Airway foreign body removal by flexible bronchoscopy: experience with 1027 children during 2000–2008

Tang, Lanfang; Xu, Yingchun; Wang, Yingshuo; Wang, Cai-Fu; Zhu, Guiyu; Bao, Xing-Er; Lu, Meiping; Chen, Lianxiang; Chen, Zhimin

doi:10.1007/s12519-009-0036-z

Cited by 149 publications

(197 citation statements)

References 25 publications

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“…The average delay between the development of symptoms and the diagnosis of FB aspiration ranged from 10 days to 11 months in previous studies (6,7,12) and a longer delay (15 month on average) was observed in our study. This is different from children, in whom a delayed diagnosis is rare (10,13,14). This is believed to be related to the fact that FBs lodged in the proximal airways (trachea and main bronchus) are probably more prone to be symptomatic than FBs located in peripheral airways.…”

Section: Discussionmentioning

confidence: 89%

Removal of Tracheobronchial Foreign Bodies in Adults Using a Flexible Bronchoscope: Experience with 200 Cases in China

et al. 2012

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Objective Tracheobronchial foreign bodies (FBs) are frequently present in adults. This study reports our experience with the managements of FB and FB-related complications using flexible bronchoscopy. Methods We retrospectively reviewed the adult patients with FBs treated between 2001 and 2011 in China. The demographic and endoscopic data were collected and analyzed. Results A total of 200 adult patients (136 men and 64 women) with an average age of 51 years were analyzed. The most common FBs included bones (51.0%), nut shells (15.0%), food boluses (7.0%), plastic toys or pen caps (6.5%). After FB aspiration occurred, only 11.0% were diagnosed within three days, while more than half of the patients (58.0%) delayed the diagnosis by more than one month. The incidence of FB-related complications was 79.5%, including granulation formation (76.5%), obstructive pneumonia (22.0%), hemorrhage (14.5%), atelectasis (10.0%) and endobronchial stenotic scarring (8.0%). In 96.5% of the patients, the FBs were successfully removed under flexible bronchoscopy. A total of 53 out of the 153 patients with granulation (34.6%) were managed by argon plasma coagulation (APC) or cryotherapy; two out of the sixteen patients with endobronchial stenotic scars were treated by balloon dilation under flexible bronchoscopy. Conclusion A high incidence of FB-related complications occurs, likely as a result of the long delay between aspiration and diagnosis, a proportion of which require endoscopic intervention. The removal of FBs under flexible bronchoscopy has a high success rate and therefore should be recommended for adults.

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Section: Discussionmentioning

confidence: 89%

Removal of Tracheobronchial Foreign Bodies in Adults Using a Flexible Bronchoscope: Experience with 200 Cases in China

et al. 2012

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“…In children with lower airway FBA, the most prevalent radiographic findings are listed in Table 3 (27,28,41,42).…”

Section: Diagnosismentioning

confidence: 99%

“…Alternatively, flexible (rather than rigid) bronchoscopy is utilized to extract the FB in some centers with experience in this technique (28,51,56,57). This technique customarily is circumscribed to older adolescents or adolescent adults.…”

Section: Mediastinal Shiftmentioning

confidence: 99%

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Review of tracheobronchial foreign body aspiration in the South African paediatric age group

Sultan¹,

As²

2016

J. Thorac. Dis.

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Children, and in particular young children under the age of three, are the most vulnerable for aspiration and ingestion of foreign bodies (FBs). The Red Cross War Memorial Children's Hospital in Cape Town is the only children's hospital in South Africa and is unique in having a dedicated trauma unit for children under the age of 13 as part of its institution. Core activities of Childsafe South Africa (CSA), located at the hospital, are data accumulation and interpretation, development of educational programmes, health inculcation and advising in legislation involving child health. To achieve this task, CSA works in close co-operation with government, industry, non-governmental and community predicated organisations, community groups and individuals. A database of all children treated for trauma at CSA has been maintained since 1991; it currently contains detailed information of over 170,000 injuries in children under the age of 13.This review consists of a literature review combined with data from our database and aims to provide information on our experiences with tracheobronchial aspiration of FBs in children.

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“…Some authors have also recommended the use of flexible bronchoscopes for the management of FB aspiration in children [154,155], and in some centres this has become the most frequently used option. In this context, ASLAN et al [156] presented a case documenting the importance of follow-up flexible bronchoscopy, even after successful FB removal with a rigid instrument.…”

Section: Paediatric Bronchologymentioning

confidence: 99%

Paediatrics in Barcelona

et al. 2014

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Airway foreign body removal by flexible bronchoscopy: experience with 1027 children during 2000–2008

Abstract: Flexible bronchoscopy is useful and safe in retrieving airway foreign bodies in children. With skilled personnel and perfect equipments, flexible bronchoscopy could be considered as the first choice for the removal of airway foreign body.

Cited by 149 publications

References 25 publications

Removal of Tracheobronchial Foreign Bodies in Adults Using a Flexible Bronchoscope: Experience with 200 Cases in China

Removal of Tracheobronchial Foreign Bodies in Adults Using a Flexible Bronchoscope: Experience with 200 Cases in China

Review of tracheobronchial foreign body aspiration in the South African paediatric age group

Paediatrics in Barcelona

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