Evaluation of computed tomography virtual bronchoscopy in paediatric tracheobronchial foreign body aspiration

Bhat, K Vikram; Hegde, Jyotirmay S; Nagalotimath, Umesh; Patil, Giridhar

doi:10.1017/s0022215110000769

Cited by 46 publications

(40 citation statements)

References 13 publications

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“…Previous studies have suggested the use of 'empirical diagnostic rigid bronchoscopy' when the symptoms and Wndings on chest X-ray were suspicious for bronchial FBs [1][2][3][4][5][6][7][8][9][10][11]. However, observation of symptoms, physical examination and/or chest X-ray provides variable sensitivity, from 37 to 94% [7,10].…”

Section: Discussionmentioning

confidence: 99%

“…Even nonradio-opaque material, such as plastic LEGO pieces, have been detected in cadavers [15]. Compared to the diagnosis based on symptoms and the chest X-ray, the 3D-CTVB can increase the sensitivity (100%) and speciWcity (81-100%) of the diagnosis [8][9][10][11]. It can detect radiolucent FBs in the tracheobronchial tree.…”

Section: Discussionmentioning

confidence: 99%

“…Three-dimensional CT with virtual bronchoscopic reconstruction (3D-CTVB) is a non-invasive diagnostic technique that can provide physicians with the information needed on the presence and location of an FB [8][9][10][11]. It can help with the decision about whether a bronchoscopy is needed or not and can shorten the operation time by determining the exact location of the FB.…”

Section: Introductionmentioning

confidence: 99%

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Three-dimensional CT with virtual bronchoscopy: a useful modality for bronchial foreign bodies in pediatric patients

Jung

Pae

Chung

et al. 2011

Eur Arch Otorhinolaryngol

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Bronchial foreign bodies (FB) in children are difficult to diagnose when there is no witness to the aspiration event. The experience with three-dimensional CT and virtual bronchoscopic reconstruction (3D-CTVB) was reviewed for the diagnosis of bronchial FB in pediatric patients in this study. A retrospective review of ten pediatric patients (M:F = 5:5) who underwent rigid bronchoscopy by one otolaryngologist for the impression of a bronchial FB, at a tertiary training hospital, from February 2006 to September 2010 is reported. All patients had a plain chest X-ray and 3D-CTVB. The physical, radiological and bronchoscopic findings of the patients were analyzed. The mean duration from the aspiration event to hospital evaluation was 7 days (0-21 days). Four patients (44%) had witnesses to the aspiration event. Hyperaeration of the affected lung was noted in nine patients (90%) on the plain chest X-ray. In all of the patients, the foreign body location, suspected on the preoperative 3D-CTVB, was consistent with the intra-operative bronchoscopic findings. All FBs were successfully removed by rigid bronchoscopy without any complications. In conclusion, the 3D-CTVB was a very safe and useful diagnostic modality for bronchial FBs. The findings of this study suggest that the 3D-CTVB should be considered for the diagnosis of all patients with suspected bronchial FBs.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Three-dimensional CT with virtual bronchoscopy: a useful modality for bronchial foreign bodies in pediatric patients

Jung

Pae

Chung

et al. 2011

Eur Arch Otorhinolaryngol

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“…Sanal bronkoskopi [9] ve fleksibl bronkoskopinin [10] artarak kullanılmaya başlan-dığı yabancı cisim aspirasyonu olgularında halen altın standart yaklaşım rijit bronkoskopidir. [1,11] Kliniğimizde de başarı ile kullanılan bu yöntem ile yabancı cisim tespit edilen hastaların tamamında cisim çıkartıldı.…”

