Frequency of Various Foreign Bodies Retrieved from the Airway During Bronchoscopy in Children: A Pediatric Tertiary Care Center Experience

Chand, Rewa; Shaikh, Mehmood; Khan, Yousuf Aziz; Qureshi, Mumtaz Ahmed; Maheshwari, Hemandas; Yasir, Mehrunnisa

doi:10.7759/cureus.9348

Cited by 6 publications

(7 citation statements)

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“…The foreign bodies noticed in our study were organic substances in the majority and non-organic substances in around one-third of the cases. These findings are comparable to previous studies [4,11,12,15].…”

Section: Discussionsupporting

confidence: 93%

“…It can also delineate complications such as consolidation, collapse, and pneumothorax. The advantage of CT thorax has been well documented in different studies [11][12][13]. In our study, CT scans were done in 18 (81.8%) cases to diagnose airway foreign body aspiration.…”

Section: Discussionmentioning

confidence: 87%

“…The usual site of impaction of an aspirated object in the airway was the right mainstem bronchus. Anatomically, the right main bronchus has a larger diameter, lesser divergence angle from the axis of the trachea, and higher airflow [3,7,11]. This makes the ingress of the aspirated object more likely to go to the right mainstem bronchus.…”

Section: Discussionmentioning

confidence: 99%

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Clinico-Radiological Profile and Outcome of Airway Foreign Body Aspiration in Children: A Single-Center Experience From a Tertiary Care Center in Eastern India

Akhil¹,

Priya²,

Behera³

et al. 2022

Cureus

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BackgroundForeign body aspiration is one of the leading causes of childhood morbidity and mortality among older infants and toddler age groups. Missed and delayed diagnosis of foreign body aspiration can lead to increased incidence of complications. Early diagnosis can prevent life-threatening complications and morbidity. In this study, we aimed to evaluate the clinical and radiological details, types, localization of foreign bodies, complications, and outcomes in pediatric patients who presented to our hospital with foreign body aspiration. MethodologyWe conducted a retrospective analysis of hospital case records of children aged one month to 14 years who were admitted to the Department of Pediatrics between June 2018 and May 2020, with clinical suspicion of foreign body aspiration. ResultsA total of 22 children with a diagnosis of airway foreign body were included. The mean age of presentation was three years (SD: ±2.22), with a boy-to-girl ratio of 3.4:1. Cough (81.8%) and tachypnea (72.7%) were the most common clinical symptoms. The median duration between symptom onset and diagnosis was three (interquartile range: 6) days. Unilateral reduced breath sound (81.8%) was the most common clinical examination finding. The common site of impaction was the right main bronchus in 59.1% of cases. The foreign bodies retrieved during bronchoscopy were organic substances in 63.6% of cases, with peanuts being the most common (31.8%). Chest radiographs were normal in 36.3% of cases, and common abnormalities included hyperinflation, collapse, consolidation, and mediastinal shift. Mechanical ventilation was required in 54.5% of cases. The mean duration of hospitalization was five (SD: ±2.84) days. Complications such as pneumothorax were seen in one (4.5%) case. Mortality was seen in 4.54% of cases during the bronchoscopic procedures. ConclusionsForeign body aspiration was common in young male children, with cough being the common symptom. Normal X-rays of the chest were seen in one-third of cases. The common site of impaction was the right main bronchus, and organic substances such as peanuts were common foreign bodies retrieved. Strong clinical suspicion of foreign body aspiration should be kept in cases with acute onset of cough in young children. Prompt medical attention is needed to reduce the morbidity and mortality associated with foreign body aspiration.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 87%

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Clinico-Radiological Profile and Outcome of Airway Foreign Body Aspiration in Children: A Single-Center Experience From a Tertiary Care Center in Eastern India

Akhil¹,

Priya²,

Behera³

et al. 2022

Cureus

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“…In addition, the foreign bodies in the current study were more frequently organic and hard foodstuffs. As nuts are eaten more in the winter months, the vast majority of the foreign bodies aspirated were edible items such as hazelnuts, walnuts, peanuts, almonds, and carrots [11,12]. In adults, foreign bodies are seen most often in the right main bronchus, but this is not valid for children [13].…”

