Foreign body aspiration: a review of current strategies for management

Abstract

The management of foreign body aspiration requires careful planning and a good understanding of the physical properties of frequently aspirated objects as well as the array of tools available for securing them. Additionally, patient-specific factors must be taken into consideration during procedure planning, including patient age, respiratory status, the location of aspirated items and underlying patient comorbidities.The sequelae of foreign body aspiration are closely related to both the nature of the foreign body itself as well as their position in the tracheobronchial tree and chronicity after aspiration; these secondary effects frequently warrant specific therapeutic intervention. Rigid and flexible bronchoscopy are the main therapeutic approaches, with specific bronchoscopic tools suited to different clinical scenarios. Procedure planning also requires thoughtful consideration of the safest approach to anesthesia, balancing patient comfort and procedural success. Foreign body aspiration is a relatively infrequent event in adults but requires experience and careful planning to manage successfully.

Late migration of an aspirated foreign body from the lung to the bowel: A plausible explanation or a medical mystery. A case report

“…Radiology plays a crucial role in the diagnosis of FB aspiration [6] . Bronchoscopy is regarded as the best diagnostic and therapeutic modality [7] .…”

The characteristics of foreign bodies aspirated by children across different continents: A comparative review

“…To the best of our knowledge, there are few review articles pertaining to FBA in children, and the literature poorly covers it. Hitter et al, Goussard et al, and Sarkar et al discussed the diagnostic values of various modalities, especially bronchoscopy, in suspected FBA 9–11 . Another study by Salih et al 2 presented the major characteristics, differential diagnosis, and management of AFBs in 2015.…”

“…Hitter et al, Goussard et al, and Sarkar et al discussed the diagnostic values of various modalities, especially bronchoscopy, in suspected FBA. [9][10][11] Another study by Salih et al 2 presented the major characteristics, differential diagnosis, and management of AFBs in 2015. Additionally, a meta-analysis that was published in 2012 reported the distribution of FB injuries according to age, gender, location, type, clinical presentation, and income level.…”

Foreign body aspiration in children

“…Sharp objects (e.g., bones, safety pins, needles) can cause perforation and migrate to sur rounding structures, causing further injuries. 4 5 Rigid bronchoscopy is the gold standard for diagnosis and intervention 5 Rigid bronchoscopes allow for optimal visualization and ventilation, as well as the ability to use larger instruments. 5 Flexible bronchoscopy may be useful for certain foreign bodies that are located in the peripheral airways.…”

“…4 5 Rigid bronchoscopy is the gold standard for diagnosis and intervention 5 Rigid bronchoscopes allow for optimal visualization and ventilation, as well as the ability to use larger instruments. 5 Flexible bronchoscopy may be useful for certain foreign bodies that are located in the peripheral airways.…”