Foreign body removal by flexible bronchoscopy using retrieval basket in children
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Published on: September 11, 2018
Kyunghoon Kim1, Hye Jin Lee1, Eun Ae Yang1
1Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Insights
Flexible bronchoscopy with a retrieval basket safely removes airway foreign bodies in children. This minimally invasive procedure shows a high success rate with few complications, making it an effective treatment option.
Area of Science:
- Pediatric Pulmonology
- Interventional Pulmonology
- Pediatric Otolaryngology
Background:
- Airway foreign body aspiration is a frequent pediatric emergency.
- Prompt and safe removal is crucial to prevent complications.
Purpose of the Study:
- To assess the safety and efficacy of flexible bronchoscopy with a retrieval basket for foreign body removal in children.
- To evaluate the outcomes and complication rates of this procedure.
Main Methods:
- Retrospective analysis of pediatric patients undergoing flexible bronchoscopy for airway foreign body removal.
- Data collected from February 2014 to October 2017 at a tertiary hospital.
- Review of medical records for patient demographics, foreign body characteristics, procedural success, and complications.
Main Results:
- 20 children (median age 16 months, 60% male) underwent the procedure.
- Common foreign bodies included organic (80%) and inorganic (20%) materials.
- Successful removal was achieved in 90% of cases, with only mild laryngeal edema reported as a complication.
Conclusions:
- Flexible bronchoscopic foreign body extraction using a retrieval basket is a safe and effective method in children.
- The procedure is associated with a high success rate and minimal complications.
- This technique offers a valuable minimally invasive option for pediatric airway foreign bodies.
Objectives:
Aspiration of foreign bodies into the tracheobronchial tree is a common accident in children. This study aimed to evaluate the safety and outcome of foreign body removal by flexible bronchoscopy using a retrieval basket in children.
Methods:
This was a retrospective study of children treated for foreign bodies in the airway via flexible bronchoscopy using a retrieval basket at a tertiary hospital in Korea between February 2014 and October 2017. The medical records of the patients were retrospectively reviewed and analyzed.
Results:
A total of 20 children underwent foreign body removal from the airway via flexible bronchoscopy using a retrieval basket. The median age of the patients was 16 (range, 10-21.5) months, and 12 (60%) were male. Foreign bodies removed included 16 (80%) organic items including peanuts, almond, and beans, and 4 (20%) inorganic items including a plastic bag, metal screw, spring, and Lego brick. The locations of the foreign bodies included the central airway (n = 5; trachea, n = 4; subglottic area, n = 1), right bronchial tree (n = 9), and left bronchial tree (n = 6). Successful removal was observed in 18 (90%) cases. The only complication that occurred was mild laryngeal edema (n = 2) after the procedure; both improved with corticosteroid administration.
Conclusion:
Flexible bronchoscopic extraction of a foreign body in the airway using a retrieval basket in children can be performed successfully with minimal complications.
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