Tracheobronchial foreign bodies

The aim of this work was to study the clinical presentation of tracheo-bronchial foreign body aspiration in children for its early diagnosis. This article attempts to address the potential hazards of foreign body inhalation in children and its subsequent management by rigid bronchoscopy. This study was conducted in Department of Otorhinolaryngology, K.L.E.S Dr. Prabhakar Kore Hospital, Belgaum, for a period of 1 year. Children less than 16 years of age with history suggestive or suspicious of foreign body aspiration were screened clinically and radiologically and those patients with high index of suspicion of foreign body were included in the study. All patients were subjected to rigid bronchoscopy under general anaesthesia and the results were analyzed. This study comprises of 29 patients with suspected foreign body aspiration. On rigid bronchoscopy, foreign body was found and successfully removed in 22 patients. Highest incidence was seen in boys between 1 and 2 years age. History of foreign body aspiration was absent in most cases and children presented with combination of symptoms. Obstructive emphysema was commonest chest X-ray finding. There was no significant difference in the site of foreign body aspiration on the right and left bronchus and commonest foreign bodies were vegetative type. Complication rates in this study were low as compared to previous studies. Tracheo-bronchial foreign body aspiration is very common in children. Foreign body aspiration usually presents as an un-witnessed episode and a high index of suspicion by the surgeon, even in absence of a positive history is necessary to prevent morbidity and mortality due to delayed or misdiagnosis. Foreign body aspiration is an emergency and should be removed by rigid bronchoscopy at the earliest to prevent complications.

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“…McGuirt et al [8] has also observed male:female ratio of 2:1 stating the reason for this male predominance as more adventurous nature of males.…”

Section: Discussionmentioning

confidence: 92%

Tracheo-Bronchial Foreign Body Aspiration in Children: A One Year Descriptive Study

Naragund

Mudhol

Harugop

et al. 2011

Indian J Otolaryngol Head Neck Surg

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“…If there is a suspicion for multiple diminutive FBs or fragments, we recommend performing a flexible bronchoscopy after FB abstraction, to evaluate the entire tracheobronchial tree (31,58).…”

Section: Mediastinal Shiftmentioning

confidence: 99%

Review of tracheobronchial foreign body aspiration in the South African paediatric age group

Sultan¹,

As²

2016

J. Thorac. Dis.

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Children, and in particular young children under the age of three, are the most vulnerable for aspiration and ingestion of foreign bodies (FBs). The Red Cross War Memorial Children's Hospital in Cape Town is the only children's hospital in South Africa and is unique in having a dedicated trauma unit for children under the age of 13 as part of its institution. Core activities of Childsafe South Africa (CSA), located at the hospital, are data accumulation and interpretation, development of educational programmes, health inculcation and advising in legislation involving child health. To achieve this task, CSA works in close co-operation with government, industry, non-governmental and community predicated organisations, community groups and individuals. A database of all children treated for trauma at CSA has been maintained since 1991; it currently contains detailed information of over 170,000 injuries in children under the age of 13.This review consists of a literature review combined with data from our database and aims to provide information on our experiences with tracheobronchial aspiration of FBs in children.

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“…Specifically, for this reason, FBA should be considered in all children with atypical or prolonged pulmonary symptoms. The delay in diagnoses can lead to a spectrum of complications ranging from life-threatening airway obstruction, to chronic wheezing, recurrent pneumonia, or failure to thrive [17,27,34,35]. The nationwide survey conducted in Japan revealed that diagnoses of inhaled FB were delayed by more than 24 hours in approximately half of the patients.…”

Section: Discussionmentioning

confidence: 99%

Untitled

2015

JOENTR

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Introduction: Although foreign body aspiration (FBA) can be a life-threatening event, it still can be Preventable. One of the most important risk factors for FBA is a lack of knowledge by the caregivers. Moreover, there are only a few publications evaluating parental knowledge, and none of them address the parents' level of education. Aim of the study:The primary aim is to evaluate parental knowledge of foreign body aspiration among Saudis, and to correlate FBA knowledge with parental level of education; the secondary aim is to choose the most suitable method to spread the knowledge of FBA prevention, and to compare parental knowledge of FBA between Saudis and other nations.Method: A15 FBA-related items questionnaire was developed. The questionnaires were distributed to parents attending routine check up in different outpatient clinics across the two largest advanced secondary hospitals in Dammam city located in the Eastern Province of the Kingdom of Saudi Arabia.Results: Out of the 500 questionnaires distributed, 452 were recovered and mothers answered most of them. Only17 questionnaires were incomplete and excluded, while 435 questionnaires were analyzed. The studied group was divided into two groups based on level of education; the first group is the middle and high school graduates and was about 55%, and the rest, 45%, were the college graduates. One third of the parents in both studied groups did not recognize a small toy, and/or peanuts as a cause of FBA. Regarding clinical presentation of FBA, 14% and 27% of mothers did not know that sudden choking and coughing were symptoms suggesting FBA, respectively. No statistical significant difference in both studied groups (p-value = 0.785). Conclusion:A substantial number of parents globally including Saudis lack knowledge regarding FBA even among college graduates. To prevent FBA, and to make timely diagnoses, parents should have a thorough continuous education regarding FBA risks, presentation, and management.

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Tracheobronchial foreign bodies

Cited by 187 publications

References 11 publications

Tracheo-Bronchial Foreign Body Aspiration in Children: A One Year Descriptive Study

Tracheo-Bronchial Foreign Body Aspiration in Children: A One Year Descriptive Study

Review of tracheobronchial foreign body aspiration in the South African paediatric age group

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