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Delayed diagnosis and surgical treatment of bronchial foreign body in children

Yuhao Wu1, Jiangtao Dai1, Gang Wang1

  • 1Department of Cardiothoracic Surgery, Children's Hospital of Chongqing Medical University, Chongqing, China; Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China; China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing, China; National Clinical Research Center for Child Health and Disorders, Chongqing, China; Chongqing Key Laboratory of Pediatrics, Chongqing, China.

Journal of Pediatric Surgery
|November 25, 2019
PubMed

Insights

Delayed diagnosis of Bronchial Foreign Body (BFB) in children often requires open surgery. This study highlights effective surgical treatment for late-diagnosed pediatric BFB cases, achieving satisfactory outcomes.

Area of Science:

  • Pediatric Surgery
  • Pulmonology
  • Thoracic Surgery

Background:

  • Delayed diagnosis of Bronchial Foreign Body (BFB) in children can lead to severe pulmonary complications.
  • Surgical intervention for pediatric BFB is infrequently reported, yet often unavoidable.

Purpose of the Study:

  • To describe the diagnostic and surgical management experience of late-diagnosed pediatric Bronchial Foreign Body (BFB).

Main Methods:

  • Retrospective review of medical records for 8 children who underwent open surgery for BFB.
  • Study period: January 2004 to June 2019.
  • Level IV evidence, retrospective study.

Main Results:

  • Eight children (average age 8.1 years) with delayed BFB diagnosis were included.
  • Surgical procedures included lobectomy (7 patients) and pneumonotomy (1 patient).
  • No postoperative deaths occurred, with satisfactory clinical outcomes and an average 33-month follow-up.

Conclusions:

  • Consider BFB in children with recurrent pneumonia, bronchiectasis, or atelectasis unresponsive to treatment.
  • Surgical treatment is essential and effective for unextractable BFB or irreversible lung damage.
Abstract

Keywords:
Bronchial foreign bodyChildrenSurgery

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