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[Bronchial foreign bodies in children].

A Viot1, E Babin, A Bequignon

  • 1Service d'ORL et de chirurgie cervico-faciale, CHU de Caen, Avenue côte de nacre, 14033 Caen Cedex, France.

Annales D'Oto-Laryngologie Et De Chirurgie Cervico Faciale : Bulletin De La Societe D'Oto-Laryngologie Des Hopitaux De Paris
|September 10, 2002
PubMed
Summary

Foreign body aspiration in children is rare but serious. This study found peanuts were common, and all foreign bodies were successfully removed via endoscopy, highlighting the need for careful procedures.

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Area of Science:

  • Pediatric Otolaryngology
  • Respiratory Medicine

Background:

  • Tracheobronchial foreign body aspiration in children is a rare but potentially severe event.
  • A 10-year retrospective study was conducted to analyze cases of pediatric tracheobronchial foreign body aspiration.

Purpose of the Study:

  • To review the characteristics and management of foreign body aspiration in children.
  • To evaluate the effectiveness of endoscopic removal and identify key factors in successful outcomes.

Main Methods:

  • Retrospective analysis of 87 pediatric patients undergoing endoscopy for suspected foreign body aspiration at Caen University Hospital.
  • Data collected included patient demographics, foreign body type, location, removal method, and clinical/radiological findings.

Main Results:

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  • Foreign bodies were identified in 34 of 87 patients, with a mean age of 3 years and male predominance.
  • Peanuts were the most frequent foreign bodies (16/34), often lodged in the right main bronchus (17/34).
  • All foreign bodies were successfully removed endoscopically; clinical and radiological signs varied, with normal findings in 15% and 37.5% respectively.

Conclusions:

  • Rigorous endoscopic procedures and close collaboration between anesthesiologists and endoscopists are crucial for safe and effective foreign body removal.
  • The utility of chest X-ray in diagnosing foreign body aspiration remains a subject of debate, given the possibility of normal findings.