Utilization of low-dose multidetector CT and virtual bronchoscopy in children with suspected foreign body aspiration

Adaletli, İbrahim; Kuruğoğlu, Sebuh; Ulus, Sıla; Özer, Harun; Eliçevik, Mehmet; Kantarcı, Fatih; Mihmanlı, İsmail; Akman, Canan

doi:10.1007/s00247-006-0331-y

Cited by 92 publications

(77 citation statements)

References 22 publications

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“…The most common radiographic findings are air trapping, atelectasis and shadows suggestive of a radiopaque FB. (7,8) However, those findings are nonspecific and have low accuracy.…”

Section: Discussionmentioning

confidence: 99%

“…(9,10) In order to increase radiological accuracy, fluoroscopy imaging can be conducted in inhalation and exhalation, in lateral decubitus. (8) However, conventional bronchoscopy cannot be ruled out based exclusively on these findings, principally in patients in whom there is a high suspicion of FBA.…”

Section: Discussionmentioning

confidence: 99%

“…(8) The authors demonstrated that, when the VB result is normal, without evidence of endobronchial obstruction, the use of conventional bronchoscopy was not superior in providing relevant additional information. In another study, when images obtained by means of VB and conventional bronchoscopy in patients with suspected FBA were compared, similar results were found.…”

Section: Casementioning

confidence: 99%

“…The presence of purulent endobronchial secretion or protrusion of some tumor mass towards the bronchial lumen must be ruled out. (8) In a recent review, the importance of the development of respiratory endoscopy emergency centers was highlighted in order to optimize the treatment of patients suspected of having this condition. (16) In conclusion, VB can be used as a method of investigation in children with suspected…”

Section: Casementioning

confidence: 99%

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Uso da broncoscopia virtual em pacientes pediátricos com suspeita de aspiração de corpo estranho

et al. 2009

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Foreign body aspiration (FBA) into the tracheobronchial tree is a common problem in children, especially in those under three years of age. Preliminary radiological evaluation reveals normal chest X-rays in nearly 30% of such patients. Tomography-generated virtual bronchoscopy (VB) can facilitate the early diagnosis and rapid management of these cases. The definitive treatment is the removal of the foreign body by means of rigid bronchoscopy under general anesthesia. The objective of this study was to describe the use of VB in two patients with suspicion of FBA, as well as to review the literature regarding this topic. The two patients presented with sudden onset of respiratory symptoms and history of cough or choking with foods before these symptoms. Both patients were submitted to VB. In both cases, we detected an endobronchial foreign body, which was then removed by conventional rigid bronchoscopy in one of the cases. Only recently developed, VB is a noninvasive imaging method that has potential for use in detecting foreign bodies in the airways of children. In select cases, VB can indicate the exact location of the foreign body and even preclude the need to submit patients to rigid bronchoscopy in the absence of a foreign body.Keywords: Bronchoscopy; Pediatrics; Respiratory aspiration. ResumoA aspiração de corpo estranho (ACE) para o trato respiratório é um problema comum em pacientes pediátricos, em especial abaixo dos três anos de idade. Na avaliação radiológica inicial, cerca de 30% dos pacientes apresentam radiograma de tórax normal. A tomografia com broncoscopia virtual (BV) pode auxiliar no diagnóstico precoce desse quadro e seu pronto manejo. O tratamento definitivo se dá com a retirada do corpo estranho através de broncoscopia rígida e mediante anestesia geral. O objetivo deste trabalho foi descrever o uso da BV na abordagem de dois pacientes com suspeita de ACE e realizar uma revisão da literatura sobre este tópico. Os dois pacientes tiveram início súbito de sintomas respiratórios e relato de tosse ou engasgo com alimentos antecedendo o quadro. Os pacientes foram submetidos à BV, e foi detectada a presença de corpo estranho endobrônquico em ambos os casos, com remoção posterior por broncoscopia rígida convencional em um caso. A BV é um método não-invasivo recente e com potencial para detectar a presença de corpo estranho na via respiratória em crianças. Em casos selecionados, BV pode auxiliar na localização correta do corpo estranho e até mesmo evitar o procedimento de broncoscopia rígida na ausência de corpo estranho.

