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Purpose Foreign body aspiration is an important health problem frequently seen in children and requiring emergency intervention due to severe morbidity and mortality. This study evaluates patients who underwent bronchoscopy with diagnoses of foreign body aspiration. Methods All children aged under 18 who underwent bronchoscopy with diagnoses of foreign body aspiration between June 2020 and December 2023 were included in the study. The patients’ medical records were examined retrospectively. Results Three hundred ten (310) patients aged between three months and 15 years underwent bronchoscopy due to suspected foreign body aspiration. 83% of the patients were aged two or younger, and boys outnumbered girls two to one. Foreign bodies were detected at bronchoscopy in 202 (65.16%) patients. Foreign bodies were most frequently located in the right main bronchus (47.52%). In addition, 83.66% of the foreign bodies consisted of organic material. The most frequently aspirated material was peanut (32.54%). Conclusion No symptom, finding, or test is definitively diagnostic or exclusive in patients presenting with suspected foreign body aspiration. Despite a negative bronchoscopy rate of 34.83% in this study, since we observed no severe complications or mortality we recommend that it be performed on all patients with suspected foreign body aspiration.
Purpose Foreign body aspiration is an important health problem frequently seen in children and requiring emergency intervention due to severe morbidity and mortality. This study evaluates patients who underwent bronchoscopy with diagnoses of foreign body aspiration. Methods All children aged under 18 who underwent bronchoscopy with diagnoses of foreign body aspiration between June 2020 and December 2023 were included in the study. The patients’ medical records were examined retrospectively. Results Three hundred ten (310) patients aged between three months and 15 years underwent bronchoscopy due to suspected foreign body aspiration. 83% of the patients were aged two or younger, and boys outnumbered girls two to one. Foreign bodies were detected at bronchoscopy in 202 (65.16%) patients. Foreign bodies were most frequently located in the right main bronchus (47.52%). In addition, 83.66% of the foreign bodies consisted of organic material. The most frequently aspirated material was peanut (32.54%). Conclusion No symptom, finding, or test is definitively diagnostic or exclusive in patients presenting with suspected foreign body aspiration. Despite a negative bronchoscopy rate of 34.83% in this study, since we observed no severe complications or mortality we recommend that it be performed on all patients with suspected foreign body aspiration.
Cough is one of the most common reasons leading to pediatric consultations, negatively impacting the quality of life of patients and caregivers. It is defined as a sudden and forceful expulsion of air from the lungs through the mouth, typically triggered by irritation or the stimulation of sensory nerves in the respiratory tract. This reflex is controlled by a neural pathway that includes sensory receptors, afferent nerves, the brainstem’s cough center, efferent nerves, and the muscles involved in coughing. Based on its duration, cough in children may be classified as acute, lasting less than four weeks, and chronic, persisting for more than four weeks. Neuromodulators have shown promise in reducing the frequency and severity of cough by modulating the neural pathways involved in the cough reflex, although they require careful monitoring and patient selection to optimize the outcomes. This review aims to examine the rationale for using neuromodulators in the management of cough in children.
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