Bronchoscopic Removal of Foreign Bodies in Children: Retrospective Analysis of 822 Cases

Abstract

Depertmem of Tho rack and Cardio vasc ular Sergery.H ecette pe Unlversny, Facu lly of~ed iti ne. Anka ra. Turkey 95 Su m mary At the Depa rtm ent of Thoracic a nd Card iovascula r Surgery of Itaeeue po University. a total number of822 pedia tric bronchoscopies were performed from 191' 14 through 1990 for suspected foreign body asp iration . Of the children 65 .3 % were boys and 34,7% were girls ran ging in age from one month to 14 years . Deflnuive state ment of foreign-body aspira tion was obtai ned from 394 patients . Unilateral hyper aeration . atelecta sis. and unilateral parenchymal infiltra tion were the most common radlologtcal flndings. In all end oscopic procedures. a pediatric rigid bronchoscope was use-d under gener al anesthesia a nd controlle-d venulauon . Fore ign bodies were found in 77.7 "10 of the 822 patients. In the rest of the children infla mmatory drsordcrs .....e re confirmed. The foreign bodies most com monly found in 639 patien ts were sun-flower seeds 121 .1%1.beans (10. 4"10). water -melon seeds 110"101. and hazelnu ts 19.8 %1.In our presente-d series. the incidence of non-fatal compllcation was 1.8"10. apa rt from these pat ients 5 cr tbe m (0.6"10) die-d afier the bronchoscopic proce-d ures. Kt') ' we r dsIJronchoscopy -Foreign-body as piration -Endosco py Introdu cuonIn spite of the endoscopic tnves ug a uo n of th e res piratory tract in new bo rns a nd c hild re n having some pote ntial ris k. bronc hosco py is a n im po rta nt diagnosti c a nd the rapeutic tool . Many authors haw regarded aspiration of a for eign body into th e respiratory tract as an important cause of mortality in childre n . Especially small c hild ren. whose ai rways a re narrow and in whom th e protective m echanisms a re inadequate. a re victims u. 13. 14 I.The diagnos is offoretgn-body aspiration in in fa nts and child ren is ofte n d ifficu lt ....-ith no n-bronchoscoplc d iagnostic techniq ues. In spite of modern techniques of radiology such as co mputed to mog ra ph y. m agne tic resonance im agin g. xerora diog raphy. o nly a n e ndosco pic techn ique ca n re veal Thorac. csrcrovesc. Surgeon 39 (199 t I95-98 <t' (jeorg Thieme Verlag Sumgart -New Vurk u ronchos koptse he Entfem ung von Fremdkbr pe m bel Klndern: Eln Uc richt iibe r 822 fli ll(Ĩ n dcr Zeit von 1984 bis 1990 wurden bel Klndern im Alter von einem Nonar bis 14 Ja hren [Ma x. bei 1-3 Ja hren. 66,6%1928 Hrunchoskopien vcrgenommen. In 822 (88 ,6 %l l'all\~n bestand der Verdacht a uf cine Premdkorperas plrauon bel 639 (77.7%) Kinde m wurden Pre mdkorpcr gefunden. Hei den ubnge n Kinde m lagon entz iindliche Erkrankungen vor. 65.3% waren Jun . gen und 34.7"10 Miidchen. Ana mnestische AnRaben. die au retne Fremdk crperes ptre uon deuten . besrenden nur bei 394 Pattenten . Die hi uligsten rontgenologtsche n Merkmale wa ren emsetuge Oberblihung. Parenchyminflltration und Arelektese. Aile Endoskcpjen wurden in fl;arkose mit dem sterre n Bronchoskop vorgene mmen . l ur EinruhrunR des Bronchoskopes wu rde l usitzlich ein Laryngoskop verw end et. Die Fr...

Headscarf Pin Localized in the Right Main Bronchus and Two Pins in the Abdomen

“…Thracotomy should be performed as soon as possible in cases where the foreign body could not be removed by bronchoscopic intervention. The removal of foreign bodies by bronchoscopy through all the technological developments in experienced hands pushed the morbidity and mortality rates under 1% (13). The general approach to pins located in the abdomen is daily follow-up by direct abdominal radiography at a standing position.…”

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

“…Pulmonary abscesses and bronchiectasis are tardy manifestations of a retained airway FB and extract the object (29,34,49). Rigid bronchoscopy sanctions control of the airway, good visualization, manipulation of the object with a wide variety of forceps, and yare management of mucosal haemorrhage (20,(50)(51)(52). Bronchoscopy is successful in extracting the FB in approximately 95% of cases, with a very low complication rate of less than 1% (7,53,54).…”

Oh No! Pin Again! A Case of Foreign Body Aspiration

“…Bronkoskopik müdahale ile yabancı cisim çıkarılamayan olgulara en kısa sürede torakotomi uygulanmalıdır. Tüm teknolojik gelişmeler ile yabancı cisimlerin bronkoskopiyle çıkartılması deneyimli ellerde morbidite ve mortalite oranlarını %1'in altına düşürmüştür [8].…”