Demographic and Clinical Findings in Children Undergoing Bronchoscopy for Foreign Body Aspiration.

BACKGROUND Foreign body aspiration (FBA) is a significant cause of airway distress, mortality, and morbidity in children. Diagnosis of FBA can be challenging and is sometimes delayed for weeks or even months. If not diagnosed and treated promptly, FBA can result in serious consequences. METHODS For this retrospective study, we investigated the medical records of 89 children who underwent bronchoscopy for suspected FBA and recorded relevant demographic, clinical, and treatment data. RESULTS Of the 89 patients identified for this study, 51 had a definitive diagnosis of FBA. Among these patients, choking, chronic cough and wheezing, cyanosis, and dyspnea were the most frequent symptoms of FBA. The foreign bodies were located in the left bronchus (45.1%), the right bronchus (35.3%), the trachea (15.7%), and in both the right and left bronchi (3.9%). Seeds were the most prevalent foreign body, found in 39.2% of the patients. CONCLUSION Lack of complete medical history in patients with suspected FBA is one of the main causes of delayed FBA diagnosis. Bronchoscopy is considered the definitive diagnostic method for FBA and should be conducted in all patients with suspected FBA because of the low risk of complications and reduced probability that FBA diagnosis and treatment will be delayed.

[1]  D. Gregori,et al.  Complications in children from foreign bodies in the airway. , 2016, Acta otorrinolaringologica espanola.

[2]  C. Spanou,et al.  How Parents’ Lack of Awareness Could Be Associated With Foreign Body Aspiration in Children , 2016, Pediatric emergency care.

[3]  Ameya Bihani,et al.  A study of clinical presentations and complications of foreign body in the bronchus - own experience. , 2015, Otolaryngologia polska = The Polish otolaryngology.

[4]  Abdulazeez Ahmed,et al.  Inhaled foreign bodies in a paediatric population at AKTH Kano-Nigeria , 2014, Nigerian medical journal : journal of the Nigeria Medical Association.

[5]  M. Elsheikh,et al.  Foreign body aspiration, a continuously growing challenge: Tanta University experience in Egypt. , 2011, Auris, nasus, larynx.

[6]  B. Bokare,et al.  Management of Tracheobronchial Foreign Bodies: A Retrospective and Prospective Study , 2011, Indian Journal of Otolaryngology and Head & Neck Surgery.

[7]  K. Zur,et al.  Pediatric airway foreign body retrieval: surgical and anesthetic perspectives , 2009, Paediatric anaesthesia.

[8]  C. W. Chan,et al.  Foreign body aspiration in Hong Kong Chinese children. , 2009, Hong Kong medical journal = Xianggang yi xue za zhi.

[9]  M. Stringer,et al.  Tracheobronchial anatomy and the distribution of inhaled foreign bodies in children , 2009, European Journal of Pediatrics.

[10]  J. Ribeiro,et al.  Foreign body aspiration in children: clinical aspects, radiological aspects and bronchoscopic treatment. , 2008, Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia.

[11]  J. Ludemann,et al.  Ingested foreign bodies in children: BC Children's Hospital emergency room protocol , 2008 .

[12]  A. Cataneo,et al.  Management of tracheobronchial foreign body in children , 2008, Pediatric Surgery International.

[13]  D. Gregori,et al.  Foreign bodies in the upper airways causing complications and requiring hospitalization in children aged 0–14 years: results from the ESFBI study , 2008, European Archives of Oto-Rhino-Laryngology.

[14]  S. Hsia,et al.  Factors predicting early diagnosis of foreign body aspiration in children. , 2005, Pediatric emergency care.

[15]  G. Kiyan,et al.  [Foreign body aspiration in children]. , 2004, Kulak burun bogaz ihtisas dergisi : KBB = Journal of ear, nose, and throat.

[16]  A. Ciftci,et al.  Bronchoscopy for evaluation of foreign body aspiration in children. , 2003, Journal of pediatric surgery.

[17]  A. DeRowe,et al.  Clinical characteristics of aero-digestive foreign bodies in neurologically impaired children. , 2002, International journal of pediatric otorhinolaryngology.

[18]  R. Doğan,et al.  Bronchoscopic Removal of Foreign Bodies in Children: Retrospective Analysis of 822 Cases , 1991, The Thoracic and cardiovascular surgeon.

[19]  Kramer Ta,et al.  Tracheobronchial and esophageal foreign bodies in the pediatric population. , 1986 .

[20]  L. Salkeld,et al.  Tracheobronchial and esophageal foreign bodies in the pediatric population. , 1986, The Journal of otolaryngology.

[21]  Seymour R. Cohen,et al.  Five-Year Retrospective Study with Special Reference to Management , 1980, The Annals of otology, rhinology, and laryngology.