Tracheobronchial aspiration of foreign bodies in children: A study of 94 cases

Abstract

Over the last seven years, there has been an increase in the number of children admitted to our hospital because of aspirated foreign bodies. An inhaled foreign body can become a serious matter if it results in acute respiratory distress or if it remains unrecognized for a long period in the bronchial system. Then, as a result of inflammatory tissue reactions, it can be extracted only with great difficulty. Of our 94 children with foreign body aspiration, 24% had been treated initially on the basis of a different diagnosis. In 30% of all cases, the children were admitted more than 3 days after aspiration. One third of the patients already had signs of marked inflammation on admission. Early treatment, under general anaesthesia, proved to be safe even for small babies. Bronchoscopic examinations should not last more than approximately 1 hour. All children who had complications after bronchoscopy (6%) recovered fully after treatment, except for one child who died of respiratory failure. A diminution of complications in children with inflammatory signs on admission was observed when they were treated before the operation with antibiotics and methylprednisolone.

Complications of tracheobronchial foreign body aspiration in children: report of 5 cases and review of the literature

“…6,7,[14][15][16][17][18] The presence of these complications in children is about 22% to 33%, and the most common is pneumonia 19,20 .…”

Late recognized nail aspiration in a child: case report

“…Additionally, 7% of deaths in children aged 0-3 years occur because of FB aspiration. [8,9] Males are exposed more to FB aspiration, but with no known explanation. The ratio is approximately 2:1.…”

Oh No! Pin Again! A Case of Foreign Body Aspiration

“…Yabancı cisim aspirasyon (YCA) öyküsü, çoğunlukla küçük yaştaki çocuklar-da ve yaşlılarda görülmektedir [1,2]. Küçük çocuklarda boncuk, oyuncak parçaları, kuru yemiş (fındık, fıstık, ayçekirdeği vs.), okul çağı çocuklarda kurşun kalem silgisi veya plastik kalem kapağı aspirasyonları sık rastlanan solunum yolu yabancı cisimleri iken erişkinlerde ise iğne dışında kemik parçaları ve takma dişlerdir [3]. YCA'ında en yaygın klinik bulgu aralıklı öksürüktür.…”