Inhaled Foreign Body Impaction: A Review of Literature in Malaysian Children

Gendeh, Balwant Singh; Gendeh, Hardip Singh; Purnima, S.; Comoretto, Rosanna Irene; Gregori, Darío; Gulati, Achal

doi:10.1007/s12098-018-2824-8

Cited by 19 publications

(17 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…5,[8][9][10] A previous study in Malaysia has shown that the most common foreign body aspirated was peanut, which is comparable to other studies. 11,12 This is followed by watermelon seed and coconut kernel. Metal objects (toys, springs, hair clips) and plastic objects (ballpoint tips, pencil caps and whistles) were found to be the most common non-food substance aspirated.…”

Section: Introductionmentioning

confidence: 99%

“…Metal objects (toys, springs, hair clips) and plastic objects (ballpoint tips, pencil caps and whistles) were found to be the most common non-food substance aspirated. 12 The current gold standard of foreign body removal from the airway is via rigid ventilating bronchoscopy under general anesthesia, which serves as diagnostic as well as therapeutic procedure. Flexible bronchoscopy can also be performed and has the advantages of ability to remove foreign bodies located peripherally, such as in the right upper lobe bronchus, and can be used after removal of the foreign body to check for residual foreign bodies in the distal airways.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A Five-Year Review on Pediatric Foreign Body Aspiration

Nasir

Subha

2020

Int Arch Otorhinolaryngol

View full text Add to dashboard Cite

Introduction Foreign body aspiration is a leading cause of accidental death in children. Clinical presentation varies from non-specific respiratory symptoms to respiratory failure making diagnosis challenging. Objective To review pediatric patients who underwent bronchoscopy due to suspicion of foreign body aspiration at a tertiary center in Malaysia. Methods We retrospectively studied patients < 11 years old who underwent bronchoscopy from 2008 to 2018. Results Over the 10-year period, 20 patients underwent bronchoscopy, and 16 were found to have foreign body aspiration with equal gender distribution. The most common age group was < 3 years old (75%). The most common clinical presentations were choking (82%) and stridor (31%). Foreign bodies were removed using flexible bronchoscope in 8 cases (50%), and difficulties were encountered in 6 cases (75%). Rigid ventilating bronchoscope was used in 8 cases (50%) with no difficulty. The most common object found was peanut (19%). The majority of foreign bodies were lodged in the right bronchus (43%). Eight patients (80%) received delayed treatment due to delayed diagnosis. The length of hospital stay was longer in the younger age groups. Conclusion Clinical presentation and chest radiograph findings were comparable across all age groups. The most difficulties encountered during foreign body removal were via flexible bronchoscope, in children < 3 years old. There was no significant correlation between age and type of foreign body aspiration. The majority of patients who received delayed treatment were < 3 years old. The length of hospital stay was longer in the younger age groups.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Five-Year Review on Pediatric Foreign Body Aspiration

Nasir

Subha

2020

Int Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…FFB plays a significant role in diagnosing various situations such as patients with hemoptysis, chest infection, parenchymal lung disease, lung nodules or masses, persistent lung infiltrates, mediastinal lymphadenopathy, and suspected lung transplant rejection [ 1 , 2 ]. Furthermore, FFB can be used therapeutically in cases of foreign body aspiration, ablation or debulking of endobronchial masses, airway stenosis, and lung lavage [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

Flexible Fiberoptic Bronchoscopy: Indications, Diagnostic Yield and Complications

Qanash¹,

Hakami²,

Al-Husayni³

et al. 2020

Cureus

View full text Add to dashboard Cite

Objective Flexible fiberoptic bronchoscopy (FFB) has become an essential procedure for diagnosing and managing various respiratory conditions. We aimed to assess the main indications, diagnostic yield, and safety of FFB in our institute. Methods A total of 216 patients who underwent FFB between July 2009 and June 2012 at King Abdul-Aziz Medical City, Jeddah, Saudi Arabia, were reviewed retrospectively. Indications of the procedure, the diagnostic yield of variable respiratory diseases, and complications were reported. Result Out of 216 patients, 210 (97.2%) completed FFB. One hundred and ninety-eight (91.7%) bronchoscopies were for diagnostic purposes, and the remaining 12 (5.6%) were for therapeutic aim. The mean age of patients was 50 years ± 20 years and patients. Respiratory infection, malignancy, pulmonary infiltrate in febrile neutropenia (FN), and hemoptysis in order of frequency were the main indications. The overall diagnostic yield was 46%. Mycobacterium tuberculosis (MTB) was the most common indication (26.8%) and was identified in 37.7%, whereas pneumonia was confirmed in 46.3% of the patients. Malignancy was established in 35.3% of suspected cases, while eosinophilic pneumonia was diagnosed in 100%. The diagnostic yield in pulmonary infiltrates of human immunodeficiency viral (HIV) was 85.7%. Alveolar hemorrhage was the most common cause of hemoptysis. Out of therapeutic bronchoscopy, lung collapse was the main indication. There is no mortality and complications occurred in 1.5% of the cases. Conclusion MTB was the most common indication of FFB, followed by malignancy. It has a high diagnostic yield in eosinophilic pneumonia and pulmonary infiltrates in HIV patients. FFB is shown to be a safe modality for diagnostic and therapeutic purposes.

show abstract

“…Peanut inhalation is the most common reported organic foreign body aspiration in North America. The non-organic foreign bodies include e917608-3 toy particles, pen tops, and pins are less commonly reported, ranging from 6.5% to 25% of cases [4,10].…”

mentioning

confidence: 99%

Distal Airway Aspirated Metallic Foreign Body, Case Report of Spontaneous Expectoration

Maary

Alahmari

2020

Am J Case Rep

View full text Add to dashboard Cite

Unusual clinical course Background: Foreign body aspiration is one of the life-threatening conditions seen in the adult and pediatric population with most cases occurring within the first 3 years of life. It can result in serious complications or even lead to death. Bronchoscopic removal has been described as the management of choice. Spontaneous expectoration could happen, though it is extremely rare. Case Report: A 7-year-old male presented to the Emergency Department within 3 hours of aspirating a metallic nail. He had a brief choking episode at the beginning and remained asymptomatic thereafter. The initial chest x-ray showed a metallic foreign body (nail) at the retrocardiac area with patent centralized tracheobronchial tree. No radiologic signs of pneumothorax nor pleural or pericardial effusion. Computed tomography (CT) scan was performed the night of admission and revealed a 2 cm nail at the posterior basal segment of the left lower lobe bronchus. Bronchoscopy, thoracoscopic-removal, and possible thoracotomy were discussed. Management options and complications were explained. The parents preferred to wait and observe before making any decision regarding surgical intervention. Surprisingly, while in the hospital, the patient had repetitive cough and the nail was spontaneously expectorated. Conclusions: Urgent bronchoscopy for foreign body aspiration is mandatory as early as possible, however, expectant management in asymptomatic distal airway foreign body aspiration is reasonable. Spontaneous expectoration is a possible outcome though extremely rare.

show abstract

Inhaled Foreign Body Impaction: A Review of Literature in Malaysian Children

Cited by 19 publications

References 26 publications

A Five-Year Review on Pediatric Foreign Body Aspiration

A Five-Year Review on Pediatric Foreign Body Aspiration

Flexible Fiberoptic Bronchoscopy: Indications, Diagnostic Yield and Complications

Distal Airway Aspirated Metallic Foreign Body, Case Report of Spontaneous Expectoration

Contact Info

Product

Resources

About