Foreign Body Aspiration in Infants and Older Children: A Comparative Study

Na’ara, Shorook; Vainer, Igor; Amit, Moran; Gordin, Arie

doi:10.1177/0145561319839900

Cited by 57 publications

(44 citation statements)

References 13 publications

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“…Parents should also be discouraged on giving their infants organic and non-organic items, such as nuts and small plastic toys as the treatment of infants is more difficult than older children because of their small airways. [ 19 ] Also, further guidance for those kids under 5 years of age is needed among parents.…”

Section: Discussionmentioning

confidence: 99%

Parental knowledge and practices toward foreign body aspiration in children in the Al Qassim region of Saudi Arabia

Almutairi

Alharbi

2021

Journal of Family Medicine and Primary Care

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Background: Foreign body aspiration (FBA) is a perilous condition with a high mortality rate, especially in children less than three years of age. Aim: This study aimed to assess parental knowledge and practices toward FBA in children in the Al Qassim region of Saudi Arabia. Materials and Methods: This is a descriptive cross-sectional study conducted among Saudi parents at AlQassim region, Saudi Arabia during the period between February 2020 and June 2020. A validated self-administered questionnaire containing 16 questions of knowledge and practices toward FBA was distributed online via various Social Media platforms. Correct answers were coded and scored. Participant responses were grouped based on their score level of knowledge and practices. Results: We recruited 385 parents with a mean age of 35.4 (range: 19–59) years, and 59.2% were female and 40.8% were male. The mean ± SD knowledge score was 4.97 (1.42)/8 points and the practice score was 12.4 (2.13)/20 points. Parents with poor and good knowledge were 61.3% and 36.9% and those with poor and good practices were 55.3% and 44.7%, respectively. Female professionals with less children who were more aware of FBA significantly influenced knowledge, while having no incidence of FBA among children and having heard of FBA significantly influenced practices. Conclusion: We found that parental knowledge and practices toward FBA were insufficient. Educated females with less children that heard about FBA influenced parental knowledge. Also, having no incidence of FBA among children and being aware about FBA led to a better impact in parental practices.

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Section: Discussionmentioning

confidence: 99%

Parental knowledge and practices toward foreign body aspiration in children in the Al Qassim region of Saudi Arabia

Almutairi

Alharbi

2021

Journal of Family Medicine and Primary Care

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“…In these patients FBA is suspected due to clinical or radiological findings of chronic pulmonary disease such as recurrent lower respiratory tract infections, postobstructive pneumonia, localized bronchiectasis, atelectasis. These patients may need to be evaluated by bronchoscopic methods for "suspected foreign body aspiration" 2,4,5 .…”

Section: Discussionmentioning

confidence: 99%

Management of Adults With Suspected Foreign Body Aspiration

Chouseın

2021

Dicle Tıp Dergisi

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Objective: Although foreign body aspiration (FBA) in adulthood is not as common as in childhood, it can sometimes be encountered with clinical situations that require urgent interventions. Removal of foreign bodies (FBs) is crucial in all cases of aspiration, even if they seem trivial and symptoms have resolved. Unremoved FBs cause chronic lung pathologies such as postobstructive pneumonia, bronchiectasis, atelectasis and scar formation which can be definitely treated only by FB removal. The treatment of choice is either fiberoptic or rigid bronchoscopy. The aim of our study was to create an algorithm for the management of patients presenting to our bronchology and interventional pulmonology unit with suspected FBA by reviewing their radiologic findings, the bronchoscopic methods used in their management and outcomes. Methods: We retrospectively reviewed the medical records of 70 patients who underwent fiberoptic bronchoscopy (FOB) and rigid bronchoscopy (RB) for suspected FBA in our bronchology and interventional pulmonology center between January 2010 and December 2019. Results: There were 70 patients with suspected FBA, who had an average age of 47.22±20.76 years, and 62.8% were males. Twenty-nine (41.4%) were treated with FOB and 25 (35.7%) with RB. A FB was detected initially by FOB in 16 (22.9%) who subsequently had to undergo RB for FB removal. Fifteen (33.3%) FOB and 9 (21.9%) RB procedures were performed on an emergent basis. A total of 86 bronchoscopic treatments were performed on 70 patients. FBs were detected with FOB in 29 patients. The FB was removed in 13 (28.8%) patients with the help of FOB, while 16 (35.5%) patients in whom FB removal was not possible were referred to the interventional pulmonology unit for RB. In the remaining 16 (35.5%) patients, no FB was found during FOB. A total of 41 patients were treated with RB, including 16 patients who had initially undergone FOB. FB was detected and removed in 38 (92.6%) patients, 2 (4.8%) patients had no FB detected and received no further treatment after being consulted with thoracic surgery. One (2.4%) patient in whom FB was detected but could not be removed was referred to surgery and was operated. Rates of FB detection were high for both chest x-ray and unenhanced thoracic computerized tomography (CT) in favor of CT (p=0.038 and 0.022 respectively). Thirty-three (58.9%) of the FB removed were in the right bronchial system and composition of FBs (organic or inorganic) was equal. Conclusion: When thoracic CT is not available chest x-ray can also be helpful in cases of suspected FBA. Because the possibility of FBA should be considered in many chronic pulmonary conditions, physicians choose FOB for their initial evaluation, especially if transfer to an interventional pulmonology unit is not feasible. RB performed by interventional pulmonologists is a safe therapeutic option in critical patients and cases when FOB fails.

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“…The factors that predispose preschool children to FBA are inadequate observation by adults, tendency of children to explore environment through their mouth, the fact that children often run and play during the food ingestion, inability to chew food, inadequately developed posterior dentition and immature neuromuscular mechanisms of airway protection (4,5). The FBA is a potentially lethal event that is more prevalent than reported.…”

Section: Discussionmentioning

confidence: 99%

Tooth Aspiration in Child during a Dental Procedure: Case Report and Review of the Literature

2020

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Objective -The aim of this article is to illustrate the importance of a prompt evaluation of a foreign body aspiration (FBA). Case Presentation -A 13-year old boy was admitted to hospital in 1981, one and a half month after a dental procedure of tooth extraction. The tooth was presumed to have been ingested during the procedure and the child was sent home. The symptoms presented immediately and were aggravating during the time. Before the admission to the hospital the child was examined by medical professionals on three occasions but only at hospital the FBA was suspected. During the first bronchoscopy, the foreign body had not been extracted, so the child was transferred to the referral centre where the tooth was successfully removed and he recovered. Conclusion -In the setting of dental procedure in paediatric population, the missing instrument, material or extracted tooth must be found or a foreign body aspiration and ingestion should be suspected until proven otherwise.

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Foreign Body Aspiration in Infants and Older Children: A Comparative Study

Cited by 57 publications

References 13 publications

Parental knowledge and practices toward foreign body aspiration in children in the Al Qassim region of Saudi Arabia

Parental knowledge and practices toward foreign body aspiration in children in the Al Qassim region of Saudi Arabia

Management of Adults With Suspected Foreign Body Aspiration

Tooth Aspiration in Child during a Dental Procedure: Case Report and Review of the Literature

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