Tracheobronchial foreign body aspirations in childhood: a 10-year experience

Oğuzkaya, Fahri; Akçalı, Yiğit; Kahraman, Cemal; Bilgin, Mehmet; Şahin, Atalay

doi:10.1016/s1010-7940(98)00205-x

Cited by 91 publications

(74 citation statements)

References 9 publications

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“…The percentage of removed FBs (68%) was comparable with some studies [6,7], but other researchers noted lower or higher rates (57.0%, 59.1%, and 91.3%) [2,8,9]. During bronchoscopy, objects were found most often in the right main stem bronchus followed by the left, as in most surveys [7][8][9][10][11][12][13][14][15][16]].…”

Section: Discussionsupporting

confidence: 74%

Diagnosis of paediatric airway foreign body: is it easy?

Rybojad¹,

Niedzielska

Rudnicka–Drożak

2014

Open Medicine

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AbstractForeign-body aspiration in children results in diagnostic problems, mainly because of nonspecific signs. Therefore, in this study, we placed particular stress on false-positive and -negative predictors. Charts of 139 consecutive paediatric patients aged 6.0 months to 15.5 years who underwent bronchoscopy for a suspected foreign body aspiration were analysed retrospectively. A foreign body was found in 95 cases (68%). The anamnesis was positive in 91%. Cough was the most common clinical symptom (91%) with a sensitivity and specificity of 94% and 23%, respectively. There were no significant correlations between clinical symptoms and the locations of foreign bodies. The majority of focal hyperinflation (24%) and atelectasis (15%) were seen in chest radiographs, with a sensitivity and specificity of 33% and 89% (hyperinflation) and 15% and 82% (atelectasis), respectively. Chest X-rays were normal in 46 cases; however, an object was removed in 25. Persistent infiltrates were present in 14 X-rays, and a foreign body was extracted during bronchoscopy in 4. A highly significant correlation between the type of foreign body and radiological signs was noted (p = 0.00001). Anamnesis, clinical symptoms, and radiological findings are helpful in confirming aspiration, but can be misleading. Chronic or recurrent pneumonia should prompt further bronchoscopic diagnosis.

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Section: Discussionsupporting

confidence: 74%

Diagnosis of paediatric airway foreign body: is it easy?

Rybojad¹,

Niedzielska

Rudnicka–Drożak

2014

Open Medicine

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“…Direct lung radiography is of diagnostic significance because of the metallic structure of the pin and it also refers to the place and localization of the pin (11). Although computerized tomography is not routinely performed, it is known that CT scan is useful in showing the localization of the pin and the complications that might develop (12). We too used lung radiography and did not need tomography in the diagnosis of our patient.…”

Section: Discussionmentioning

confidence: 95%

Headscarf Pin Localized in the Right Main Bronchus and Two Pins in the Abdomen

Apilioğulları

Düzgün²,

Eşme³

et al. 2015

Electron J Gen Med

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“…Bu •alÝß-mada da erkek hakimiyeti (%63.6) vardÝ. Bu muhtemelen diÛer kazai istatistiklerde olduÛu gibi erkek •ocuklarÝn yŸksek aktivitesine baÛlÝdÝr (3,6,9,(15)(16)(17) Fatal ve fatal olmayan YCA'larÝ ilgilendiren serilerin •oÛunda saÛ akciÛer'in %48.62 oranÝyla en yaygÝn tÝkanma bšlgesi olduÛu gšsterilmißtir (1,3,8,9,12,14,16,21). YCA'-nun lokalizasyonunu bildiren az sayÝda •alÝßma vardÝr.…”

Section: Tartiþmaunclassified

“…Yiyecek asfiksisi ne zaman ve nerede olursa olsun temel problemdir.Pediatrik havayolu aspirasyonunda sebze ve kuru yiyecekler en yaygÝn aspirasyon materyalidir (1,3,9). Gelißmiß batÝ toplumlarÝnda en yaygÝn aspire edilen materyal fÝstÝktÝr (4,6,8,11,12,21,22).…”

Section: Tablo 1 Olgularýn Yaßa Ve Cinsiyete Gšre Daûýlýmýunclassified

“…Foreign body, aspiration, child, death GÜRÜÞ ‚ocukluk •aÛÝ kaza šlŸmlerinin šnemli bir bšlŸmŸ-nŸ olußturan yabancÝ cisim aspirasyonu (YCA) •ok ciddi bir kazadÝr (1)(2)(3)(4)(5)(6). Aspire edilen materyaller •oÛunluk-la gÝdalar olmasÝna raÛmen evde bulunan metal, plastik, taß, oyuncak ve oyuncak par•alarÝ da yaygÝn šlŸm nedenidir (2-4, 7-13).…”

Section: Introductionunclassified

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Çocuklarda Fatal Yabancı Cisim Aspirasyonları

Gören¹,

Gürkan²,

Tıraşçı³

et al. 2003

Bull Leg Med

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…ZET SUMMARYAs a very serious reason of accidental deaths in childhood, we have aimed to investigate deaths due to foreign body aspiration (FBA), since its incidence has not decreased despite advances in the techniques and instruments for its emergency treatment.We retrospectively reviewed the records of forensic cases due to FBA examined at the DiyarbakÝr Branch of the Council of Forensic Medicine between 1990 and 2003. Over this period this office investigated 8330 medicolegal deaths cases, 22 of which were children under 15 years of age due to FBA.Of the victims, 14 (63.6%) were male and 8 (36.4%) were females. The mean age of the victims was 2.2±0.6 years. There were 20 (90.9 %) children between 1 and 3 years, and two other cases at 2/12 and 5 years of ages. All fatal aspirations occurred at home. Food was the most commonly aspirated foreign body in 81.8% of the cases, nuts being the most common in 50%. Carina (54.5%) was the most common site of the foreign body in the respiratory tract.In conclusion, food asphyxiation remains a common problem particularly in children between 1 and 3 years of age in our region. These fatal accidents could be prevented by parent education and early recognition and management of the situation.Key words: Foreign body, aspiration, child, death GÜRÜÞ ‚ocukluk •aÛÝ kaza šlŸmlerinin šnemli bir bšlŸmŸ-nŸ olußturan yabancÝ cisim aspirasyonu (YCA) •ok ciddi bir kazadÝr (1-6). Aspire edilen materyaller •oÛunluk-la gÝdalar olmasÝna raÛmen evde bulunan metal, plastik,

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Tracheobronchial foreign body aspirations in childhood: a 10-year experience

Abstract: Proper use of diagnostic techniques provides a high degree of success, and the treatment modality to be used depending on the type of the foreign body is mostly satisfactory.

Cited by 91 publications

References 9 publications

Diagnosis of paediatric airway foreign body: is it easy?

Diagnosis of paediatric airway foreign body: is it easy?

Headscarf Pin Localized in the Right Main Bronchus and Two Pins in the Abdomen

Çocuklarda Fatal Yabancı Cisim Aspirasyonları

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