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Published on: September 11, 2018
Foreign body inhalation in the pediatric population: lessons learned from 106 cases
1Département d'Otorhinolaryngologie, Hôtel-Dieu de France, rue Alfred-Naccache, Beirut, Lebanon. habib.rizk@usj.edu.lb
Summary
Foreign body aspiration (FBA) in children is a serious concern, often presenting with delayed diagnosis due to parental underestimation. Early suspicion and education are key to reducing complications.
Area of Science:
- Pediatric Pulmonology
- Emergency Medicine
- Otolaryngology
Background:
- Foreign body aspiration (FBA) poses a significant risk in pediatric populations.
- Timely diagnosis and intervention are crucial for managing FBA outcomes.
Purpose of the Study:
- To assess the incidence of FBA in children at a tertiary care center.
- To identify factors contributing to delayed diagnosis and improve prevention strategies.
Main Methods:
- Retrospective analysis of 106 children (<15 years) undergoing bronchoscopy for suspected FBA.
- Data collected on patient demographics, foreign body characteristics, and diagnostic timelines.
Main Results:
- Most common age group for FBA was 1-3 years (56.6%); peanuts/pistachios were frequent culprits (48%).
- Delayed diagnosis was common, with 49% presenting >72 hours post-inhalation; parental underestimation was a key factor.
- Typical signs were present in 81% of cases, but physical exams and X-rays were often normal (21-21.8%).
Conclusions:
- Foreign body aspiration requires a high index of suspicion among healthcare providers.
- Enhanced physician and parental education are vital for reducing FBA-related morbidity and mortality.
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