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

Abstract

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.

Prevalence of Foreign Body Aspiration in a Mozambican Quaternary Care Hospital

“…The aspiration of FB is almost exclusive to children, as shown by our results and the literature consulted [6,[8][9][10][11][12]. At these ages, FB aspiration accidents often occur because children eat while jumping on swings, jumping ropes, and playing other games.…”

“…The bronchial location is the most common among all airway locations [8,11,12,14,15], followed by the trachea and larynx. According to the literature [16], the setting of the FB in one of the bronchi depends on the oldness of the patient and the physical position of the patient at the time of aspiration (vertical position), knowing that the angle that is formed between the trachea and the two bronchi is similar until the age of 15, we can find a FB in either bronchus (if the patient is in an upright position) with the same probability.…”

Analysis of Outcomes of Early and Late Management of Inhaled Foreign Bodies

“…Radiological imaging can help detect these complications and guide appropriate management. In a study by Reyad et al (12) , the authors reported that X-ray of the left and right bronchi was useful in detecting complications of inhaled foreign bodies, including atelectasis, pneumonia, and lung abscess.…”

Effect of Educational Intervention on Mothers' Knowledge and Practices Regarding Choking Management from Foreign Body Aspiration for Their Children

“…Foreign Body Aspiration (FBA) is a critical pediatric problem that requires timely diagnosis and prompt management. It leads to either complete or partial airway obstruction and causes significant morbidity and or mortality (Reyad et al, 2021& Alshehri et al, 2019. It has been estimated that the vast majority 80% of pediatrics' foreign body aspiration episodes occur in children younger than 3 years with a peak prevalence between 1 and 2 years of age, during the toddler stage of development (Rose & Dubensky, 2019).…”