Suspected Foreign Body Inhalation in Children: What Are the Indications for Bronchoscopy?

Çocuk hastalarda yabancı cisim aspirasyonu nedeniyle uygulanan rijid bronkoskopi sonuçlarımız

“…In our retrospective evaluation, normal lung graphy and physical examination findings were found to be common in foreign body aspiration. In the study performed by Chen et al (5) in which 142 patients were undergone bronchoscopy, foreign body was found in 6% of 31 patients who had normal physical examination and radiologic findings. The rate of absence of foreign body on bronchoscopy was found to be 17.7% (n=71) in our study.…”

“…Although flexible bronchoscopy is considered as an option in foreign body aspiration because it does not require general anesthesia, sedation is sufficient, it can demonstrate distal airways and it decreases hospitalization time, the golden standard is rigid bronchoscopy in presence of findings including asphyxia, radioopac foreign body, unilaterally decreased lung sounds, mediastinal shift or emphysema (3,6). To prevent unnecessary bronchoscopies flexible bronchoscopy is performed primarily in operation room conditions and then rigid bronchoscopy is performed, if necessary in some centers (5). In children with normal physical examination and radiologic findings, clinical follow up is recommended.…”

Anesthesia for Removal of Foreign Bodies in Lower Respiratory Tracts in Souro Sanou University Hospital Center in Bobo-Dioulasso: About 46 Cases

“…For most authors the penetration syndrome is constant and must always be sought [10,11]. In this context, cough is the most common symptom for some authors [12,13] . In paraclinical level, in our study the chest radiography found a FB radio-opaque (Figure 1) in 17.39% of cases.…”

Foreign Body Aspiration: Imaging Aspects

“…Most cases occur under the age of 4 years (Mantel and Butenandt 1986;Esclamado and Richardson 1987;Piepsz 1988;Schmidt and Manegold 2000;Oguz et al 2000;Lima and Fischer 2002;Roda et al 2008;Kitcher 2009;de Sousa et al 2009;Goktas et al 2010;Orji and Akpeh 2010;Paksu et al 2012;Pan et al 2012;Boufersaoui et al 2013). When the history of a foreign body aspiration is definite, bronchoscopy is the modality of choice for both diagnosis and management (Cohen et al 2009;Ezer et al 2011;Mortellaro et al 2013;Samkani et al 2013). Until recently, rigid or flexible bronchoscopy was used for diagnosis, while removal of foreign bodies was carried out by rigid bronchoscopy only (Friedman 2000;Lima and Fischer 2002;Ayed et al 2003;Ciftci et al 2003;Lima et al 2008;Cohen et al 2009;Albirmawy and Elsheikh 2011).…”