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Correlative Factors for Types of Tracheobronchial Foreign Bodies Encountered in Children

Shuping Su1, Hengci Zhang1, Ling Xiao1

  • 1Department of Otolaryngology-Head and Neck Surgery, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, Chongqing, China.

Ear, Nose, & Throat Journal
|April 3, 2023
PubMed

Insights

Organic tracheobronchial foreign bodies (TFBs) are common in children, with peanuts being most frequent. Inorganic TFBs are associated with older children and more severe symptoms, impacting surgical outcomes.

Area of Science:

  • Pediatric Pulmonology
  • Otolaryngology
  • Medical Device Research

Background:

  • Tracheobronchial foreign bodies (TFBs) pose a significant risk in pediatric patients.
  • Understanding the characteristics of different TFB types is crucial for diagnosis and treatment.

Purpose of the Study:

  • To identify correlative factors associated with various types of tracheobronchial foreign bodies in children.
  • To differentiate between organic and inorganic TFBs based on patient and clinical factors.

Main Methods:

  • Retrospective analysis of 1026 pediatric patients (aged 0-18 years) diagnosed with TFB.
  • Data collected between February 2019 and January 2022.
  • Rigid bronchoscopy as the primary surgical intervention.

Main Results:

  • Organic TFBs constituted 94.44% of cases, with peanuts, melon seeds, and walnuts being most prevalent.
  • Inorganic TFBs were more common in children aged ≥3 years and associated with delayed presentation (>7 days), dyspnea, larger FB size (>10 mm), longer operative times, and atelectasis.
  • Children with inorganic TFBs had a lower incidence of aspiration history, cough, and obstructive emphysema compared to those with organic TFBs.

Conclusions:

  • The type of tracheobronchial foreign body can be predicted by analyzing patient characteristics, symptoms, and preoperative complications.
  • Identifying TFB type aids in anticipating surgical challenges and potential complications.

Keywords:
childrenforeign bodyinorganicorganictracheobronchialtype

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