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

Abstract

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.

Pediatric Esophageal Foreign Bodies: The Role of Socioeconomic Status in Ingestion Patterns

“…The present study also identified high risk demographic and clinical factors associated with dangerous EFB ingestion and complications. Contrary to previous studies identifying younger children as being at higher risk for foreign body ingestion, 2,37,38 we found that older children were at a higher risk of ingesting dangerous FBs. This may be due to increased manual dexterity as children develop and better mobility that permits them access to battery compartments of toys or previously inaccessible storage spaces in the home.…”

Asociación entre el tiempo de enfermedad previo a broncoscopia y tiempo de alta posbroncoscopia en pacientes pediátricos con aspiración de cuerpo extraño: estudio de cohorte retrospectivo en un centro de referencia peruano, 2014-2019.

“…Se excluyeron aquellos pacientes con una localización del cuerpo extraño distinta a la laringe, tráquea o árbol bronquial derecho o izquierdo y/o aquellos en los que el tiempo de enfermedad fue mayor de 18 días, considerando que tiempos mayores no serían emergencias pediátricas (13) . Los pacientes con ausencia de cuerpo extraño y las historias clínicas que no cumplieron con un llenado adecuado también fueron excluidas.…”

Połknięcie ciała obcego przez pacjenta pediatrycznego — analiza przypadków oraz wątki prawne

“…A foreign body aspiration is a common event among paediatric patients. Children under 3 years of age are at the most risk due to their narrow airways and immature protective neuromuscular mechanisms [1]. Usually, the event is discovered by caregivers immediately due to a sudden attack of coughing, dyspnoea and wheezing in the child.…”