Retained Foreign Bodies in the Tracheobronchial Tree of Children

Abstract

dyspnea, and pain. In 21 of their 58 cases, chest mass was found on routine x-ray examination.Lyons and co-workers5 found 35 teratoid lesions among 782 mediastinal masses -studied, only 2 being in the posterior mediastinum. They reported that 30% showed malignant changes.GrossJ reported 5 cases of teratoma, 2 malignant and fatal. Svien and co-workers4 reported paraplegia as a complication of a dumbbell ganglioneuroma of the cord. Ellis also described in 5 of his cases-all ganglioneuromas-invasion of the cord. We have, however, found no reference to paraplegia from a teratocarcinoma.Dhahran Health Center (Dr. Howard).

Esophageal and tracheobronchial foreign bodies in infants and children

“…Given the frequency of symptoms and signs found in cases of tracheobronchial foreign body aspiration, it was surprising to find that 27.5% of patients had a delay in treatment of 7 days or more. Such delay in diagnosis of foreign body aspiration is not uncommon, especially when the episode itself is unwitnessed, as documented by a number of authors [1,6,12,15]. It is significant that 71% of these patients had been seen at a medical facility during the initial week postaspiration and were misdiagnosed.…”

Elusive Unsuspected Foreign Bodies in the Tracheobronchial Tree

“…Foreign bodies in the tracheobronchial tree may remain unsuspected for many years.~ 8 Schwarz makes the point that an inadequate history and failure to obtain proper x-rays are common causes of undetected foreign bodies, but as stated by Jackson and Jackson in 1950, an asymptomatic period between the time of aspiration and the development of symptoms can lead to an error in diagnosis. The first patient presented had no apparent symptoms for one year and a rusted hatpin was found on a chest x-ray during a workup for abdominal pain.…”

The Transition of Pediatric Tracheobronchial Foreign Body Cases in the Past 36 Years: A Retrospective Single-Center Study in Japan

“…We collected the clinical data (age, sex, present history, symptoms, physical examination findings, radiographic findings, location and type of foreign body, treatment, and complications). We reviewed the data of 85 TFB cases, including 64 previous cases from a 20-year survey data set conducted in our department (Katori et al 2005). We compared the differences in the characteristics of TFB cases between the earlier period (1986)(1987)(1988)(1989)(1990)(1991)(1992)(1993)(1994)(1995)(1996)(1997)(1998)(1999)(2000)(2001)(2002)(2003)(2004)(2005) and the later period (2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014)(2015)(2016)(2017)(2018)(2019)(2020)(2021).…”

“…The comparison period differs between the earlier period and the later period. This period was set because the previous paper (Katori et al 2005) covered 20 years from 1986 to 2005, and it was difficult to reorganize the time because some medical record information before 2005 is currently unavailable for reference. Our university hospital has been a center for treating pediatric TFBs in the Miyagi medical area, which serves 2,300,000 people, owing to the availability of medical staff and equipment, such as a ventilation bronchoscope.…”

“…Tohoku University Hospital is a central hospital in Miyagi prefecture in Japan, with a population of 2,300,000. Notably, almost all pediatric TFB patients from local districts have been referred to our department (Hidaka et al 2013, Katori et al 2005, Saijo et al 1979. To determine the changes in the recent [1986][1987][1988][1989][1990][1991][1992][1993][1994][1995][1996][1997][1998][1999][2000][2001][2002][2003][2004][2005] (Katori et al 2005) were compared with those of recent cases (21 cases, 2006-2021).…”