Foreign bodies in the tracheobronchial tree: A prospective study of fifty cases

Kaur, Kamaljit; Sonkhya, Nishi; Bapna, Ajay

doi:10.1007/bf02911002

Cited by 34 publications

(13 citation statements)

References 11 publications

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“…In children, these anatomical differences between the right and left bronchi are less prominent and therefore, they have an equal distribution of foreign bodies. 10 Yang et al found a higher incidence of foreign bodies in the left bronchus in their study. 11 Usually, the foreign body which impacts into supraglottis, tracheal lumen, carina and the mainstem bronchi could prove fatal.…”

Section: Discussionmentioning

confidence: 66%

“… 11 Hygroscopic nature of organic foreign body leads to progression from partial to complete airway obstruction with prolonged duration of aspiration. 10 …”

Section: Discussionmentioning

confidence: 99%

“…The other causes of difficulties may be due to spherical shape of the foreign body, airway edema, bronchospasm, prolonged duration of foreign body impaction, granulation tissue formation, increased secretion and bleeding. 4 , 5 , 10 …”

Section: Discussionmentioning

confidence: 99%

“…Kaur et al have reported the complication rate to be 10%. 10 The common complications are laryngeal edema, bronchospasm, pneumothorax, pneumomediastinum, cardiac arrest, tracheal or bronchial laceration and hypoxic brain injury. 5 The mortality rate in this study due to foreign body aspiration was 6.12% which is higher than that reported by Kaur et al, which was 2%.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of Foreign Body Aspiration in Children in a Tertiary Care Hospital

et al. 2021

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Introduction: Foreign body aspiration is a common problem in children with signifi cant mortality and morbidity. This study aims to determine the prevalence of foreign body aspiration in children in a tertiary care hospital of Nepal. Methods: A descriptive cross-sectional study was conducted at Tribhuvan University Teaching Hospital from April 2010 to March 2016 after obtaining ethical approval from Institutional Review Committee (Reference number- 08(6-11)E277/78). All children of age up to 15 years with suspected foreign body aspiration were included. The data was collected from the medical record section and entered in Microsoft Excel. The descriptive statistical analysis was performed. Results: A total of 26,294 patients were included in the study. The prevalence of foreign body aspiration in children was found to be 98 (0.37%). On rigid bronchoscopy, 82 patients (83.6%) were confirmed to have a foreign body in the airway. The peak incidence of foreign body aspiration was seen in patients of age group one to two years. The commonest foreign body in the airway was a peanut. Conclusions: The prevalence of foreign body aspiration in children was low, which is similar to other studies. Foreign body aspiration may lead to dreadful complications. Therefore, both the clinicians and the public need to be cautious about it.

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Section: Discussionmentioning

confidence: 66%

“… 11 Hygroscopic nature of organic foreign body leads to progression from partial to complete airway obstruction with prolonged duration of aspiration. 10 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Prevalence of Foreign Body Aspiration in Children in a Tertiary Care Hospital

et al. 2021

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“…High incidence of foreign body aspiration (FBA) in infants and younger children is common as toddlers use their mouth to explore their surroundings. This can lead to high mortality and morbidity if it is not diagnosed and managed in time [ 1 , 2 ]. The most common types of FBA in children are seeds, peanuts, food particles, and toys.…”

Section: Introductionmentioning

confidence: 99%

A Novel Two Surgeons Approach to Bronchial Foreign Body Removal by Optical Instruments- An 11 Years Institutional Experience

Sikdar

Mahajan

Nivsarkar

et al. 2021

Indian J Otolaryngol Head Neck Surg

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A potentially life-threatening emergency in ENT practice is the aspiration of tracheobronchial foreign body. This commonly affects young children and requires early extraction. Successful removal provides immediate relief. However procedural complications can cause devastating morbidity like anoxic encephalopathy or instant death. The aim of this study is to describe the experience in our institution with two surgeons approach for removal of tracheobronchial foreign bodies by telescope and optical forceps. This is an observational study from the period of March 2010 to April 2021 in which 96 patients (59 males, 37 females; age range 3 months to 15 years) were diagnosed with foreign body aspiration. In all cases rigid bronchoscopy and FB removal under general anaesthesia was performed using the two surgeons technique. This technique was instituted once Storz make paediatric telescope (2.9 mm diameter 36 cm length), optical grasping forceps and optical suction were procured in March 2010. Aspirated material was inorganic or organic with varying location in right main bronchus, left main bronchus or the trachea. We highlight the OT setup, surgical algorithm and the advantages of this technique. Visual and tactile coordination between the two surgeons being the crux of this procedure; allows hands on mentoring of the next generation of budding surgeons in a real-life scenario without compromising patient safety. Supplementary Information The online version contains supplementary material available at 10.1007/s12070-021-02847-8.

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A child with a foreign body in bronchus misdiagnosed as asthma

Chaudhary

Shrestha

Kurmi

2020

Clinical Case Reports

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Foreign body (FB) aspiration is common in infants and younger children with a high incidence in toddlers as they use their mouth to explore the surroundings. It can lead to high mortality and morbidity if it remains undiagnosed and unaddressed appropriately in time. 1,2 The most common types of FB aspiration in children are seeds, peanuts, food particles, and toys. Items such as coins, paper clips, pins, and pen caps are usually noticed to be aspirated in older children. 3,4 The diagnosis of FB aspiration in airways is difficult in cases with an uncharacterized medical history and discrete symptoms. Delay in the diagnosis of a FB is mainly due to parents not witnessing the choking crisis along with failure to diagnose the condition by the primary physician because of its atypical presentation and misleading radiological findings, which often leads to therapeutic challenges. 5 Aspiration of organic FB leads to airway mucosal inflammation and edema in the acute stage. Further, if FB in airways is missed, granulation tissue forms, which later on can lead to symptoms masquerading difficult bronchial asthma along with recurrent/persistent pneumonia. Here, we report an 11-year-old child with FB aspiration who initially was misdiagnosed and treated as asthmatic patient. Later on, he was diagnosed to have FB in the right bronchus, which was successfully removed by flexible bronchoscopy. 2 | CASE REPORT An 11-year-old boy was brought to the pediatric outpatient department with complaints of recurrent cough, tightness of chest, and breathing difficulty for the last 18 months. The child was a product of nonconsanguineous parents. The child was asymptomatic 18 months prior and doing well. Developmentally, he was normal, and his scholastic performances were normal. There was no reported family history of asthma or tuberculosis. Eighteen months back, the child developed sudden-onset cough, wheeze, and fever for which he was diagnosed as pneumonia and treated with oral antibiotics (amoxicillin-clavulanic acid) and bronchodilators (oral salbutamol syrup; nebulization-salbutamol, ipratropium bromide, and budesonide) by his local pediatrician. Chest X-ray showed right-sided hyperinflation (Figure 1A). The child responded well to the above treatment. Later on, the child had repeated reoccurrence of symptoms for which he received several courses of oral antibiotics (amoxicillin-clavulanic acid) along with bronchodilators (oral salbutamol syrup)

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Foreign bodies in the tracheobronchial tree: A prospective study of fifty cases

Cited by 34 publications

References 11 publications

Prevalence of Foreign Body Aspiration in Children in a Tertiary Care Hospital

Prevalence of Foreign Body Aspiration in Children in a Tertiary Care Hospital

A Novel Two Surgeons Approach to Bronchial Foreign Body Removal by Optical Instruments- An 11 Years Institutional Experience

A child with a foreign body in bronchus misdiagnosed as asthma

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