Removal of foreign bodies from the respiratory tract of young children: Treatment outcomes using newly developed foreign-body grasping forceps

Endoh, Masao; Oizumi, Hiroyuki; Kanauchi, Naoki; Kato, Hirohisa; Ōta, Hiroshi; Suzuki, Jun; Watarai, Hikaru; Nakamura, Megumi; Sadahiro, Mitsuaki

doi:10.1016/j.jpedsurg.2016.02.045

Cited by 15 publications

(54 citation statements)

References 5 publications

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“…However, the use of flexible bronchoscopy for the extraction of airway foreign bodies in children has been hampered by the small caliber of the suction channel and lack of appropriate instruments available to grasp the airway foreign bodies. [ 2 ] Even though many studies attempted to use various types of instruments, such as forceps or baskets, for extraction of foreign bodies in the airway,[ 2 9 10 11 12 13 ] the lack of standard equipment for foreign body removal in airway has been a hindrance.…”

Section: Discussionmentioning

confidence: 99%

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Foreign body removal by flexible bronchoscopy using retrieval basket in children

et al. 2018

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OBJECTIVES:Aspiration of foreign bodies into the tracheobronchial tree is a common accident in children. This study aimed to evaluate the safety and outcome of foreign body removal by flexible bronchoscopy using a retrieval basket in children.METHODS:This was a retrospective study of children treated for foreign bodies in the airway via flexible bronchoscopy using a retrieval basket at a tertiary hospital in Korea between February 2014 and October 2017. The medical records of the patients were retrospectively reviewed and analyzed.RESULTS:A total of 20 children underwent foreign body removal from the airway via flexible bronchoscopy using a retrieval basket. The median age of the patients was 16 (range, 10–21.5) months, and 12 (60%) were male. Foreign bodies removed included 16 (80%) organic items including peanuts, almond, and beans, and 4 (20%) inorganic items including a plastic bag, metal screw, spring, and Lego brick. The locations of the foreign bodies included the central airway (n = 5; trachea, n = 4; subglottic area, n = 1), right bronchial tree (n = 9), and left bronchial tree (n = 6). Successful removal was observed in 18 (90%) cases. The only complication that occurred was mild laryngeal edema (n = 2) after the procedure; both improved with corticosteroid administration.CONCLUSION:Flexible bronchoscopic extraction of a foreign body in the airway using a retrieval basket in children can be performed successfully with minimal complications.

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Section: Discussionmentioning

confidence: 99%

“…Endoh et al . [ 12 ] reported 24 cases of airway foreign body removal using flexible bronchoscopy; all the patients were under 5 years of age. A study from Germany also reported cases of foreign body aspiration with the majority in preschool-aged children.…”

Section: Discussionmentioning

confidence: 99%

Foreign body removal by flexible bronchoscopy using retrieval basket in children

et al. 2018

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“…The study selection process is presented graphically in Figure1. Of these, 23 studies met our inclusion criteria [2][3][4][5][6][7][8][9][10][11][12][13]15,16,18,23,26,28,31,[38][39][40][41] . The majority of the included studies were retrospective, apart from one 6 which was prospective.…”

Section: Literature Searchmentioning

confidence: 99%

“…The majority of the included studies were retrospective, apart from one 6 which was prospective. All studies were published between 2001 and 2021, whereas 17/23 2,3,7,8,[10][11][12][13]15,16,18,23,28,[38][39][40][41] were published during the last 5 years. Among the studies fulfilling the inclusion criteria, 5 3,12,18,23,31 were conducted in Europe, 15 in Asia 2,4,5,7,8,10,11,13,15,16,28,38-41 , 2 in North America 9,26 , and 1 in Africa 6 .…”

Section: Literature Searchmentioning

confidence: 99%

Flexible bronchoscopy in foreign body removal in the pediatric population: A Systematic Review

Chantzaras

Panagiotou

Karageorgos

et al. 2021

Preprint

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Background: Foreign body aspiration (FBA) in the tracheobronchial tree is a common problem in the pediatric population. Rigid bronchoscopic procedure is currently the gold standard method for treatment in pediatric patients, whereas recent reports present flexible bronchoscopy as an alternative method. The aim of this study was to summarize all available evidence regarding the application and the success rate of flexible bronchoscopy in foreign body (FB) removal. Methods: Systematic review of the use of flexible bronchoscopy as the first-line treatment in FBA cases in PubMed from 2001 to 2021. Results: Out of 243 citations, 23 studies were included on the use of flexible bronchoscopic procedure as a treatment of choice in 2,587 children with FBA. The FBs were successfully removed in 2,254/2,587 (87.1%) patients with a low complication rate. The majority of FBs retrieved were organic materials 1,073/1,370 (78.3%), and they were most commonly lodged in the right bronchial tree 708/1,401 (50.5%). General anesthesia was applied in most studies (14/23) before proceeding to a flexible bronchoscopy and laryngeal mask airways (LMAs) were mostly used (10/23 studies) to secure the airway during the procedure. Ancillary equipment, usually forceps 1,544/1808 (85.4%) assisted in the FB retrieval. Conclusion: The use of flexible bronchoscopy is shown to be a feasible and safe alternative therapeutic procedure in FBA cases. There is a need for development of extraction equipment and techniques to assist the procedure. Finally, future studies focusing on the comparison between clinical outcomes of flexible and rigid bronchoscopies are necessary.

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“…Most of the instruments came from pediatric urology or gastroenterology invasive procedures, thus, made the removal of FB more feasible in the pediatric population. Until now, small studies were published regarding the removal of FB in children by flexible bronchoscopy, with high rate of efficacy and high safety profile [1,[14][15][16][17][18][19]. Our aim was to compare flexible to rigid bronchoscopy in the removal of FB, regarding efficacy and safety.…”

Section: Introductionmentioning

confidence: 99%

From rigid to flexible bronchoscopy: A tertiary center experience in extraction of inhaled foreign bodies in children

Golan‐Tripto

Weinstein

Tsaregorodtsev

et al. 2020

Preprint

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Background: Rigid bronchoscopy is the procedure of choice for removal of inhaled foreign bodies, with certain complication rate. Aim: to assess whether flexible bronchoscopy is an efficient and safe procedure in extraction of foreign bodies in children, compared to rigid bronchoscopy. Then, to further assess if it is associated with a shorter procedure time, and shorter length of stay in the hospital (LOS). Methods: a retrospective study including patients aged 0-18 years, that were hospitalized in Soroka University Medical Center throughout 2009-2019, and underwent flexible or rigid bronchoscopy for the removal of inhaled

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Removal of foreign bodies from the respiratory tract of young children: Treatment outcomes using newly developed foreign-body grasping forceps

Cited by 15 publications

References 5 publications

Foreign body removal by flexible bronchoscopy using retrieval basket in children

Foreign body removal by flexible bronchoscopy using retrieval basket in children

Flexible bronchoscopy in foreign body removal in the pediatric population: A Systematic Review

From rigid to flexible bronchoscopy: A tertiary center experience in extraction of inhaled foreign bodies in children

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