Bronchoscopy for foreign body removal in children. A review and analysis of 210 cases.

Abstract:

OBJECTIVE:A foreign body aspiration in the tracheobronchial tree is a dangerous and common medical emergency in childhood, with serious and potentially lethal consequences. It must be suspected in children with a suggestive history, even though the clinical symptoms or radiographic findings are not pathognomonic for foreign body aspiration. METHODS:In this study 210 pediatric cases, with a suggestive history of foreign body aspiration undergoing bronchoscopy in the last 8 years in the department, were reviewed. In all cases bronchoscopy was performed under general anesthesia using a Storz ventilation bronchoscope with distal cold light illumination. RESULTS:In 130 patients a foreign body was discovered, in 17 cases pus was aspirated and in 63 cases there were no findings. Seventy-eight (60%) foreign bodies were found in the right main bronchus, 43 (33.1%) in left main bronchus, seven (5.4%) in both bronchi and two (1.5%) were found in the subglottic area. The incidence of bronchoscopy during the last 8 years was 28 procedures per 100000 children population per year in the island of Crete. CONCLUSION:More attention should be given to the need for a careful history and the use of radiographs as supplemental information to make the decision to perform a bronchoscopy. The parents, also, should pay attention not to allow children dry fruits and small toys, as well as, teaching their children to avoid any physical or emotional activity while having a full mouth.

authors

Skoulakis CE,Doxas PG,Papadakis CE,Proimos E,Christodoulou P,Bizakis JG,Velegrakis GA,Mamoulakis D,Helidonis ES

doi

10.1016/s0165-5876(00)00324-4

subject

Has Abstract

pub_date

2000-06-30 00:00:00

pages

143-8

issue

2

eissn

0165-5876

issn

1872-8464

pii

S0165-5876(00)00324-4

journal_volume

53

pub_type

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