Factors predicting early diagnosis of pediatric laryngotracheobronchial foreign bodies.
Journal Title: Otolaryngologia Polska - Year 2015, Vol 69, Issue 6
Abstract
Objective: To study the clinical and radiological findings to make early diagnosis of foreign body (FB) aspiration in children Methods: This prospective study was conducted on 45 children below 12 years of age with a clinical diagnosis of FB aspiration undergone rigid bronchoscopy from September 2008 to may 2010. Results: Bronchoscopy was positive for FB in 37 children. The results of these 37 children (15 female and 22 male) were analyzed. 81% of children were in age group of 1-3 years. Penetration syndrome (sudden onset coughing, choking and gagging when the child is having something in the mouth) (89.2%) and decreased breath sounds (86.5%) were the most common clinical features. Cough, respiratory difficulty and fever were present in 83.8%, 78.4% and 27% respectively. Tachypnoea, tachycardia, chest retractions, decreased chest movements and wheeze were present in 83.3%, 83.3%, 83.3%, 51.4% and 43.2% respectively. Unilateral hyperinflation (64.9%), mediastinal shift (45.9%), and collapse (21.6%) were common radiological sign on chest radiograph and in 13.5% patients the chest X-rays were normal. Sites of FB lodgments were larynx, trachea, right main bronchus, left main bronchus and bilateral bronchi in 10.8%, 10.8%, 35.1%, 37.8 and 5.5% respectively. Food related FBs were present in 30 cases (peanut in 54.1%) and inorganic FBs were present in 7 cases. FBs were removed successfully by rigid bronchoscopy in all cases without any mortality. Conclusions: Penetration syndrome, localized decreased breath sounds, unilateral hyperinflation and/or mediastinal shift on radiology are predictors for early diagnosis of FB aspiration.
Authors and Affiliations
Nirmal Shanmugasundaram Nirmal, Pradipta Parida, Surianarayanan Gopalakrishnan, Sunil Kumar Saxena
Keywords
Related Articles
- EP ID EP76622
- DOI 10.5604/00306657.1184544
- Views 110
- Downloads 0
Ocena plastyki małżowin nosowych dolnych falami radiowymi monopolarnymi i bipolarnymi
Cel: Celem niniejszej pracy jest porównanie wczesnych efektów zastosowania fal radiowych (FR) monopolarnych (MP) i bipolarnych (BP) w leczeniu przerostu małżowin nosowych dolnych z uwzględnieniem komfortu pacjenta i leka...
Znaczenie polimorfizmu -765G/C genu COX-2 dla patogenezy przewlekłego zapalenia zatok przynosowych z polipami nosa w populacji polskiej
Czy chirurgiczne osiągnięcia Jana Kwaśnickiego (1838-1883) w dziedzinie rynolaryngologii były znaczne?
The professional and scientifi c activities of Jan Kwaśnicki (1838-1883), a Varsovian surgeon, his medical education in various medical institutions is shortly outlined. He was the head of surgical ward at the Evangelica...
Interwencja chirurgiczna w obrębie szypuły naczyniowej jako wczesna profilaktyka martwicy piata ALT opis przypadku
Znaczenie prognostyczne ekspresji cykliny D1 i cykliny B u pacjentów z rakiem krtani leczonych radioterapią
Cyclin B1 and cyclin D1 playing the role of regulatory subunits of cyclin-dependent kinases responsible for progression of cell cycle are involved in carcinogenesis of head and neck tumors. The aim of this study is to in...