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[Tracheo-bronchial foreign bodies in the child. Analysis of 43 cases (author's transl)]

U Omanga, L Shango, M Ntihinyurwa

    Annales D'Oto-Laryngologie Et De Chirurgie Cervico Faciale : Bulletin De La Societe D'Oto-Laryngologie Des Hopitaux De Paris
    |September 1, 1980
    PubMed

    Insights

    Foreign bodies in the respiratory tract predominantly affect infants aged 1-2 years, with organic materials like peanuts being common culprits. Male infants are more frequently affected, and while rare, complications and fatalities can occur.

    Area of Science:

    • Pediatric Pulmonology
    • Emergency Medicine

    Context:

    • A 20-year retrospective study was conducted at the University Pediatric Clinic of Kinshasa.
    • This study analyzed 43 cases of pediatric foreign body aspiration.

    Purpose:

    • To investigate the epidemiology, common etiologies, and clinical outcomes of foreign bodies in the pediatric respiratory tract.
    • To identify risk factors and complications associated with respiratory foreign bodies in children.

    Summary:

    • The study identified a peak incidence in infants aged 1-2 years, with a male predominance (60%).
    • Organic foreign bodies, particularly peanuts and fish bones, were the most frequent culprits.
    • Bronchial impaction was more common than tracheal, with a preference for the right side. Two deaths occurred during endoscopic removal, and long-term complications included bronchial stenosis and bronchiectasis.

    Impact:

    • Highlights the significant risk of foreign body aspiration in young children, emphasizing the need for preventative measures.
    • Informs clinical practice regarding diagnosis and management of pediatric respiratory foreign bodies, particularly in resource-limited settings.
    • Underscores the potential for severe outcomes, including mortality and long-term respiratory morbidity, necessitating prompt and skilled intervention.

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