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Related Experiment Videos

Tracheobronchial foreign bodies.

W F McGuirt1, K D Holmes, R Feehs

  • 1Department of Surgery, Bowman Gray School of Medicine, Wake Forest University Medical Center, Winston-Salem, NC 27103.

The Laryngoscope
|June 1, 1988
PubMed
Summary
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Foreign body aspiration is common in young children and older adults. Suspect tracheobronchial foreign bodies with suggestive history, even without physical or radiographic signs, and check for multiple objects during removal.

Area of Science:

  • Medicine
  • Pulmonology
  • Pediatrics

Background:

  • Foreign body aspiration is a significant cause of respiratory distress.
  • Identifying risk factors and diagnostic challenges is crucial for timely intervention.

Purpose of the Study:

  • To review cases of foreign body aspiration to understand incidence, patient demographics, clinical presentation, and management outcomes.
  • To emphasize the importance of clinical suspicion in diagnosis.

Main Methods:

  • Retrospective review of 88 cases of foreign body aspiration.
  • Analysis of patient age, sex, physical examination findings, radiographic abnormalities, and removal methods.

Main Results:

  • Peak incidence in children under 3 and adults over 50; 61% male patients.

Related Experiment Videos

  • Abnormal physical exam in 61%, inspiratory-expiratory abnormality on radiography in 27%.
  • Rigid endoscopy was the preferred removal method; multiple foreign bodies found in 5%.

    • Conclusions:

    • Tracheobronchial foreign bodies require strong suspicion in susceptible populations with suggestive history, even with normal physical or radiographic findings.
    • Thorough examination for multiple foreign bodies during rigid endoscopy is essential.