Virtual Bronchoscopy as a Dynamic Modality in the Diagnosis and Treatment of Suspected Foreign Body Aspiration

Cevizci, N.; Dokucu, Ali İhsan; Baskin, Didem; Karadağ, Ceyda; Sever, Nihat; Yalçın, Metin; Bahadir, Eylem; Başak, Muzaffer

doi:10.1055/s-2008-1038972

Cited by 36 publications

(12 citation statements)

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“…[56] VB can thus demonstrate the presence and location of foreign body without need for anesthesia, avoiding complications associated with bronchoscopy for diagnosing a suspected tracheobronchial foreign body. [78] Use of rigid bronchoscopy can be restricted to the removal of foreign body thus identified. Exposure factors need to be altered in children to achieve as low as possible radiation exposure.…”

Section: Discussionmentioning

confidence: 99%

Subcutaneous emphysema due to bronchial foreign body demonstrated by multidetector-row computed tomography

et al. 2011

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Foreign body aspiration is an important cause of emergency hospital admissions in young children less than 3 years of age. It may manifest with acute respiratory difficulty, choking and wheeze acutely or may be asymptomatic. Surgical emphysema is an unusual presentation of bronchial foreign body aspiration in young children. We describe an infant with bronchial foreign body aspiration that manifested with subcutaneous emphysema and pneumomediastinum. Multidetector-row CT with virtual bronchoscopy helped in the diagnosis by detecting and localizing the intraluminal foreign body in the right main bronchus that was removed with rigid bronchoscopy.

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Section: Discussionmentioning

confidence: 99%

Subcutaneous emphysema due to bronchial foreign body demonstrated by multidetector-row computed tomography

et al. 2011

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“…This will shorten the operative time for rigid Bronchoscopy. Virtual Bronchoscopy avoids unnecessary invasive procedure of rigid Bronchoscopy [20]. Limitations of the study are, VB is costly investigation and not available in all centers.…”

Section: Discussionmentioning

confidence: 96%

Advantage of Computed Tomography (CT) Virtual Bronchoscopy in the Evaluation of Children with Suspected Foreign Body Airway

Yogi¹,

Surender²,

Jadi³

et al. 2016

IJOHNS

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Background & Objectives: Foreign body aspiration (FBA) into the tracheo bronchial tree is a frequent and serious cause of respiratory distress and visit to the pediatrics emergency, principally in patients under 3 years of age. Most foreign bodies are not radio opaque and approximately one third of the children admitted will show normal chest X-ray. Virtual bronchoscopy is a relatively new and non-invasive procedure that provides a three dimensional view of the internal walls of the tracheobronchial tree through the reconstruction of axial images. The objectives of the study are, 1) to study the diagnostic accuracy and advantage of virtual bronchoscopy over rigid bronchoscopy in the evaluation of children with suspected FBA and to plan for early management as it is a non-invasive technique; 2) to study the clinical spectrum of children attending with suspected FBA. Methods: An observational study of 37 patients of age 12 yrs and below who underwent Virtual Bronchoscopy for suspected foreign body aspiration in the department of pediatrics and Otorhinolaryngology at MGM Hospital, Warangal is carried out for a period of 1.5 years during 2012-2013. Results: The common age of presentation was 1-3 years with male preponderance. History of foreign body was obtained in 64.86% of cases. Normal X-ray was found in 27.02% of cases. In 75.67% FB detected on rigid bronchoscopy was also revealed on virtual bronchoscopy. False positive percentage was 5.40% and false negative was 2.70%. Sensitivity and specificity was 96.5% and 75% respectively. Ground nuts were the commonest foreign bodies aspirated. Conclusion: Virtual bronchoscopy should be considered in cases with suspected foreign body aspiration, when chest X-ray is normal, to avoid needless rigid bronchoscopy. Virtual bronchoscopy is useful in screening cases of occult foreign body as it has sensitivity, specificity, and validity. M. Yogi et al.

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“…Following the contemporary approach to pediatric radiology, based on the ionizing radiation reduction because of its harmful effects, we used CT as the last diagnostic choice (11)(12)(13)(14)(15). Although some studies demonstrated the efficiency of virtual bronchoscopy (16), it is a time consuming procedure which, in our experience, does not provide additional information to MPR imaging. A similar opinion was stated in the study of Kocaoglu et al (17) but, even a CT examination did not allow the final diagnosis to be made.…”

Section: Discussionmentioning

confidence: 99%

Foreign Body Aspiration In Children - A Diagnostic Challenge

Petrovic¹,

Cegar²,

Lovrenski³

et al. 2010

TUTFD

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The clinical presentation of foreign body aspiration in children is variable. Clinicians should maintain a high index of suspicion in order to make a prompt and correct diagnosis. In this paper,we present a case of foreign body aspiration that had gone unrecognized for 54 days. Foreign body aspiration should be considered whenever a previously healthy child suddenly exhibits unexplained symptoms usually consistent with airway obstruction which is refractory to medical treatment.

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Virtual Bronchoscopy as a Dynamic Modality in the Diagnosis and Treatment of Suspected Foreign Body Aspiration

Cited by 36 publications

References 0 publications

Subcutaneous emphysema due to bronchial foreign body demonstrated by multidetector-row computed tomography

Subcutaneous emphysema due to bronchial foreign body demonstrated by multidetector-row computed tomography

Advantage of Computed Tomography (CT) Virtual Bronchoscopy in the Evaluation of Children with Suspected Foreign Body Airway

Foreign Body Aspiration In Children - A Diagnostic Challenge

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