (68%). The anamnesis was positive in 91%. Cough was the most common clinical symptom (91%) with a sensitivity and specificity of 94% and 23%, respectively. There were no significant correlations between clinical symptoms and the locations of foreign bodies. The majority of focal hyperinflation (24%) and atelectasis (15%) were seen in chest radiographs, with a sensitivity and specificity of 33% and 89% (hyperinflation) and 15% and 82% (atelectasis), respectively. Chest X-rays were normal in 46 cases; however, an object was removed in 25. Persistent infiltrates were present in 14 X-rays, and a foreign body was extracted during bronchoscopy in 4. A highly significant correlation between the type of foreign body and radiological signs was noted (p = 0.00001). Anamnesis, clinical symptoms, and radiological findings are helpful in confirming aspiration, but can be misleading. Chronic or recurrent pneumonia should prompt further bronchoscopic diagnosis.

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“…In this study, a positive history of FB in the aerodigestive tract was recorded in 93.9% of cases and 69.4% of these were found to be asymptomatic on admission which is comparable to other st udies. [8] Esophagus is the most common site of FB impaction, followed by laryngo-tracheobronchial tree. [9] Once FB crosses the cricopharynx, it can pass whole gastrointestinal tract.…”

Section: Discussionmentioning

confidence: 99%

Foreign bodies in digestive tract of children: A tertiary care hospital experience

Singh¹,

Dubey²,

Pandey³

et al. 2014

Int J Med Public Health

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Introduction: Foreign bodies in the digestive tract are an important cause of morbidity and mortality in paediatric age group and pose diagnostic and therapeutic challenges We performed this study to evaluate our experience of foreign bodies of digestive tract in children over a fi ve year period in a tertiary referral center. Patients and Method: A retrospective study was conducted over a 5-year period between April 2009 and March 2013. All patients who were managed for foreign body in digestive tract up to 12 years of age were included and analysis was performed from case record of patients. Results: Total 97 patients with FB in digestive tract were included in the study FB was most commonly lodged in Upper esophagus in 61 patients, middle esophagus in 12 cases lower third of esophagus in 14 cases and beyond gastro-oesophageal junction in 10 cases. The most common clinical presentations were dull pain. Coins were the most common type of foreign body in the esophagus accounting for 71.1% of patients. Plain neck and chest x-rays antero-posterior and lateral view was diagnostic in all cases, with all FB being opaque. Rigid oesophagoscopy and removal under general anesthesia was the main treatment modality performed in 63 (65.8%) and Magill forceps extraction was done in 20 cases. Conclusion: Foreign bodies in digestive tract of children are a common problem with diverse presentation. Disc battery ingestion is prone for complication and expedient removal is required & associated conditions can pose risk for lodgment of foreign bodies.

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Foreign body aspiration in children

Cited by 87 publications

References 18 publications

Review of tracheobronchial foreign body aspiration in the South African paediatric age group

Review of tracheobronchial foreign body aspiration in the South African paediatric age group

Diagnosis of paediatric airway foreign body: is it easy?

Foreign bodies in digestive tract of children: A tertiary care hospital experience

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