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[Foreign body aspiration in children].

Gürsu Kiyan1, Ibrahim Uygun, Bülent Karadağ

  • 1Department of Pediatric Surgery, Medicine Faculty of Marmara University, Istanbul, Turkey. gursukiyan@marmara.edu.tr

Kulak Burun Bogaz Ihtisas Dergisi : KBB = Journal of Ear, Nose, and Throat
|July 16, 2005
PubMed
Summary

Bronchoscopy is highly sensitive for diagnosing foreign body aspiration in children, with a low complication rate. Clinical history and symptoms are key indicators, though less specific.

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Area of Science:

  • Pediatric Pulmonology
  • Otolaryngology
  • Emergency Medicine

Background:

  • Foreign body aspiration is a common pediatric emergency.
  • Prompt diagnosis and intervention are crucial to prevent complications.

Purpose of the Study:

  • To analyze demographic data of patients undergoing bronchoscopy for suspected foreign body aspiration.
  • To evaluate the diagnostic accuracy of clinical history, symptoms, physical examination, and radiological findings.

Main Methods:

  • A retrospective review of 102 patients who underwent rigid bronchoscopy for suspected foreign body aspiration.
  • Data collected included patient demographics, foreign body characteristics, and diagnostic test performance.

Main Results:

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  • Foreign bodies were detected in 78% of patients, with nuts and seeds being most common.
  • Bronchoscopy demonstrated high sensitivity (76.8%-100%) but low specificity (4.2%-50%) for diagnosing foreign body aspiration.
  • The procedure had a low complication rate (3 minor complications).

    • Conclusions:

    • Choking episodes are an absolute indication for bronchoscopy.
    • Bronchoscopy is a safe and effective procedure for diagnosing foreign body aspiration in children.
    • While clinical history and symptoms are sensitive, their low specificity necessitates further diagnostic evaluation.