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Foreign body aspiration: a four-years experience

Volkan Erikçi1, Safak Karaçay, Ahmet Arikan

  • 1SSK Tepecik Hospital, Department of Pediatric Surgery, Izmir, Turkey. verikci@yahoo.com

Ulusal Travma Ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery : TJTES
|February 15, 2003
PubMed

Insights

Prompt bronchoscopy is crucial for diagnosing airway foreign bodies (FB) in children. While chest X-rays are often inconclusive, clinical symptoms like wheezing warrant immediate endoscopic evaluation for FB removal.

Area of Science:

  • Pediatric Surgery
  • Pulmonology
  • Emergency Medicine

Background:

  • Airway foreign bodies (FB) pose a significant risk to children, necessitating rapid intervention.
  • Timely removal of airway FB is critical for preventing serious complications.

Purpose of the Study:

  • To review the clinical experience with suspected airway foreign bodies in pediatric patients.
  • To evaluate the diagnostic accuracy of imaging and the efficacy of bronchoscopy for FB removal.

Main Methods:

  • A retrospective analysis of 189 children undergoing bronchoscopy for suspected airway FB between 1997 and 2001.
  • Data collected included patient presentation, bronchoscopy findings, and post-procedure outcomes.

Main Results:

  • Foreign bodies were identified in 67.2% of cases, most commonly in the right mainstem bronchus.
  • Radiopaque foreign bodies were infrequent; pips and hazelnuts were the most common items.
  • Bronchoscopy revealed a low complication rate, with transient symptoms like stridor or fever in 79.9% of patients post-procedure.

Conclusions:

  • Chest radiographs are unreliable for diagnosing airway FB in children.
  • Children presenting with a history of choking or oral foreign body ingestion and subsequent respiratory symptoms (wheezing) require prompt bronchoscopy.
  • Bronchoscopy is a safe and effective procedure for the diagnosis and removal of airway foreign bodies in pediatric patients.
Abstract

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