Complications in Children From Foreign Bodies in the Airway

Rodríguez, Hugo; Cuestas, Giselle; Botto, Hugo; Nieto, Mary; Cocciaglia, Alejandro; Passàli, Desiderio; Gregori, Darío

doi:10.1016/j.otoeng.2016.03.006

Cited by 13 publications

(17 citation statements)

References 21 publications

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“…A delayed (more than 24 h) diagnosis of FBA is reported in almost 40% of cases. In a recent retrospective study, Rodríguez et al 7 evaluated 56 patients with FBA and described the following most common complications: pneumonia (18 cases), granuloma (15 cases) and mucosal erosion (9 cases). Another case series reported pneumonia and bronchopneumonia as the commonest FBA complications 1.…”

Section: Discussionmentioning

confidence: 99%

A history of recurrent wheezing can delay the diagnosis of foreign body aspiration in a paediatric emergency department

Colavita

Gelli²,

Pecorari³

et al. 2015

BMJ Case Reports

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Foreign body aspiration (FBA) into the airways is a potentially life-threatening event, and more frequent in children younger than 3 years of age; it can mimic other diseases by its frequently non-specific clinical and radiological presentation. The commonest misdiagnoses in children are asthma and recurrent respiratory tract infections with wheezing. This often makes it particularly difficult for a timely and proper diagnosis, especially when there is a silent history of FBA (not a rare occurrence in the age group at highest risk). We report a case of a 2-year-old boy who arrived at the emergency department at the Hospital of Ferrara, with dyspnoea, fever and wheezing, which had started 12 h after aspiration of a pistachio. The asymptomatic period after the pistachio aspiration, a history of recurrent wheezing during respiratory infections and the non-specificity of clinical and radiological findings, delayed the right diagnosis of FBA.

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Section: Discussionmentioning

confidence: 99%

A history of recurrent wheezing can delay the diagnosis of foreign body aspiration in a paediatric emergency department

Colavita

Gelli²,

Pecorari³

et al. 2015

BMJ Case Reports

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“…Granuloma forms in cases where foreign body persists for more than a week. (12) In up to 15% of patients lung atelectasis develops distally from the point of obstruction. In this area of the lung, air is absorbed, the affected area loses volume, Repeated bronchoscopy showed fibrin deposits throughout tracheal and bronchial mucosa, serous secretion in lower parts of the lung (dominantly left) along with segmental bronchi constriction, but there were no signs of foreign body.…”

Section: Prikaz Bolesnika | Case Reportmentioning

confidence: 99%

“…retracts and collapses. After foreign body removal, localized lung oedema within reexpansion occurs (12) . In our patient, the disease was of longer duration and more complicated course, mostly due to late diagnosis.…”

Section: R Eferencesmentioning

confidence: 99%

Non-resolving atelectasis after foreign body aspiration in a 17-month-old boy

Didović

Valenčak-Ignjatić

Baudoin

et al. 2020

Infektol. glas. (Online)

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“…6 The most commonly reported complications were pneumonia and respiratory distress. 7 Greater rates of serious complications have been linked to delayed presentation, diagnosis, and management. 8,9 Diagnosis is challenging in the absence of a witnessed aspiration event by caregivers.…”

Section: Introductionmentioning

confidence: 99%

Foreign Body Aspiration in Egyptian Children Clinical, Radiological and Bronchoscopic Findings

Reyad¹,

El-Deeb²,

Abbas³

et al. 2021

JMDH

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Purpose: Foreign body aspiration (FBA) is a frequent cause of childhood morbidity and mortality. Diagnosis of FBA is challenging in the absence of a witnessed aspiration event. The aim of this study was to determine the accuracy of presenting symptoms as well as physical and radiologic findings as predictors of FBA in children. Thus, indications for bronchoscopy could be determined in such cases. Methods: This retrospective cohort study was conducted in the ENT department, Kafrelsheikh University Hospital. The medical records of patients younger than 16 years old who underwent rigid bronchoscopy for suspected FBA were included. Data including age, gender, symptoms, physical examination findings, radiological features, nature and location of foreign body, and outcome of the bronchoscopy were collected. Results: This study included 130 patients, 105 (80.8%) patients were positive for the presence of a foreign body in their airways. Foreign bodies were most frequently (43.8%) lodged in the right main bronchus, and nuts (66.7%), were the most commonly retrieved. Multivariate regression analysis identified the presence of suggestive signs or symptoms as independent predictors of FBA on rigid bronchoscopy. Conclusion:Objective finding of clinical signs eg unilateral wheezes on chest examination in the presence of symptoms such as a sudden cough, dyspnea, and hoarseness could predict FBA and help physicians in deciding bronchoscopy.

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Complications in Children From Foreign Bodies in the Airway

Cited by 13 publications

References 21 publications

A history of recurrent wheezing can delay the diagnosis of foreign body aspiration in a paediatric emergency department

A history of recurrent wheezing can delay the diagnosis of foreign body aspiration in a paediatric emergency department

Non-resolving atelectasis after foreign body aspiration in a 17-month-old boy

Foreign Body Aspiration in Egyptian Children Clinical, Radiological and Bronchoscopic Findings

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