Foreign body Swallows with Airway Affection in Pediatrics

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Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
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Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

Published on: September 11, 2018

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Mohammed Elrabie Ahmed1, Bahaa Mohammed Refaie2, Mona Elrabie Ahmed3

  • 1ENT Department, Faculty of Medicine, Sohag University, Sohag, Egypt.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|June 5, 2023
PubMed

Insights

Foreign body ingestion (FBI) is a critical emergency in children under six, often causing respiratory distress. Early diagnosis and intervention significantly improve outcomes in pediatric cases.

Area of Science:

  • Pediatric Emergency Medicine
  • Otolaryngology
  • Pulmonology

Background:

  • Foreign body ingestion (FBI) is a significant cause of pediatric respiratory distress and stridor.
  • Understanding factors influencing morbidity and mortality is crucial for effective management.

Purpose of the Study:

  • To evaluate the impact of foreign body ingestion (FBI) on respiratory distress and stridor in children.
  • To analyze the influence of age, gender, lodgment site, and object type on outcomes.
  • To identify factors contributing to morbidity and mortality in pediatric FBI cases.

Main Methods:

  • A descriptive, hospital-based study analyzed children (birth to 16 years) admitted for foreign body removal.
  • Data collected included history, physical examination, radiological, and bronchoscopic findings.
  • The study period was January 2018 to December 2020 at Sohag University Hospital, Egypt.

Main Results:

  • 14 pediatric patients presented with foreign body ingestion (FBI).
  • 92.9% of cases involved children under 6 years old, with 50% under one year.
  • The mortality rate was 14.3%, with 50% requiring Pediatric Intensive Care Unit (PICU) admission.

Conclusions:

  • Foreign body ingestion (FBI) is a common and serious emergency in young children.
  • A high index of suspicion is essential for timely diagnosis.
  • Prompt detection and management are vital for improving patient outcomes.
Abstract

Keywords:
ChildEsophagoscopyForeign BodiesHypopharynxRespiratory distress

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