Tracheobronchial Foreign Body Aspiration in Childhood
PDF
Cite
Share
Request
Research
P: 126-130
June 2019

Tracheobronchial Foreign Body Aspiration in Childhood

Med J Bakirkoy 2019;15(2):126-130
1. Erciyes Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Çocuk Acil Bilim Dalı, Kayseri, Türkiye
2. Sağlık Bilimleri Üniversitesi, Kayseri Şehir Hastanesi, Kardiyoloji Kliniği, Kayseri, Türkiye
3. Erciyes Üniversitesi Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, Kayseri, Türkiye
No information available.
No information available
Received Date: 16.02.2018
Accepted Date: 30.03.2018
Publish Date: 27.05.2019
PDF
Cite
Share
Request

ABSTRACT

Objective:

The aim of this study was to determine the patients who were followed up and treated in pediatric emergency service due to foreign body aspiration.

Methods:

Patients admitted to Erciyes University Pediatric Emergency Unit in 2017 due to foreign body aspiration were evaluated retrospectively.

Results:

23.9% of the patients in the study were female and 76.1% were male and 76.1% was under three years old. The ages of the patients were between 7 and 72 months. Duration of admission to hospital after aspiration was between 15 minutes and 22 days. The most common symptom of patients was coughing (%38) and the most frequent finding of physical examination was unilateral decrease in breathing sounds (47.6%). The most common symptom of lung graph was elevation of ventilation (61.9%) and 30.9% of the patient’s chest X-ray was normal. Bronchoscopy was performed in all 42 patients. Sunflower (33.3%) seed were found as the most common aspirated foreign body. The right main bronchus (33.3%) was the most common area where the foreign bodies were found.

Conclusion:

To suspect foreign body and getting a good medical history are the most important step in foreign body aspiration. According to our study, especially in the event of a choking cough, which starts in the story of boys under 3 years of age while playing games or eating food, the clinician must suspect foreign body aspiration. Normal radiological images do not exclude foreign body aspiration. Emergency bronchoscopy reduces morbidity and mortality in all suspected cases.

Keywords: Aspiration, bronchoscopy, pediatric emergency

References

1
Şenkaya I, Sağdıç K, Gebitekin C, Yılmaz M, Özkan H, Cengiz M. Management of foreign body aspiration in infancy and childhood. Turk J Ped 1997;39:353-62.
2
Smitheringale A. Management of foreignbodies of the tracheobronchial tree. In: Pearson editor. Thoracic surgery. Philadelphia: Churchil Livingstone; 1995. p. 1591-9.
3
Sırmalı M, Türüt H, Kısacık E, ve ark. Çocukluk çağı trakeobronşial yabancı cisim aspirasyonu. Tıp Araştırmaları Dergisi 2005;3( 2 ):8-12.
4
Mu LC, Sun DQ, He P. Radiological diagnosis of aspirated foreign bodies in children: review of 343 cases. J Laryngol Otol 1990;104:778-82.
5
Pasaoglu I, Dogan R, Demircin M, Hatipoğlu A, Bozer AY. Bronchoscopic removal of foreign bodies in children: retrospective analysis of 822 cases. Thorac Cardiovasc Surg 1991;39:95-8.
6
Mu L, He P, Sun D. Inhalation of foreignbodies in Chinese children: a review of 400 cases. Laryngoscope 1991;101:657-60.
7
Black RE, Choi KJ, Syme WC, Johnson DG, Matlak ME. Bronchoscopic removal of aspirated foreign bodies in children. Am J Surg 1984;148:778-81.
8
Vitor C, Alessandra MP, Liliane MZ, et al. Foreign body in children airways. J Pneumologia 2003; vol 29; no 3: 139-44.
9
Büyükyavuz İ. Çocukluk Çağında Yabacı Cisim Aspirasyonu. Klinik Pediatri 2003;2:47-51.
10
Swanson KL, PrakashUBS, Midthun DE. Flexible bronchoscopic management of airway foreign bodies in children. Chest 2002;121:1695-700.
11
Nakhosteen JA. Tracheobronchial foreign bodies. EurRespir J 1994;7:429-30.
12
Rovin JD, Rodgers BM. Pediatric foreign body aspiration. Pediatr Rev 2000;21:86-90.
13
Tütüncü AÇ, Dilmen ÖK, Ozcan R, Emre Ş, Köksal G, Altıntaş F, ve ark. Çocuk hastalarda yabancı cisim aspirasyonu nedeniyle uygulanan rijid bronkoskopi sonuçlarımız. Turk Ped Arş 2012;47:125-9.
14
Sarısoy Ö, Liman ŞT, Aydoğan M, Topçu S, Burç K, Hatun Ş. Çocukluk çağı yabancı cisim aspirasyonları: klinik ve radyolojik değerlendirme. Çocuk Sağlığı ve Hastalıkları Dergisi 2007;50:96-101.
15
Ozkurt H, Bahadir E, Ucgul A, Altuna C, Basak M, Cevizci NM, et al. Comparision of multidetector computed tomography-virtual bronchoscopy and conventional bronchoscopy in children with suspected foreign body aspiration. Emerg Radiol 2008. [Epub ahead of print]
16
Cevizci N, Dokucu AI, Baskin D, Karadağ CA, Sever N, Yalçin M, at al. Virtual bronchoscopy as a dynamic modality in the diagnosis and treatment of suspected foreign body aspiration. Eur J Pediatr Surg 2008;18:398-401.
17
Beşirli K, Demirkaya A. Trakeobronşiyal yabancı cisim aspirasyonu. Solunum 2003;5:316-9.
18
Silva AB, Muntz HR, ClaryR. Utility of conventional radiography in the diagnosis and management of pediatric airway foreign bodies. Ann Otol Rhinol Laryngol 1998;107:834-8.
19
Pasaoglu I, Dogan R, Demircin M, Hatipoglu A, Bozer AY. Bronchoscopic removal of foreign bodies in children: retrospective analysis of 822 cases. Thorac Cardiovasc Surg 1991;39:95-8.
20
Mantor PC, Tuggle DW, Tunell WP. An appropriate negative bronchoscopy rate in suspected foreign body aspiration. Am J Surg 1989;158:622-4.
2024 ©️ Galenos Publishing House