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Published on: June 6, 2020

Foreign bodies in the airway. Five-year retrospective study with special reference to management

S R Cohen, W I Herbert, G B Lewis

    The Annals of Otology, Rhinology, and Laryngology
    |September 1, 1980
    PubMed

    Insights

    Foreign bodies in the pediatric airway, primarily nut meats, were successfully removed from 143 children. Most patients were discharged within 24 hours, highlighting effective endoscopic removal techniques.

    Area of Science:

    • Pediatric Otolaryngology
    • Pediatric Pulmonology
    • Pediatric Emergency Medicine

    Background:

    • Foreign body aspiration is a significant cause of pediatric airway obstruction.
    • Timely diagnosis and removal are crucial for preventing severe respiratory complications.

    Purpose of the Study:

    • To review the management and outcomes of pediatric patients with foreign bodies in the larynx and tracheobronchial tree.
    • To evaluate the efficacy of endoscopic removal techniques, particularly the apneic technique under general anesthesia.

    Main Methods:

    • Retrospective chart review of 143 pediatric patients admitted between 1973 and 1978.
    • Analysis of patient demographics, foreign body characteristics, location, management, and outcomes.
    • Detailed description of the apneic technique for endoscopic foreign body removal.

    Main Results:

    • Nut meat was the most common foreign body (60 cases).
    • All 143 foreign bodies were successfully removed.
    • 126 patients (88%) were discharged within 24 hours; 51 (36%) on the same day.
    • 62 foreign bodies were in the left bronchial tree, 55 in the right.
    • 138 patients underwent endoscopy under general anesthesia with the apneic technique.

    Conclusions:

    • Endoscopic removal of pediatric airway foreign bodies, especially using the apneic technique, is highly effective and safe.
    • Prompt treatment leads to rapid recovery and short hospital stays.
    • The apneic technique with profound muscle relaxation and team-based ventilation is advantageous for managing airway foreign bodies.

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