Section: Discussionmentioning

confidence: 99%

The management of children aged 0–5 years wıth suspected foreign body aspiration: a prospective study

et al. 2022

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INTRODUCTIONA simple algorithm for bronchoscopy was prepared in very young children METHODSThe patients aged 0-5 years who were applied with bronchoscopy because of suspected foreign body aspiration (FBA) analyzed. RESULTSEvaluations were made of 89 patients, as 55 (61.7%) in the FBA (+) group and 34 (38.3%) in the FBA (-) group. FBA was determined most in the 1-2 years age group (28 patients, 50.9%, p=0.04) due to organic hard foodstuffs (94.5%, p<0.001). The parameters found to be signi cant were witnessing the event (OR:12.133, 95% CI: 3.147-46.774, p<0.001) and not obtaining unilateral respiratory sounds (OR:7.556, 95% CI: 2.681-21.292, p<0.001). The most signi cant diagnostic nding was the determination of unilateral hyperventilation on x-ray (OR:16.730, 95% CI: 4.541-61.632, p<0.001). The operating time and length of stay in hospital was signi cantly shorter in the FBA (-) patients (p<0.001). CONCLUSIONThe presence of a witness, not obtaining unilateral respiratory sounds, and unilateral hyperventilation seen on x-ray are indications for bronchoscopy. In FBA (-) patients applied with bronchoscopy, the complication rate associated with the procedure is low, and the operating time and length of stay in hospital are short.

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“…These results were similar to some previous studies. 19,20 Seventy six (84.4%) were <4 years of age and 72 (80%) children were less than 13kg in weight. These were comparable to the study conducted by Korlacki et al 21 and Asif et al 22 Mean time interval between foreign body aspiration and admitted to hospital was 1.04±0.9 weeks.…”

Section: Discussionmentioning

confidence: 99%

Frequency and Types of Foreign Body Airway in Children

Jan,

Kamil

2021

PJMHS

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Aim: To determine the frequency and types of airways foreign body in children undergoing bronchoscopy. Study Design: Cross-sectional/descriptive study Place and Duration of Study: Department of ENT, Sheikh Zayed University Medical College Khost Province Afghanistan from 1st January 2018 to 31st March 2021. Methodology: Ninety patients of both genders and aged between 6 months to 15 years were enrolled. Patient’s details demographics like age, sex and weight were recorded after taking informed consent from the patient’s guardian. Patients with foreign body aspiration presented within weeks of aspiration. Patients were subjected to rigid bronchoscopy under general anaesthesia after doing chest X-ray. Clinical and radiological findings were observed among all cases. Results: Mean age of the patients was 4.52±6.35 years. Sixty five (72.22%) were males and 25 (27.8%) were females. Mean time interval between foreign body aspiration and admission to hospital was 1.04±0.9 weeks. The right main bronchus was the most common site 50 (55.55%) followed by left bronchus 35 (38.9%), and trachea found in 5 (5.55%). Most common foreign body retrieved was pine nut (Chilgoza) found in 77 (85.6%) followed by peanut in 5 (5.56%), seeds 4 (4.4%), whistle 2 (2.2%) and stone pieces in 2 (2.2%) cases. Conclusion: Foreign body aspiration in male children is more common, mainly under the age of four years. It has been found during the bronchoscopy that the foreign body was commonly lodged in the right main bronchus. The most common foreign body was pine nut. Keywords: Children, Pine nut (Chilgoza), Tracheobronchial, Rigid bronchoscopy, Children, Foreign body aspiration

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Frequency of Various Foreign Bodies Retrieved from the Airway During Bronchoscopy in Children: A Pediatric Tertiary Care Center Experience

Abstract: Objective: To determine the frequency of various foreign bodies (FBs) retrieved from the airway during bronchoscopy in children at the

Cited by 6 publications

References 24 publications

Clinico-Radiological Profile and Outcome of Airway Foreign Body Aspiration in Children: A Single-Center Experience From a Tertiary Care Center in Eastern India

Clinico-Radiological Profile and Outcome of Airway Foreign Body Aspiration in Children: A Single-Center Experience From a Tertiary Care Center in Eastern India

The management of children aged 0–5 years wıth suspected foreign body aspiration: a prospective study

Frequency and Types of Foreign Body Airway in Children

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