Foreign Body in the Airway

Abstract

\s=b\Two hundred children aged 6 months to 12 years were admitted to the hospital with a foreign body in the airway. Food materials constituted 93% of all foreign bodies. A positive history of foreign body aspiration was obtained in 88% of the cases. The most common symptoms of

How accurate is chest radiography in the diagnosis of tracheobronchial foreign bodies in children?

“…In an analysis of radiographs of 83 consecutive patients, in which the prevalence of FB aspiration was 41%, the diagnostic accuracy was 67%, sensitivity 68% and specificity 67%. Plain film radiology alone is not a sufficiently sensitive nor specific method for the diagnosis of FB aspiration.A foreign body (FB) located in the tracheobronchial tree is a frequent and serious cause of respiratory problems in pediatric patients [1][2][3][4]. The history of aspiration is frequently combined with signs of the diagnostic triad of wheezing, coughing and decreased breath sounds on the affected side [2,3].…”

“…The history of aspiration is frequently combined with signs of the diagnostic triad of wheezing, coughing and decreased breath sounds on the affected side [2,3]. This diagnostic triad can be incomplete in more than 50% of the patients [5].When FB aspiration is suspected, chest radiography is nearly always performed to show the pathophysiological changes caused by the FB [1][2][3][4][5][6][7][8]. The radiologic findings are the signs of air trapping, atelectasis, signs of pulmonary infection, shadows of the FB, pleural fluid, pneumothorax and even bronchiectasis [1][2][3][4][5][6][7][8][9][10][11].…”

“…The radiologic findings are the signs of air trapping, atelectasis, signs of pulmonary infection, shadows of the FB, pleural fluid, pneumothorax and even bronchiectasis [1][2][3][4][5][6][7][8][9][10][11]. These findings are not pathognomonic for FB inhalation and are also present in a large group of pulmonary disorders [10,12].Reports of the accuracy of the radiologic diagnosis and findings are based on materials where the prevalence of FB is relatively high or where only patients with FB are included [1][2][3][4][5][6][7]11]. The aim of this study was to evaluate the accuracy of chest radiography in a clinical retrospective material, where all patients with suspected FB inhalation are included, and compare the diagnostic sings with findings at bronchoscopy.…”

An Interesting Case of Aspiration In a Patient With Asthma

“…These cases may admit to medical facilities immediately for acute and immediate symptoms or present late due to insidious onset of symptoms. Literature review shows most of the cases visit the physicians in the first day [1]. The history is very important in those cases but at least 10-20% of patients had no history of aspiration despite of foreign bodies having been extracted later [2].…”

Occult foreign bodies in the aero digestive tracts in infancy

“…The presentation of occult foreign bodies is complex [1] and diagnosis of such foreign body impaction claims most minute attention [2]. In one study in Japan, it was found that two-year-olds were the most common patients, and the range from age 1 to age 4 included 67.7% of all the patients.…”