Object-Related Aspiration Deaths in Children and Adolescents in the United States, 1968 to 2017

et al. 2020

BMC Pulm Med

Background The purpose of our study was to assess the frequency of occult foreign body aspiration (FBA) and to evaluate the diagnostic difficulties and therapeutic methods for these patients. Methods Between May 2000 and May 2020, 3557 patients with the diagnosis of FBA were treated in our department. Thirty-five patients with occult FBA were included in this study. A retrospective analysis of medical records was performed. Results Twenty-three male patients (65.7%) and 12 female patients (34.3%) were hospitalized due to occult FBA. The average age was 3.60 years (range 9 months-12 years). Most of the patients were younger than 3 years old (n = 25, 71.4%). Coughing (n = 35, 100%) and wheezing (n = 18, 51.4%) were the main symptoms and signs. All the patients were found to have a FBA under the fiberoptic bronchoscope. The most common organic foreign bodies were peanuts (n = 10) and the most common inorganic foreign bodies were pen caps (n = 5). The extraction of foreign bodies under rigid bronchoscopy was applied successfully in 34 patients. Only one patient needed a surgical intervention. Conclusions Occult FBA should always be considered in the differential diagnosis of chronic or recurrent respiratory diseases that are poorly explained, even in the absence of a previous history of aspiration.

Section: Introductionmentioning

confidence: 99%

“…Foreign body aspiration (FBA) is a common and serious health problem in childhood. It has a high incidence and can even be life-threatening [ 1 ]. Children under 3 years of age are most vulnerable to FBA, which is related to their narrow airways and immature protective neuromuscular mechanisms [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Occult foreign body aspirations in pediatric patients: 20-years of experience

et al. 2020

BMC Pulm Med

“…The study was approved by the ethics committee of the Children's Hospital of Chongqing Medical University (2019-48). As there is no precise de nition of occult FBA, relevant literature [6,7] was referred to, as well as combined with our own data, to de ne the following inclusion criteria: (1) Denies the history of FBA, (2) no typical clinical symptoms of FBA such as irritating cough; only fever, cough, wheezing and other non-typical symptoms existed, (3) no tracheal deviation was found on palpation, no tracheal tapping sound was found on auscultation, and (4) no FBs were found on radiological ndings. Children with suspected FBA but negative bronchoscopy were excluded.…”

Section: Methodsmentioning

confidence: 99%

“…Asymptomatic or long-standing occult FBA can cause irreversible complications such as bronchiectasis, bronchopleural stula, recurrent pneumonia, lung abscess, atelectasis and even death [1].…”

Section: Introductionmentioning

confidence: 99%

Occult Foreign Body Aspirations in Pediatric Patients: 20-years of Experience

et al. 2020

Preprint

Background: The purpose of our study was to assess the frequency of occult foreign body aspiration (FBA) and to evaluate the diagnostic difficulties and therapeutic methods for these patients.Methods: Between May 2000 and May 2020, 3557 patients with the diagnosis of FBA were treated in our department. Thirty-five patients with occult FBA were included in this study. A retrospective analysis of medical records was performed.Results: Twenty-three male patients (65.7%) and 12 female patients (34.3%) were hospitalized due to occult FBA. The average age was 3.60 years (range 9 months-12 years). Most of the patients were younger than 3 years old (n=25, 71.4%). Coughing (n=35, 100%) and wheezing (n=18, 51.4%) were the main symptoms and signs. All the patients were found to have a FBA under the fiberoptic bronchoscope. The most common organic foreign bodies were peanuts (n=10) and the most common inorganic foreign bodies were pen caps (n=5). The extraction of foreign bodies under rigid bronchoscopy was applied successfully in 34 patients. Only one patient needed a surgical intervention.Conclusions: Occult FBA should always be considered in the differential diagnosis of chronic or recurrent respiratory diseases that are poorly explained, even in the absence of a previous history of aspiration.

mentioning

confidence: 99%

Occult Foreign Body Aspirations in Pediatric Patients: 20-years of Experience

et al. 2020

Preprint

Background: The purpose of our study was to assess the frequency of occult foreign body aspiration (FBA) and to evaluate the diagnostic difficulties and therapeutic methods for these patients. Methods: Between May 2000 and May 2020, 3557 patients with the diagnosis of FBA were treated in our department. Thirty-five patients with occult FBA were included in this study. A retrospective analysis of medical records was performed. Results: Twenty-three male patients (65.7%) and 12 female patients (34.3%) were hospitalized due to occult FBA. The average age was 3.60 years (range 9 months-12 years). Most of the patients were younger than 3 years old (n=25, 71.4%). Coughing (n=35, 100%) and wheezing (n=18, 51.4%) were the main symptoms and signs. All the patients were found to have a FBA under the fiberoptic bronchoscope. The most common organic foreign bodies were peanuts (n=10) and the most common inorganic foreign bodies were pen caps (n=5). The extraction of foreign bodies under rigid bronchoscopy was applied successfully in 34 patients. Only one patient needed a surgical intervention. Conclusions: Occult FBA should always be considered in the differential diagnosis of chronic or recurrent respiratory diseases that are poorly explained, even in the absence of a previous history of aspiration.