Pediatric foreign body aspirations: experience of 263 cases
Journal Title: Current Thoracic Surgery - Year 2018, Vol 3, Issue 3
Abstract
Background: Foreign body (FB) aspiration is a serious clinical situation due to its life-threatening status and especially common in the childhood period. We aimed to present the diagnosis and treatment of foreign bodies in pediatric age group. Material and Methods: Files of 510 patients aged 16 years and below that underwent rigid bronchoscopy due to suspicion of FB aspiration between June 1994 and November 2017 were retrospectively reviewed. 263 cases were included to the study that underwent foreign body removal. The cases were assessed in terms of gender, age, type and localization of the foreign body, clinical complaint, radiological findings, treatment method, complication and mortality. Results: Among the patients 45.6% were male and 54.4% were female. The aspirated foreign bodies varied from dried nuts to plastic, from hijab needles to beads. The most aspirated foreign body were dried nuts. 51% of them were removed from the right main bronchus, 31.9% from the left main bronchus, and 17.1% from the trachea. 97.8% of the foreign bodies were removed via bronchoscope. Thoracotomy was performed in 6 cases since the foreign bodies were not extractable with a bronchoscope or due to developing complications. No mortality occurred. Conclusions: FB aspiration can lead to life-threatening complications in children aged 3 years or below. Bronchoscopy should be performed in all cases of foreign body aspiration, including suspicious cases. Notably, the bronchoscopy procedure should be carried out by a well-trained, experienced anesthesiologist-endoscopy team and with appropriate tools.
Authors and Affiliations
Ozgur Katrancioglu, Sule Karadayi, Ekber Sahin
Keywords
Related Articles
- EP ID EP520083
- DOI 10.26663/cts.2019.00024
- Views 84
- Downloads 0
Primary malignant mediastinal germ cell tumor in childhood
Primary malignant mediastinal germ cell tumors are rare in childhood. Despite the metastasis to lung, liver, brain and bone is possible but sternal metastasis is unusual. Both tumor and its metastases treated with surgic...
Current status of tracheal tissue engineering
Management of large airway defects is challenging for clinicians due to lack of effective treatment modalities and eventually interest has turned to the field of airway tissue engineering. Considerable progress has been...
Do we need a new SUVmax threshold value for the evaluation of mediastinal lymph nodes?
Background: Mediastinal lymph node involvement is the most important factor determining the treatment and the prognosis with non-small cell lung cancer (NSCLC). In our study, the role of PET-CT was assessed in the evalua...
Bronchoscopic management of bronchopleural fistula
Bronchopleural fistula (BPF) represents a pathological communication between any part of bronchial tree and the pleural space. Mostly it is a rare yet serious complication of different pulmonary conditions like certain i...
Bilateral pulmonary nodular amyloidosis with positive FDG uptake
Amyloidosis is a disease characterized by extracellular accumulation of protein in fibrillary structure (amyloid protein) in various organs and soft tissues. Although the involvement of respiratory system is encountered...