Foreign body in the bronchus in children: 22 years experience in a tertiary care paediatric centre

Shasanka Shekhar Panda, Minu Bajpai1, Amit Singh

  • 1Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi - 110 029, India.

Insights

Rigid bronchoscopy is useful for diagnosing and treating bronchial foreign bodies (FB) in children, even with normal initial evaluations. Early suspicion is key for prompt diagnosis and intervention in pediatric FB aspiration cases.

Area of Science:

  • Pediatric Surgery
  • Pulmonology
  • Emergency Medicine

Background:

  • Bronchial foreign body (FB) aspiration is a significant concern in pediatrics.
  • Diagnosis and management can be challenging, often requiring invasive procedures.

Purpose of the Study:

  • To evaluate the types, clinical presentation, symptom duration, and diagnostic/therapeutic utility of rigid bronchoscopy for bronchial foreign bodies in children.

Main Methods:

  • Retrospective analysis of pediatric patients undergoing rigid bronchoscopy for suspected bronchial FB.
  • Data collected included patient demographics, symptom history, clinical findings, radiological results, and bronchoscopy outcomes.

Main Results:

  • 196 children underwent rigid bronchoscopy; 173 (88.27%) had confirmed bronchial FB.
  • Peanuts were the most common foreign body (81.50%).
  • Cough was the most frequent symptom (75.72%), and chest X-ray findings varied, with normal results in 20.23%.

Conclusions:

  • A high index of suspicion for bronchial foreign bodies is crucial in children with suggestive ingestion history, even with normal physical and radiological exams.
  • Rigid bronchoscopy is an effective diagnostic and therapeutic tool for pediatric bronchial foreign bodies.
Abstract

Related Concept Videos

The Bronchial Tree01:23

The Bronchial Tree

The human bronchi and bronchial tree play a crucial role in the respiratory system, facilitating the exchange of oxygen and carbon dioxide. Let's delve into the intricate structure and functions of these respiratory components.
The trachea, commonly known as the windpipe, is a tube that connects the larynx (voice box) to the bronchi. At a point called the carina, it bifurcates into two primary bronchi. The right primary bronchus is wider, shorter, and more vertical than the left primary...
7.9K
Pulmonary Cycle: Exhalation01:17

Pulmonary Cycle: Exhalation

In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
4.8K
Microbiota of the Respiratory Tract01:29

Microbiota of the Respiratory Tract

The human respiratory tract, comprising the upper and lower segments, serves as a critical interface with the external environment. The upper respiratory tract (URT)—including the nostrils, sinuses, pharynx, and oropharynx—is heavily colonized by microbes, while the lower respiratory tract (LRT), composed of the larynx, trachea, bronchi, and lungs, was long thought to be sterile. However, recent molecular studies have revealed that the lungs are not devoid of microbes but act more...
54
Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features01:24

Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features

Chronic bronchitis is a key phenotype of chronic obstructive pulmonary disease (COPD), characterized by airway-centered inflammation and mucus overproduction. It develops from long-term exposure to harmful particles or gases, most commonly cigarette smoke, which triggers a persistent inflammatory response.Cellular and Structural ChangesInflammation initially affects the large bronchi and later the smaller airways, with infiltration by immune cells, including neutrophils, macrophages, and...
29
Trachea01:22

Trachea

The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
6.2K