Foreign body aspiration in children

Midulla, Fabio; Guidi, Roberto; Barbato, Angelo; Capocaccia, P; Forenza, N; Marseglia, Gian Luigi; Pifferi, Massimo; Moretti, Corrado; Bonci, Enea; Benedictis, Fernando Maria de

doi:10.1111/j.1442-200x.2005.02136.x

Cited by 111 publications

(116 citation statements)

References 18 publications

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“…The most important cause of deaths due to accidents is FBA in childhood, and it is the fifth most common cause of death in children younger than a year (1,2). Considering the frequency of FBA in our country, Türkmen et al (6), from the Uludağ University found the rate of FBA as 2.2% in the age group of 0-94 year-old forensic cases who applied to the emergency department.…”

Section: Discussionmentioning

confidence: 89%

“…The possibility of foreign body aspiration should be kept in mind in the presence of prolonged or recurrent respiratory findings and it should be investigated particularly. If the diagnosis of the foreign body aspiration is established and removed in early period, the risk for development of complications will be reduced (1)(2)(3)(4)(5). The mortality rate associated with FBA has recently decreased because of the improvements in endoscopic technology, protection, and first aid (1).…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of the Demographical and Clinical Characteristics of the Children with Foreign Body Aspiration: A Single Center Experience

Pekcan¹,

Göktürk²,

Güner³

et al. 2015

Eurasian J Pulmonol

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Objective: To evaluate the determination of demographic and clinical characteristics and the roles of parental education and income levels in foreign body aspirations in childhood. Methods:Seventeen patients who admitted to the Necmettin Erbakan University Meram Faculty of Medicine, Department of Pediatric Pulmonology for foreign body aspirations and from whom the body is taken out were evaluated retrospectively, and compared with the demographic features of 60 matched healthy children with the same age and gender.Results: The mean age of the patients was 14.9±4.8 months, and of the patients 9 (53%) were males. The most common symptoms at admission were sudden onset of cough (76.5%) and wheezing (64.7%), while sunflower peel (47%) was the most commonly detected foreign body. Difference in lung aeration was the most common finding (76.5%) in radiological imagings, and foreign bodies were mostly removed from right bronchus (47%). While 76.5% of the patients had 5 or more households, this ratio was 46.6% in control group (p=0.008). Income level of patient group was significantly lower compared to control group (p=0.02). The rate of mothers who did not have high school and/ or university education was higher (94.1%) than the control group (63.3%) (p=0.02). Conclusion:Foreign body aspiration should be the first reason to be thought when there is a sudden onset of cough and wheezing in a child. Low socioeconomic level, to be in a crowded family and low education level of the mother should be evaluated among risk factors for foreign body aspirations.

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Section: Discussionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Evaluation of the Demographical and Clinical Characteristics of the Children with Foreign Body Aspiration: A Single Center Experience

Pekcan¹,

Göktürk²,

Güner³

et al. 2015

Eurasian J Pulmonol

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“…With FB aspiration, bronchiectasis and lung damage can occur as a late complication [18]. In Guidi's study [19], the proportion of males to females was (1.8:1). The most common type of FB aspiration varies from region to region.…”

Section: Resultsmentioning

confidence: 96%

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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“…Other authors have observed similar values. (7,25,26) Some studies in the literature have reported lower rates of atelectasis on simple chest X-rays (between 15 and 20%). (6,14,17) These differences might be associated with the types, shapes and sizes of the foreign bodies aspirated, as well as with patient age, all of which vary widely among studies.…”

Section: Discussionmentioning

confidence: 99%

“…However, there is a clear predominance of objects of organic origin. (2,4,5,16,26,27) In Lebanon, the foreign body most often aspirated is the watermelon seed, (11) whereas peanuts and dried fruits predominate in Egypt. (12) In the United States, the foreign bodies most often aspirated are those of vegetal origin, peanuts predominating.…”

Section: Discussionmentioning

confidence: 99%

Aspiração de corpo estranho em crianças: aspectos clínicos, radiológicos e tratamento broncoscópico

Fraga¹,

Reis²,

Zambon³

et al. 2008

J. bras. pneumol.

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Foreign body aspiration in children

Abstract: Our study confirmed that clinical symptoms and radiological findings before bronchoscopy have a low diagnostic value in children with a history of FBA.

Cited by 111 publications

References 18 publications

Evaluation of the Demographical and Clinical Characteristics of the Children with Foreign Body Aspiration: A Single Center Experience

Evaluation of the Demographical and Clinical Characteristics of the Children with Foreign Body Aspiration: A Single Center Experience

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

Aspiração de corpo estranho em crianças: aspectos clínicos, radiológicos e tratamento broncoscópico

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