Unusual Airway Foreign Body In An 11-Year-Old Boy

Mohamad, Irfan; Yusof, Nor Idayu Mohd; Soleh, Mohd Najeb; Abdullah, Baharudin

doi:10.3329/bjms.v12i2.14981

Bangladesh J Med Sci

2013

DOI: 10.3329/bjms.v12i2.14981

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Unusual Airway Foreign Body In An 11-Year-Old Boy

Irfan Mohamad

Nor Idayu Mohd Yusof

Mohd Najeb Soleh

et al.

Abstract: Foreign body in early pediatric life is common, owing to the childs developing dentition and maturity of swallowing mechanism. As the child grew older, the nature of foreign body inhaled might changed. Most of them are due to carelessness and improper habit of holding foreign material in between the lips. We report a case of a boy who inhaled a soft-board metal pin, which was retrieved after multiple attempts due to the nature of the pin that easily slipped and dislodged into distal bronchioles. Bangladesh Jo… Show more

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2024

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Unusual Airway Foreign Bodies in Children: Demographics and Management

Bose,

Shubha

2024

Journal of Indian Association of Pediatric Surgeons

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Aim: The aim is to study the demographics and management of unusual airway foreign bodies (UAFBs) in children. Materials and Methods: A retrospective observational study (2000–2020) of children with UAFBs, who underwent bronchoscopic removal. The demographics, types of foreign bodies, clinical and radiological features, management, and outcomes were collated and analyzed. Common foreign bodies, such as nuts, seeds, and vegetable aspirations, were excluded. Results: Among 531 children who had bronchoscopic retrieval of airway foreign bodies, 74 (59 males/15 females) had unusual foreign bodies. These included pen caps, whistles, plastic objects, pins, coal piece, stones, clay, pencil, gold ornament, and glass bangle. Thirty-one children presented within 1 day of aspiration, 37 within 1 month and 6 till 6 months. Thirty-nine were below 5 years, and the rest were between 5 and 15 years. Cough, respiratory distress, fever, choking, and noisy breathing were common presentations. Others are stridor, whistling, cyanosis, loss, and change of voice. Chest X-ray showed ipsilateral hyperinflation (23), haziness (21), radio-opaque foreign body (17) and was normal in 14. The left main bronchus, followed by the right main bronchus and trachea, were the sites of impaction. Four children required additional procedures (tracheotomy and thoracotomy). There was one mortality in the study cohort. Conclusion: Aspiration of unusual foreign bodies is not uncommon in children. Most aspirations are witnessed and predominant in boys. The left bronchus is the common site of impaction, and X-ray clinches the diagnosis. Presentation is delayed, and bronchoscopic retrieval, though challenging, has favorable outcome.

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Unusual Airway Foreign Bodies in Children: Demographics and Management

Bose,

Shubha

2024

Journal of Indian Association of Pediatric Surgeons

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Unusual Airway Foreign Body In An 11-Year-Old Boy

Cited by 1 publication

References 2 publications

Unusual Airway Foreign Bodies in Children: Demographics and Management

Unusual Airway Foreign Bodies in Children: Demographics and Management

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