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Updated: May 16, 2026

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
Airway Foreign Bodies
Mary Catherine Brown1, Ann Powers1, Michal Trope1
1Division of Otolaryngology, Children's Hospital of Philadelphia, 3500 Civic Center Boulevard, 5th Floor, Philadelphia, PA 19104, USA.
None:
Pediatric airway foreign bodies are common and potentially life-threatening situations. Ingestion of organic material in children under 3 is the most common clinical situation. Typical cases have a history suspicious for a sudden aspiration event supported by physical findings of wheezing or diminished breath sounds with radiological evidence of air-trapping. Rigid bronchoscopy remains the gold standard for diagnosis and treatment and providers should have a low threshold to proceed to the operating room if the clinical suspicion for aspiration is high. Computed tomography (CT) scans may be helpful to further guide decision-making in cases where there is low or intermediate suspicion.
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