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“…The most common radiographic findings are air trapping, atelectasis and shadows suggestive of a radiopaque FB. (7,8) However, those findings are nonspecific and have low accuracy.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Casementioning

confidence: 99%

Section: Casementioning

confidence: 99%

See 2 more Smart Citations

Uso da broncoscopia virtual em pacientes pediátricos com suspeita de aspiração de corpo estranho

et al. 2009

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“…Lo anterior difiere de publicaciones extranjeras 8,[13][14][15] , la última revisión realizada en nuestro hospital el año 1984 y de la última serie publicada en Chile el año 1953, pero es similar al metaanálisis anteriormente mencionado 10 . Encontramos un segundo peak de incidencia en el grupo de seis a once años, con un fuerte predominio de CEVA inorgánicos, especialmente tapas de lápices y chinches, a diferencia del grupo de menores de tres años, donde el maní constituyó el CEVA por excelencia con un p <0,05 respecto a los otros grupos de edad, similar a otros reportes 10 .…”

Section: Tabla 2 Detalle De Los Ceva Encontradosunclassified

Cuerpo extraño bronquial: Experiencia de los últimos 18 años en Hospital Guillermo Grant Benavente, Concepción, Chile

2016

Rev. Otorrinolaringol. Cir. Cabeza Cuello

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A child with a foreign body in bronchus misdiagnosed as asthma

Chaudhary

Shrestha

Kurmi

2020

Clinical Case Reports

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Foreign body (FB) aspiration is common in infants and younger children with a high incidence in toddlers as they use their mouth to explore the surroundings. It can lead to high mortality and morbidity if it remains undiagnosed and unaddressed appropriately in time. 1,2 The most common types of FB aspiration in children are seeds, peanuts, food particles, and toys. Items such as coins, paper clips, pins, and pen caps are usually noticed to be aspirated in older children. 3,4 The diagnosis of FB aspiration in airways is difficult in cases with an uncharacterized medical history and discrete symptoms. Delay in the diagnosis of a FB is mainly due to parents not witnessing the choking crisis along with failure to diagnose the condition by the primary physician because of its atypical presentation and misleading radiological findings, which often leads to therapeutic challenges. 5 Aspiration of organic FB leads to airway mucosal inflammation and edema in the acute stage. Further, if FB in airways is missed, granulation tissue forms, which later on can lead to symptoms masquerading difficult bronchial asthma along with recurrent/persistent pneumonia. Here, we report an 11-year-old child with FB aspiration who initially was misdiagnosed and treated as asthmatic patient. Later on, he was diagnosed to have FB in the right bronchus, which was successfully removed by flexible bronchoscopy. 2 | CASE REPORT An 11-year-old boy was brought to the pediatric outpatient department with complaints of recurrent cough, tightness of chest, and breathing difficulty for the last 18 months. The child was a product of nonconsanguineous parents. The child was asymptomatic 18 months prior and doing well. Developmentally, he was normal, and his scholastic performances were normal. There was no reported family history of asthma or tuberculosis. Eighteen months back, the child developed sudden-onset cough, wheeze, and fever for which he was diagnosed as pneumonia and treated with oral antibiotics (amoxicillin-clavulanic acid) and bronchodilators (oral salbutamol syrup; nebulization-salbutamol, ipratropium bromide, and budesonide) by his local pediatrician. Chest X-ray showed right-sided hyperinflation (Figure 1A). The child responded well to the above treatment. Later on, the child had repeated reoccurrence of symptoms for which he received several courses of oral antibiotics (amoxicillin-clavulanic acid) along with bronchodilators (oral salbutamol syrup)

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Utilization of low-dose multidetector CT and virtual bronchoscopy in children with suspected foreign body aspiration

Cited by 92 publications

References 22 publications

Uso da broncoscopia virtual em pacientes pediátricos com suspeita de aspiração de corpo estranho

Uso da broncoscopia virtual em pacientes pediátricos com suspeita de aspiração de corpo estranho

Cuerpo extraño bronquial: Experiencia de los últimos 18 años en Hospital Guillermo Grant Benavente, Concepción, Chile

A child with a foreign body in bronchus misdiagnosed as asthma

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