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Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
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Role of Unilateral Vocal Cord Palsy in Causing Recurrent Tracheobronchial Foreign Bodies

Laurence Pincet1, Karma Lambercy1, Kishore Sandu1

  • 1ENT Head and Neck Surgery Department, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.

Frontiers in Pediatrics
|August 10, 2019
PubMed

Insights

Foreign body aspiration in children often requires prompt intervention. Recurrent cases may indicate underlying issues, necessitating dynamic airway endoscopy for accurate diagnosis and management.

Area of Science:

  • Pediatric Otolaryngology
  • Pediatric Pulmonology
  • Airway Endoscopy

Background:

  • Foreign body (FB) aspiration is a common pediatric emergency.
  • Management typically involves pediatric surgeons and pulmonologists.
  • Recurrent FB aspiration presents unique diagnostic challenges.

Observation:

  • A 20-month-old child experienced three recurrent episodes of FB aspiration.
  • During FB removal, unilateral vocal cord palsy (UVCP) was observed.
  • This finding suggests potential underlying airway abnormalities.

Findings:

  • Dynamic airway endoscopy is crucial for diagnosing recurrent FB aspiration.
  • Unilateral vocal cord palsy can be an indicator of persistent airway issues.
  • Systematic endoscopic evaluation aids in identifying the root cause.

Implications:

  • Early and thorough endoscopic assessment is vital for children with recurrent FB aspiration.
  • Identifying UVCP can guide further diagnostic and therapeutic strategies.
  • This approach improves patient outcomes and prevents long-term complications.

Keywords:
dynamic airway endoscopyforeign body aspirationpediatric endoscopyrecurrent aspirationsunilateral vocal cord paralysis

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