Inhaled Foreign Bodies: Presentation, Management and Value of History and Plain Chest Radiography in Delayed Presentation

Sersar, Sameh Ibrahim; rizk, walid hassan; Bilal, Maha; El‐Diasty, Mohammad; Eltantawy, Tarik Abudlla; Abdelhakam, Bahaa Badry; Elgamal, Mohamed; Bieh, Alaa Ali Abou

doi:10.1016/j.otohns.2005.08.019

Cited by 108 publications

(22 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…By and large organic FBs are commoner than inorganic FBs; our study revealed 51.4% and 48.6% respectively and this was the finding by other authors 1920. The commonest organic FB inhaled in children is the groundnut and this concurs with our finding (25.7%) and is corroborated by other studies as well 1011162122.…”

Section: Discussionsupporting

confidence: 92%

Inhaled foreign bodies in a paediatric population at AKTH Kano-Nigeria

Ahmed

Shuiabu

2014

Niger Med J

View full text Add to dashboard Cite

Background:Inhaled foreign bodies are common paediatric emergencies and a major cause of accidental deaths at home among Nigerian children especially among children below the age of 5 years. Different types of foreign bodies have been reported from the ordinary to the most bizarre. We evaluated the types of foreign bodies and sites of possible impaction of these foreign bodies along the tracheobronchial tree.Materials and Methods:A 6-year case record of 35 patients with foreign body inhalation was reviewed from January 2005 to December 2010 at the Otorhinolaryngology Department of Bayero University/Aminu Kano Teaching Hospital, Kano — North-western Nigeria. Basic information such as date of birth, age groups, gender, indication for bronchoscopy, type of foreign bodies, sites of foreign body impaction and surgical outcome were extracted and analysed.Results:Thirty-five patients [18 (51.4%) males and 17 (48.6%) females, aged 6 months-10 years] with a mean age of 5.1 years and median of 5 years (+/- 3.0 Standard Deviation). The most affected age group with 31.4% is 3-5 years. Groundnuts and whistles were the most frequently inhaled foreign bodies with an equal frequency of 25.7%, respectively. Foreign bodies were preferentially lodged in the left main bronchus in 8 (22.9%) patients compared to the right main bronchus in 6 (17.1%) patients.Conclusion:Public enlightenment both in the news/print media on the risk of foreign body aspiration especially among the under-five's is highly advocated. The left main bronchus may be a common site for impaction as well.

show abstract

Section: Discussionsupporting

confidence: 92%

Inhaled foreign bodies in a paediatric population at AKTH Kano-Nigeria

Ahmed

Shuiabu

2014

Niger Med J

View full text Add to dashboard Cite

show abstract

“…The evolution of FBA can lead to variable degrees of respiratory distress, atelectasis, chronic coughing, recurrent pneumonia, and even death 38, 39. Previous reports indicate that male gender is present in 60—66% of cases and children in the first and second year of life are predominantly affected 40, 41. In this study the frequency of FBA in male was 63.5% and the ages 1 to 3 years were predominantly affected.…”

Section: Discussionmentioning

confidence: 46%

Foreign body aspirations in Infancy: a 20-year experience

Saki

Nikakhlagh²,

Rahim³

et al. 2009

Int. J. Med. Sci.

106

View full text Add to dashboard Cite

Objective: Foreign body aspirations comprise the majority of accidental deaths in childhood. Diagnostic delay may cause an increase in mortality and morbidity in cases without acute respiratory failure. We report our diagnostic and compare the relevant studies available in literature to our results.Methods: In our Hospital, bronchoscopy was performed on 1015 patients with the diagnosis of foreign body aspirations (from 1998 to 2008). Of these cases, 63.5% were male and 36.5% female. Their ages ranged from 2 months to 9 years (mean 2.3 years). Diagnosis was made on history, physical examination, radiological methods and bronchoscopy.Results: Foreign bodies were localized in the right main bronchus in 560 (55.1%) patients followed by left main bronchus in 191 (18.8%), trachea in 173 (17.1%), vocal cord in 75(7.4%) and both bronchus in 16 (1.6%). Foreign body was not found during bronchoscopy in 48 cases (8.7%). The majority of the foreign bodies were seeds. Foreign bodies were removed with bronchoscopy in all cases. Pneumonia occurs in only 2.9% (29/1015) patients out of our cases.Conclusion: Rigid bronchoscopy is very effective procedure for inhaled foreign body removal with fewer complications. Proper use of diagnostic techniques provides a high degree of success, and the treatment modality to be used depending on the type of the foreign body is mostly satisfactory.

show abstract

“…In a large series of 3300 patients, the mortality rate was reported to be less than 1% [43]. One of the patients in this series had an 80% obstruction of the subglottic airway after aspiration of a peanut (Figure 6) Age-appropriate equipment is crucial in order to prevent further trauma to the respiratory epithelium.…”

Section: Complicationsmentioning

confidence: 84%