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Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
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[Management of tracheal foreign bodies]

Lea Stecher1, Verena Strasser2, Teresa Bernadette Steinbichler1

  • 1Universitätsklinik für Hals‑, Nasen- und Ohrenheilkunde, Medizinische Universität Innsbruck, Anichstraße 35, 6020, Innsbruck, Österreich.

HNO
|September 1, 2025
PubMed

Insights

Foreign body aspiration is a pediatric emergency in young children. Bronchoscopy is the gold standard for diagnosis and treatment, even with unclear imaging.

Area of Science:

  • Pediatric Emergency Medicine
  • Pulmonology
  • Otolaryngology

Context:

  • Foreign body aspiration is a common pediatric emergency, particularly in children under four.
  • Immature swallowing coordination and oral exploration increase risk in infants and toddlers.
  • Clinical symptoms are variable, ranging from mild cough to severe respiratory distress.

Purpose:

  • To highlight the diagnostic and therapeutic challenges of foreign body aspiration in children.
  • To emphasize the critical role of bronchoscopy in managing this condition.
  • To underscore the need for individualized assessment of endoscopic removal urgency.

Summary:

  • Foreign body aspiration requires immediate, interdisciplinary evaluation and intervention.
  • Anamnesis can be unreliable, complicating diagnosis and treatment decisions.
  • Bronchoscopy is the gold standard for diagnosis and treatment, regardless of imaging findings.
  • Urgency of removal depends on clinical status, foreign body type, and risks like airway obstruction or battery ingestion.

Impact:

  • Improved diagnostic accuracy and timely intervention for pediatric foreign body aspiration.
  • Reduced morbidity and mortality associated with airway foreign bodies.
  • Enhanced clinical decision-making regarding endoscopic management in pediatric emergencies.

Keywords:
BronchoscopyDiagnostic imagingEmergency treatmentForeign body aspirationPediatric emergency medicine

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