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Foreign body aspiration in children: our pediatric tertiary care experience

Miriam Torsello1, Luana Sicuranza2, Duino Meucci3

  • 1Airway Surgery Unit, Department of Surgical Specialties, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio, 4, 00165, Rome, Italy. miriam.torsello@opbg.net.

Pediatric Surgery International
|March 29, 2024
PubMed

Insights

Pediatric foreign body inhalation is a critical emergency. Early diagnosis and removal, particularly of vegetable matter like peanuts, are crucial for managing this common pediatric airway issue.

Area of Science:

  • Pediatric Emergency Medicine
  • Pulmonology
  • Radiology

Background:

  • Foreign body inhalation is a significant pediatric emergency.
  • Prompt diagnosis and treatment are vital to reduce mortality.

Purpose of the Study:

  • To analyze clinical and radiological findings in pediatric foreign body inhalation.
  • To identify common types and locations of inhaled foreign bodies.

Main Methods:

  • Retrospective analysis of pediatric emergency room admissions.
  • Study period: January 2009 to June 2022.
  • Inclusion criteria: Suspected foreign body inhalation.

Main Results:

  • 171 patients analyzed; foreign body detected in 83.
  • Most common symptoms: cough (73%); signs: unilateral reduced breath sounds (51%).
  • Vegetable foreign bodies (83%), predominantly peanuts, were most frequent, often in the right main bronchus. Chest X-rays were normal in 25%.

Conclusions:

  • Foreign body inhalation remains a pediatric emergency and a clinical challenge.
  • Early diagnosis and removal by trained professionals are essential.
  • Effective management requires prompt identification and intervention.
Abstract

Keywords:
AspirationBronchoscopyChokingForeign body

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