Foreign body removal by flexible bronchoscopy using retrieval basket in children

Abstract

OBJECTIVES:Aspiration of foreign bodies into the tracheobronchial tree is a common accident in children. This study aimed to evaluate the safety and outcome of foreign body removal by flexible bronchoscopy using a retrieval basket in children.METHODS:This was a retrospective study of children treated for foreign bodies in the airway via flexible bronchoscopy using a retrieval basket at a tertiary hospital in Korea between February 2014 and October 2017. The medical records of the patients were retrospectively reviewed and analyzed.RESULTS:A total of 20 children underwent foreign body removal from the airway via flexible bronchoscopy using a retrieval basket. The median age of the patients was 16 (range, 10–21.5) months, and 12 (60%) were male. Foreign bodies removed included 16 (80%) organic items including peanuts, almond, and beans, and 4 (20%) inorganic items including a plastic bag, metal screw, spring, and Lego brick. The locations of the foreign bodies included the central airway (n = 5; trachea, n = 4; subglottic area, n = 1), right bronchial tree (n = 9), and left bronchial tree (n = 6). Successful removal was observed in 18 (90%) cases. The only complication that occurred was mild laryngeal edema (n = 2) after the procedure; both improved with corticosteroid administration.CONCLUSION:Flexible bronchoscopic extraction of a foreign body in the airway using a retrieval basket in children can be performed successfully with minimal complications.

Hemoptysis in Pediatric Patients

“…A rigid bronchoscopy is the most commonly used method for removing an aspirated foreign body. A recently published study, however, has shown that a flexible bronchoscopy using a retrieval basket is also an effective instrument for the removal of aspirated foreign bodies in pediatric patients [5].…”

Flexible bronchoscopy in foreign body removal in the pediatric population: A Systematic Review

“…The study selection process is presented graphically in Figure1. Of these, 23 studies met our inclusion criteria [2][3][4][5][6][7][8][9][10][11][12][13]15,16,18,23,26,28,31,[38][39][40][41] . The majority of the included studies were retrospective, apart from one 6 which was prospective.…”

“…The majority of the included studies were retrospective, apart from one 6 which was prospective. All studies were published between 2001 and 2021, whereas 17/23 2,3,7,8,[10][11][12][13]15,16,18,23,28,[38][39][40][41] were published during the last 5 years. Among the studies fulfilling the inclusion criteria, 5 3,12,18,23,31 were conducted in Europe, 15 in Asia 2,4,5,7,8,10,11,13,15,16,28,38-41 , 2 in North America 9,26 , and 1 in Africa 6 .…”

“…]18 years. Information regarding gender was reported in 15/23 2,3,[6][7][8][10][11][12][13]15,28,[38][39][40][41] studies showing that the majority of included patients were males 738/1,179 (62.6%).…”

“…Data regarding the success rate of flexible bronchoscopy in removing FBs from the pediatric airway in the included studies were available for 2,587 patients who had FBA. The FBs were successfully removed in 2,254/2,587 (87.1%) patients with success rate ranging from 10.7% to 100% [2][3][4][5][6][7][8][9][10][11][12][13]15,16,18,23,26,28,31,[38][39][40][41] .…”