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Foreign body aspirations in infancy: a 20-year experience
Nader Saki1, Soheila Nikakhlagh, Fakher Rahim
1Apadana Clinical Research Center, Apadana hospital, Ahwaz, Iran.
International Journal of Medical Sciences
|October 24, 2009
Summary
Foreign body aspiration in children is a common cause of accidental death. Bronchoscopy is an effective and safe procedure for removing inhaled foreign bodies, with a low complication rate.
Area of Science:
- Pediatric Pulmonology
- Emergency Medicine
- Otolaryngology
Background:
- Foreign body aspiration is a leading cause of accidental childhood mortality.
- Delayed diagnosis can significantly increase morbidity and mortality, especially in non-acute respiratory failure cases.
Purpose of the Study:
- To report diagnostic findings in pediatric foreign body aspiration cases.
- To compare these findings with existing literature.
Main Methods:
- A retrospective review of 1015 patients (2 months to 9 years) undergoing bronchoscopy for suspected foreign body aspiration between 1998 and 2008.
- Diagnosis was based on history, physical examination, radiological imaging, and bronchoscopy.
Main Results:
- The majority of foreign bodies were seeds, most commonly found in the right main bronchus (55.1%).
- Bronchoscopy successfully removed foreign bodies in all cases where found (91.3%).
- Pneumonia occurred in only 2.9% of patients.
Conclusions:
- Rigid bronchoscopy is a highly effective and safe procedure for inhaled foreign body removal in children.
- Accurate diagnostic techniques contribute to successful outcomes.
- Treatment is generally satisfactory and depends on the foreign body type.
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