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[Diagnosis and treatment of trachea foreign bodies in children]
Guixiang Wang1, Shilin Liu1, Yamei Zhang1
1Department of Otorhinolarynoglogy Head and Neck Surgery, Beijing Children's Hospital, Capital Medical University, Beijing Key Laboratory of Otorhinolaryngology Head and Neck Surgery, Beijing,100045, China.
Insights
Diagnosing trachea foreign bodies in children relies on history and physical exams, with electronic bronchoscopy offering high accuracy. Prompt diagnosis and treatment ensure successful removal with minimal complications.
Area of Science:
- Pediatric Pulmonology
- Emergency Medicine
- Otolaryngology
Context:
- Trachea foreign bodies pose a significant risk in pediatric populations.
- Timely diagnosis and intervention are crucial for favorable outcomes.
Purpose:
- To review the diagnosis, differential diagnosis, treatment, and first aid for pediatric trachea foreign bodies.
- To analyze the effectiveness of diagnostic and therapeutic interventions.
Summary:
- A retrospective analysis of 164 pediatric patients with trachea foreign bodies was conducted.
- Successful foreign body removal was achieved in 163 patients via rigid bronchoscopy and 1 via tracheotomy.
- Electronic bronchoscopy demonstrated superior diagnostic accuracy compared to radiographic examination.
Impact:
- Highlights the importance of clinical history and physical examination, including the 'clapping sound,' in rapid diagnosis.
- Emphasizes the efficacy of bronchoscopic removal and the low complication rate, improving pediatric airway management strategies.
Objective:
To discuss the diagnosis, differential diagnosis, treatment and first aid treatment of trachea foreign bodies in children.
Method:
One hundred and sixty-four patients,who were operation with the diagnosis of trachea foreign bodies were retrospectively analyzed.
Result:
The foreign bodies were successfully removed through the rigid bronchoscope in 163 patients and through the incision of tracheotomy in 1 patient. No post-operation complication in 163 patients except 1 patient with subcutaneous and mediastinum emphysema. No foreign body remained by the examination of perspective X-ray or electronic bronchoscope three days post-operation.
Conclusion:
History of foreign body aspiration and physical examination were significant important in diagnosis of trachea foreign bodies. The diagnosis must be made quickly based on the history and physical examination. The clapping sound has high specially in diagnosis of trachea foreign bodies. The electronic bronchoscope has a better accuracy in diagnosis of trachea foreign bodies than radiographic examination.
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