Flexible Bronchoscopy in Childhood: 5-year Single-center Experience
Journal Title: Journal of Ankara University Faculty of Medicine - Year 2021, Vol 74, Issue 1
Abstract
Objectives: Flexible fiberoptic bronchoscopy (FB) is one of the methods used for the diagnosis of childhood respiratory diseases. This diagnostic method allows the examination of the nose, pharynx, larynx and tracheobronchial tree. In this study, we aimed to present our five-year FB experience and to draw attention to the diagnostic benefit of FB in childhood. Materials and Methods: We retrospectively evaluated the indications and results of 316 FB procedures performed in our center between March 1, 2014 and March 1, 2019. Patients’ age, gender, chronic diseases, indication of FB, route of administration, size of bronchoscopy used, microbiological and cytological examination results of bronchoalveolar lavage liquid, pathological bronchoscopic findings, diagnosis and complications during bronchoscopy were examined. Results: In the five-year period, a total of 300 patients underwent 316 FB procedures. One hundred and seventy of 316 FB patients that were evaluated (53.7%) were boys. The median age of the patients was 48 months. The most common indications for bronchoscopy were atelectasis (n=68, 21.5%), chronic cough (n=53, 16.8%) and stridor (n=42, 13.3%). Diagnostic findings were obtained during bronchoscopy in 235 (74.4%) patients. Fifteen (4.7%) patients developed minor complications and 10 (3.4%) of these patients had short-term hypoxemia during the procedure. Conclusion: FB in childhood is a method that can be performed with many indications in patients with respiratory symptoms. Adequate preparation prior to the procedure and careful monitoring of the patient by a trained team during the procedure are crucial for the safe completion of the procedure.
Authors and Affiliations
Gizem Özcan, Özlem Selvi Can, Fazılcan Zirek, Merve Nur Tekin, Nazan Çobanoğlu
Comparison of Mean Platelet Volume at Admission in Subtypes of Acute Myocardial Infarction
Objectives: Thrombus by the activated platelets and reduced blood flow of myocardium as a result of the thrombus lies under the pathophysiology of acute myocardial infarction (MI). Mean platelet volume (MPV) is known to...
Epidemiological Profile of Pediatric Ear Nose Throat Emergencies
Objectives: Ear, nose and throat (ENT) diseases are among the most common pathologies in the community, some of which may have high morbidity and mortality if early diagnosis and appropriate treatment approaches are not...
Thoracic Intradural Extramedullary Epidermoid Tumor: Two Rare Cases
Intradural epidermoid tumors of the spinal cord are commonly associated with spinal cord dysraphism or invasive procedures. The spinal epidermoid tumor, frequently located intradural extramedullary region, is typically f...
Comparison of the Results of Transanal Endorectal Pull-through and Martin-modified Duhamel Operations in Hirschsprung Disease
Objectives: We compared the results of patients who underwent transanal endorectal pull-through (TEPT) and Martin-modified Duhamel operations for Hirschsprung’s disease (HD). Materials and Methods: Between 2002 and 2007...
Evaluation of Children Diagnosed with Acute Bacterial Sinusitis: Single-center Experience
Objectives: Acute bacterial sinusitis (ABS) is among frequent infections in children. Its diagnosis is clinical unless a suspicion of complication exists. This study aimed to evaluate pediatricians’ clinical approaches t...