Aspiração de corpo estranho em crianças: aspectos clínicos, radiológicos e tratamento broncoscópico

Fraga, Andréa de Melo Alexandre; Reis, Marcelo Conrado dos; Zambon, Mariana Porto; Toro, Ivan Contrera; Ribeiro, José Dirceu; Baracat, Emílio Carlos Elias

doi:10.1590/s1806-37132008000200003

Cited by 30 publications

(40 citation statements)

References 28 publications

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“…It was mostly located in the chest and upper abdomen and it correlated with the location of an FB. In Little's survey [25], a sore throat and chest pain were essential and nagging symptoms. Pain may be the only sign of an FB that was ingested not witnessed [5].…”

Section: Discussionmentioning

confidence: 99%

Esophageal Foreign Bodies in Pediatric Patients: A Thirteen-Year Retrospective Study

Rybojad¹,

Niedzielska

Niedzielski

et al. 2012

The Scientific World Journal

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We discuss clinical symptoms and radiological findings of variable esophageal foreign bodies as well as therapeutic procedures in Caucasian pediatric patients. A retrospective study of 192 cases of suspected esophageal foreign bodies between 1998 and 2010 was conducted. Data were statistically analyzed by chi-square test. A foreign body was removed from a digestive tract of 163 children aged 6 months to 15 years (mean age 4.9). Most objects were located within cricopharyngeal sphincter. Dysphagia occurred in 43%, followed by vomiting (29%) and drooling (28%). The most common objects were coins. Plain chest X-rays demonstrated aberrations in 132 cases, and in doubtful situations an esophagram test was ordered. In the group of thirty-seven patients whose radiograms were normal, esophagoscopy revealed fifteen more objects, which were eventually successfully removed. No major complications occurred. Esophagram should be a second X-ray examination if an object is not detected in plain chest X-ray. We recommend a rigid esophagoscopy under general anesthesia in doubtful cases as a safe treatment for pediatric patients.

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Section: Discussionmentioning

confidence: 99%

Esophageal Foreign Bodies in Pediatric Patients: A Thirteen-Year Retrospective Study

Rybojad¹,

Niedzielska

Niedzielski

et al. 2012

The Scientific World Journal

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“…Foreign body aspiration (FBA) is a common event, with significant potential for morbidity and mortality (1-4) . Children, particularly males under three years of age, are most often affected (1,5,6) .…”

mentioning

confidence: 99%

“…A diagnosis of FBA is not always easily made, because, in most cases, the parents did not witness the accident and the suspicion must be based on clinical history, physical examination, and complementary diagnostic methods (1) . In general, the clinical presentation depends on factors such as the type, size, and location of the foreign body, as well as the age of the patient.…”

mentioning

confidence: 99%

“…In general, the clinical presentation depends on factors such as the type, size, and location of the foreign body, as well as the age of the patient. It is of note that some victims are asymptomatic and show no alterations on physical examination (1,5,6) .…”

mentioning

confidence: 99%

“…The diagnosis of the FBA should be made early because a delay in its recognition and treatment can result in definitive sequelae or fatal damage. In many cases, recurrent respiratory diseases are treated for weeks or months before there is suspicion of FBA (1) .…”

mentioning

confidence: 99%

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Foreign body in the bronchus of a child: the importance of making the correct diagnosis

Barbosa

Penha²,

Zanetti

et al. 2016

Radiol Bras

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Foreign body aspiration in a tertiary Syrian centre: A 7-year retrospective study

Mohsen

Bakkar

Melhem

et al. 2021

Heliyon

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Background: Paediatric foreign body aspiration constitutes significant lethal sequela worldwide. This is the first descriptive Syrian study that aims to describe the epidemiology of foreign body aspiration in a tertiary centre in Syria. Methods: This is a retrospective cohort study conducted at the Children's University Hospital, Damascus, from 2011 to 2018 during the Syrian crisis. The children underwent rigid bronchoscopy at Al Mouwasat University hospital, the only properly equipped hospital to perform paediatric rigid bronchoscopy in Damascus. We included all cases with complete medical records of children under the age of 13 years with positive bronchoscopy findings of foreign body aspiration. The records of patients were examined, and data extracted included physical examination, CXR reports, bronchoscopy reports, and complications. Statistical package for social sciences 25.0 program for Windows was used to report frequencies, percentages, means, medians, and standard deviations. Results: Of 560 children diagnosed with foreign body aspiration, the peak incidence was at the age of 1-3 years 376 (67.2%). Most patients presented with an explicit history of inhalation 453 (80.9%). The most frequent clinical findings were dyspnoea 320 (57.1%), wheezing 308 (55%), and chest retraction 209 (37.35%). Hyperinflation 260 (46.4%) followed by pulmonary infiltration 197 (35.2%) were the most common abnormal radiological findings. Seeds 273 (48.8%) were the most frequent foreign body extracted by rigid bronchoscopy. The right main bronchus 255 (40.2%) was the most frequent site of foreign body lodgement. Lobar pneumonia 16 (2.8%) was the commonest complication of foreign body aspiration. Conclusion: Foreign body aspiration is a major public health problem in Syria. The child's welfare must be our paramount concern. To prevent this accident, we should address a change in raising public health awareness with regards to appropriate food and eating habits. This would limit hazardous complications.

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Aspiração de corpo estranho em crianças: aspectos clínicos, radiológicos e tratamento broncoscópico

Cited by 30 publications

References 28 publications

Esophageal Foreign Bodies in Pediatric Patients: A Thirteen-Year Retrospective Study

Esophageal Foreign Bodies in Pediatric Patients: A Thirteen-Year Retrospective Study

Foreign body in the bronchus of a child: the importance of making the correct diagnosis

Foreign body aspiration in a tertiary Syrian centre: A 7-year retrospective study

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