Section: Discussionunclassified

Foreign body aspiration: an urgent airway condition

Karabulut

Orhan²,

Ulusan³

et al. 2014

Kulak Burun Bogaz Ihtis Derg

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Amaç: Bu çalışmada yabancı cisim aspirasyonu olan hastaların demografik özellikleri, yabancı cisimlerinin cinsi ve konumu, ortalama hastanede kalış süresi ve ameliyat sırası ve sonrası komplikasyon oranları araştırıldı. Hastalar ve Yöntemler:Ocak 2007 -Ağustos 2010 tarihleri arasında kliniğimizde yabancı cisim aspirasyonu tanısı konulan ve genel anestezi altında rijit bronkoskopi yapılan 70 hasta (23 erkek, 47 kız; ort. yaş 32±14.5 ay; dağılım 3 ay-10 yıl) çalışmaya dahil edildi. Bulgular: Ana bulgular öksürük, hırıltı ve tanıklı aspirasyon idi. On dört hastada (%20) yabancı cisme rastlanmadı. Elli altı hastanın (%80) tamamında yabancı cisim başarı ile çıkartıldı. Yabancı cisimler 23 hastada (%41) sol ana bronşta, 18 hastada (%32) sağ ana bronşta, dört hastada (%7) trakeada, üç hastada (%5) iki taraflı ana bronşta, iki hastada (%3) karinada, iki hastada (%3) subglottik bölgede, iki hastada (%2) piriform sinüste, bir hastada (%1.7) larenks ventrikülünde ve bir hastada (%1.7) sağ vokal kordda idi. Hastaların 23'ünde (%41) yabancı cisim sert kabuklu kuruyemişler, 14'ünde (%25) baklagiller, 11'inde (%19) plastik malzemeler ve sekizinde (%14) diğer cisimlerdi.Sonuç: Yabancı cisim aspirasyonu özellikle dört yaş altı çocuklar için riskli bir durumdur. Bronkoskopi hala en yaygın kullanılan, güvenilir bir tanı ve tedavi yöntemidir. Geçmeyen öksürüğü, hırıltısı ve radyolojik görüntülemede tek taraflı akciğer bulguları olan çocuklarda yabancı cisim aspirasyonu akla gelmelidir.Anahtar Sözcükler: Havayolu tıkanıklığı; bronkoskopi; yabancı cisim aspirasyonu.Objectives: This study aims to investigate demographic features, type and localization of foreign bodies, mean hospitalization duration, and peri-and postoperative complication ratios of patients with foreign body aspiration. Patients and Methods:Seventy patients (23 males, 47 females; mean age 32±14.5 months; range 3 months to 10 years) who were diagnosed with foreign body aspiration in our clinic between January 2007 and August 2010, and performed rigid bronchoscopy under general anesthesia were included in this study.Results: Main findings were cough, wheezing, and witnessed aspiration. No foreign body was detected in 14 patients (20%). Foreign bodies in 56 patients (80%) were successfully removed. Foreign bodies were located in the left bronchial tree in 23 patients (41%), right bronchial tree in 18 patients (32%), trachea in four patients (7%), bilateral bronchial tree in three patients (5%), carina in two patients (3%), subglottic region in two patients (3%), pyriform sinus in two patients (2%), laryngeal ventricle in one patient (1.7%), and right vocal cord in one patient (1.7%). Foreign bodies were hard-shelled nuts in 23 patients (41%), beans in 14 patients (25%), plastic materials in 11 patients (19%), and other bodies in eight patients (14%). Conclusion:Foreign body aspiration is a risky condition particularly for children under the age of four. Bronchoscopy is still the most commonly used and reliable diagnosis and treatment method. Foreign body aspiration shou...

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“…Virtual bronchoscopy can further contribute to the diagnosis and location of a presumed aspirated foreign body when a chest radiograph is not informative (Konen et al 1998;Haliloglu et al 2003;Kosucu et al 2004;Kocaoglu et al 2006;Adaletli et al 2007;Cevizci et al 2008). Virtual bronchoscopy has the advantage of demonstrating smaller airways than possible to view with conventional bronchoscopy, as well as the airways beyond an obstructed bronchus (Haliloglu et al 2003;Kosucu et al 2004;Adaletli et al 2007;Cevizci et al 2008;Bhat et al 2010). However, reconstructions are time consuming and have not been shown to contribute additional information over multiplanar reconstructions (Kosucu et al 2004;Kocaoglu et al 2006).…”

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confidence: 99%