Foreign body aspiration in children: Experience from 2624 patients

Boufersaoui, Abderrahmane; Smati, Leila; Benhalla, K.N.; Boukari, Rachida; Smail, Said; Anik, Karima; Aouameur, Rachida; Chaouche, H.; Baghriche, M.

doi:10.1016/j.ijporl.2013.07.026

Cited by 155 publications

(157 citation statements)

References 27 publications

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“…Children in this age group are more vulnerable because of development of ability to stand and move around, tendency to use their mouth to explore the surroundings, lack molars, incomplete coordination between chewing and swallowing and lack of close supervision. FB aspiration was predominant in male children i.e.70.4% , as corroborative with other studies [4,5,7]. Although there was clear witness of aspiration of FB by an adult in 58 (81.7%) children and another 4 (5.6%) children had circumstantial evidence in our study, aspiration of FB was not witnessed in 9 (12.6%) children.…”

Section: Discussionsupporting

confidence: 90%

“…Majority of children i.e 80.3%, were below 3 years of age, with mean age of 27.32 months. Similar observations were made in other studies [4][5][6]. Children in this age group are more vulnerable because of development of ability to stand and move around, tendency to use their mouth to explore the surroundings, lack molars, incomplete coordination between chewing and swallowing and lack of close supervision.…”

Section: Discussionsupporting

confidence: 86%

“…Peanut was the most common vegetable FB in 42 (59.1%) patients. Fidkowski et al [4], Boufersaoui et al [5], Kaur et al [11] had similar finding. Groundnut/peanut was the most common airway FB in winter months because it is quite cheap and commonly eaten commodity and is usually given to appease crying children by their ignorant parents realising little of it's potential of airway aspiration.…”

Section: Discussionmentioning

confidence: 64%

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Cinical Presentation of Foreign Body Aspiration in Children -An Observational Study

Chaudhary¹

2017

MOJCR

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Introduction: Aspiration of foreign body (FB) is a life threatening situation in children. A strong suspicion depending upon clinical presentation can lead to early diagnosis and treatment leading to decreased complication and mortality. This study was conducted to observe the clinical presentation of children undergoing rigid bronchoscopic removal of inhaled foreign bodies under general anaesthesia at a tertiary health care centre in north India.Method: A total of 72 bronchoscopic procedures were done in 71 children during the study period from August 2014 to july 2015. Preoperative demographic data, time interval between aspiration and admission, circumstances of aspiration, suspected type and site of FB, clinical presentation of children presented with suspected FB aspiration was evaluated. All the children underwent rigid bronchoscopy under general anaesthesia using controlled mode of ventilation.Result: Incidence of foreign body aspiration was more in male patients (70.4%). Most of the children(80.3%) were ≤ 3years of age. Most common FB was peanut, found in 42 (59.1%) children. FB was predominately located in right bronchus in 37 (52.1%) children. Playing and eating were the most common activities found in 34 (47.9%) and 32 (45.1%) of children respectively. Most common presenting symptom in our study was cough in 49 (68.1%) cases, followed by noisy breathing/ wheeze in 26 (36.1%) cases. Air entry was decreased in 53 (73.6%) cases and hyperinflation was the most common chest X-ray finding in 44 (61.1%) children.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 64%

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Cinical Presentation of Foreign Body Aspiration in Children -An Observational Study

Chaudhary¹

2017

MOJCR

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“…In children with lower airway FBA, the most prevalent radiographic findings are listed in Table 3 (27,28,41,42).…”

Section: Diagnosismentioning

confidence: 99%

Review of tracheobronchial foreign body aspiration in the South African paediatric age group

Sultan¹,

As²

2016

J. Thorac. Dis.

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Children, and in particular young children under the age of three, are the most vulnerable for aspiration and ingestion of foreign bodies (FBs). The Red Cross War Memorial Children's Hospital in Cape Town is the only children's hospital in South Africa and is unique in having a dedicated trauma unit for children under the age of 13 as part of its institution. Core activities of Childsafe South Africa (CSA), located at the hospital, are data accumulation and interpretation, development of educational programmes, health inculcation and advising in legislation involving child health. To achieve this task, CSA works in close co-operation with government, industry, non-governmental and community predicated organisations, community groups and individuals. A database of all children treated for trauma at CSA has been maintained since 1991; it currently contains detailed information of over 170,000 injuries in children under the age of 13.This review consists of a literature review combined with data from our database and aims to provide information on our experiences with tracheobronchial aspiration of FBs in children.

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“…In a study by Nikakhlagh et al, the most common radiopaque objects were either meat and chicken bones (54 cases, 5.3 %) or metal (44 cases, 4.4 %) [12], while in Boufersaoui's 2013 study of 2,624 patients in Algeria, metal objects (272 cases, 10.36 %) (Hairpins alone counted for 169 cases, along with nails, screws, etc.) Were most common [21]. In a study by Joseph et al in Arizona, United States, nails and screws (6.41 %) were the most common radiopaque FBs [22], while Lan-Fang et al in a 2009 study [23] of 1,027 children in Hangzhou, China, report 6.62 % radiopaque objects, comprising Fish bones in 27 cases (2.6 %) and pig bones in 22 cases (2.1 %).…”

Section: Resultsmentioning

confidence: 98%

25-Year Review of the Abundance and Diversity of Radiopaque Airway Foreign Bodies in Children

Saki

Nikakhlagh

Heshmati

2014

Indian J Otolaryngol Head Neck Surg

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This study was conducted to review the abundance and diversity of radiopaque foreign bodies over a 25-year period. Overall records of 1,114 patients who underwent rigid bronchoscopy due to foreign body aspiration in the tertiary centres, Imam Khomeini and Apadana; over a 25-year period (1989-2014) were reviewed. History, clinical findings, plain radiography and bronchoscopic findings, foreign body (FB) aspiration (whether radiolucent or radiopaque), time from onset of symptoms until hospitalization, and delay time were all considered. The male/female ratio was 1.53. Most patients were aged 1-3 years (53.94 %). The most common location of foreign bodies was the right main bronchus (54.57 %). The most common type of radiopaque foreign body was meat, chicken and big fish bones (4.84 %) followed by metal objects (4.39 %). Coughing (70.82 %) and cyanosis (22.80 %) were the most common symptoms. The most common radiological findings were emphysema (32.31 %). Given that the radiological findings are highly specific as regards the detection of radiopaque FB, radiographic examination prior to bronchoscopy for FB localization and shortening the time of bronchoscopy in patients with a history of radiopaque FB aspiration can be helpful. Due to the high morbidity and mortality caused by prolong and repeated bronchoscopy, the use of newer techniques and equipment in shortening extraction time of the foreign bodies should be considered in future researches.

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Foreign body aspiration in children: Experience from 2624 patients

Cited by 155 publications

References 27 publications

Cinical Presentation of Foreign Body Aspiration in Children -An Observational Study

Cinical Presentation of Foreign Body Aspiration in Children -An Observational Study

Review of tracheobronchial foreign body aspiration in the South African paediatric age group

25-Year Review of the Abundance and Diversity of Radiopaque Airway Foreign Bodies in Children

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