Delayed diagnosis of foreign body aspiration in children

Late diagnosis of foreign body aspiration in children with chronic respiratory symptoms

“…Delayed diagnosis of FBA is an important problem especially in developing countries; 17-69% of the patients were diagnosed more than 7 days after FBA in different studies [6]. Few studies reported clinical and radiological findings of the patients who were diagnosed more than a month [2,4,7,8,11,12]. In our study, 50% of the patients were diagnosed at least 3 months after the FBA, longest period being 11 years.…”

Management strategies in foreign-body aspiration

“…Parents must also be informed about the risks of delayed presentation, which is the main cause of long-term complications such as recurrent airways infection or chronic pneumonia. 3,[8][9] The typical history, the plain chest radiography and the positive clinical finding are the main criteria for diagnosis in most of the centers. Missed diagnosis of organic FB (especially nuts and seeds) left in situ can radiograph radiograph a f t e r 2 4 h lead to an increased inflammatory response due to their oil content.…”

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

“…Although the application of fl exible bronchoscope in FB removal has not been widely accepted, [10][11][12] accumulated experience in FBA removal using a fi brobronchoscope as the fi rst choice has been reported in adults and children in recent years. [4,5,13,14] Our unit, a provincial pediatric hospital with more than 800 beds, receives patients from all over the province and also from the neighboring districts. Since 1997, we have tried to apply fi brobronchoscope in the initial evaluation and retrieval of FBs.…”