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Published on: June 23, 2023
Rigid Bronchoscopy in Foreign Body Aspiration Diagnosis and Treatment in Children
Aleksandra Pietraś1, Marcin Markiewicz1, Grażyna Mielnik-Niedzielska1
1Department of Pediatric Otolaryngology, Phoniatrics and Audiology, Medical University of Lublin, 20-093 Lublin, Poland.
Insights
Foreign body aspiration in children requires prompt diagnosis and removal. Rigid bronchoscopy is effective, with most extracted objects being organic and often found in the right main bronchus.
Area of Science:
- Pediatric Otolaryngology
- Respiratory Medicine
- Emergency Medicine
Background:
- Foreign body aspiration is a frequent pediatric emergency.
- Timely diagnosis and intervention are critical to prevent severe complications.
- Rigid bronchoscopy is a primary method for airway foreign body removal.
Purpose of the Study:
- To evaluate the outcomes of rigid bronchoscopy for suspected foreign body aspiration in children.
- To analyze patient demographics, symptoms, and bronchoscopic findings.
- To identify common foreign body types and locations.
Main Methods:
- Retrospective study of 66 children undergoing rigid bronchoscopy for suspected foreign body aspiration.
- Data collected included patient age, sex, presenting complaints, and bronchoscopy results.
- Analysis of foreign body presence, location, and type.
Main Results:
- Children under 3 years old constituted 74.24% of cases; males were predominantly affected.
- No foreign body was identified in 36.36% of procedures.
- Foreign bodies were most commonly found in the right main bronchus (57.14%).
- Organic materials, primarily nuts, accounted for 80.95% of extracted foreign bodies.
Conclusions:
- Rigid bronchoscopy is an effective diagnostic and therapeutic tool for pediatric foreign body aspiration.
- Early recognition and multidisciplinary collaboration are essential for optimal patient outcomes.
- Awareness of common foreign body types and locations aids in diagnosis and management.
Abstract:
Foreign body aspiration in children is a common condition and can bring about serious undesired results. Fast and accurate diagnosis and foreign body extraction from airways are essential. We performed a retrospective study on rigid bronchoscopy outcomes due to suspected foreign body aspiration. A total of 66 children were admitted to the Chair and Department of Pediatric Otolaryngology, Phoniatrics and Audiology, Medical University of Lublin between 2015 and 2020 and underwent rigid bronchoscopy in general anesthesia due to suspected foreign body aspiration. We analyzed the data, including patients age and sex, reported complaints, and bronchoscopy findings. Analyzed children were aged from 8 months to 17 years old; 74.24% of them were under 3 years old during the procedure, and most of the operated patients were males. In 36.36% cases, no foreign body was identified, and 57.14% foreign bodies were located in right main bronchus. A total of 80.95% of foreign bodies extracted from airways were organic, mostly nuts. Diagnosis and treatment of suspected foreign body aspiration requires consistent cooperation between pediatricians, pulmonologists, anesthesiologists, and otolaryngologists.
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