Skip to main content

The role of rigid bronchoscopy in pediatric foreign body aspiration

Abstract

Introduction

Foreign bodies (FBs) in the airway continue to be a diagnostic and therapeutic challenge. In the present study, we present our experience in the evaluation and management of children with suspected FB aspiration.

Aim

The aim was to study children with suspected FB aspiration regarding clinical presentation, evaluation, and management.

Patients and methods

Fifty patients were included in the study during the period from January 2016 to April 2017. Our study was a retrospective analytical study including analysis of the preoperative, operative, postoperative, and follow-up patients’ data.

Results

Most of the studied patients (66%) were between one and less than 3 years. FB was found in right (RT) bronchus in 25 patients (50%). Seeds were found in most of the studied patients (62.5%).

Conclusions

History and clinical suspicion are crucial for the diagnosis of pediatric FB aspiration.

References

  1. 1

    Albirmawy OA, Elsheikh MN. Foreign body aspiration, a continuously growing challenge: Tanta University experience in Egypt. Auris Nasus Larynx 2011; 38:88–94.

    Article  Google Scholar 

  2. 2

    Clerf LH. Historical aspects of foreign bodies in the air and food passages. South Med J 1995; 68:1449–1454.

    Article  Google Scholar 

  3. 3

    Crysdale WS. Esophageal foreign bodies in children: 15 year review of 484 cases. Ann Otol Rhinol Laryngol 2004; 100:320–324.

    Article  Google Scholar 

  4. 4

    Wood RE. The emerging role of flexible bronchoscopy in pediatrics. Clin Chest Med 2001; 22:311–317.

    CAS  Article  Google Scholar 

  5. 5

    McGuirt WF, Holmes KD, Feehs R, Browne JD. Tracheobronchial foreign bodies. Laryngoscope 2003; 98:615–618.

    Google Scholar 

  6. 6

    Darrow DH, Holinger LD. Foreign bodies of the larynx, trachea and bronchi. In: Bluestone C, Stool S, editors. Pediatric otolaryngology. Philadelphia: Saunders 1996. 338–352

  7. 7

    Chatterji S, Chatterji P. The management of foreign bodies in air passages. Anesthesia 2000; 27:390–395.

    Article  Google Scholar 

  8. 8

    Bittencourt PF, Camargos PA, Scheinmann P, de Blic J. Foreign body aspiration: clinical, radiological findings and factors associated with its late removal. J Pediatr Otorhinolaryngol 2006; 70:879–884.

    Article  Google Scholar 

  9. 9

    Fidkowski CW, Zheng H, Firth PG. The anesthetic considerations of tracheobronchial foreign bodies in children: experience with 230 patients. Anesth Analg 2010; 111:1016–1025.

    PubMed  Google Scholar 

  10. 10

    Ciftci AO, Bingol-Kologlu M, Senocak ME, Tanyel FC, Buyukpamukcu N. Bronchoscopy for evaluation of foreign body aspiration in children. J Pediatr Surg 2003; 38:1170–1176.

    Article  Google Scholar 

  11. 11

    Girardi G, Contador AM, Castro-Rodríguez JA. Two new radiological findings to improve the diagnosis of bronchial foreign-body aspiration in children. Pediatr Pulmonol 2004; 38:261–264.

    Article  Google Scholar 

  12. 12

    Torres de Amorim Silva CJ, Fink AM. Pneumonia and bronchiectasis secondary to unrecognized peanut impaction. Radiology 2008; 248:1080–1082.

    Article  Google Scholar 

  13. 13

    Jacob SS, Jacob JJ, Paul TV. Foreign body aspiration in a boy with Prader-Willi Syndrome. Singapore Med J 2008; 49:12–14.

    Google Scholar 

  14. 14

    Elhassani NB. Tracheobronehial foreign bodies in the Middle East: a Baghdad study. J Thorac Cardiac Surge 1998; 96:621–625.

    Article  Google Scholar 

  15. 15

    Hussein WM. Tracheobronchial foreign bodies in pediatric age group. J fac Med Baghdad 2001; 26:431–435.

    Google Scholar 

  16. 16

    Hui H, Na L, Zhijun CJ, Fugao ZG, Yan S, Niankai ZK, et al. Therapeutic experience from 1428 patients with pediatric tracheobronchial foreign body. J Pediatr Surg 2008; 43:718–721.

    Article  Google Scholar 

  17. 17

    Mahafza T, Khader Y. Aspirated tracheobronchial foreign bodies: a Jordanian experience. Ear Nose Throat J 2007; 86:107–110.

    Article  Google Scholar 

  18. 18

    Cohen S, Avital A, Godfrey S, Gross M, Kerem E, Springer C. Suspected foreign body inhalation in children: what are the indications for bronchoscopy? J Pediatr 2009; 155:276–280.

    Article  Google Scholar 

  19. 19

    Divisi D, di Tommaso S, Garramone M, di Francescantonio W, Crisci RM, Costa AM, et al. Foreign bodies aspirated in children: role of bronchoscopy. Thorac Cardiovasc Surg 2007; 55:249–252.

    CAS  Article  Google Scholar 

  20. 20

    Heyer CM, Bollmeier ME, Rossler L, Nuesslein TG, Stephan V, Bauer TT, et al. Evaluation of clinical, radiologic, and laboratory prebronchoscopy findings in children with suspected foreign body aspiration. J Pediatr Surg 2006; 41:1882–1888.

    Article  Google Scholar 

  21. 21

    Tang LF, Xu YC, Wang YS, Wang CF, Zhu GH, Bao XE, et al. Airway foreign body removal by flexible bronchoscopy: experience with1027 children during 2000–2008. World J Pediatr 2009; 5:191–195.

    Article  Google Scholar 

  22. 22

    Bakal Ü, Keles E, Saraç M, Karlidağ T, Kaygusuz İ, Kazez A. A study of foreign body aspiration in children. J Craniofac Surg 2016; 27:358–363.

    Article  Google Scholar 

Download references

Author information

Affiliations

Authors

Corresponding author

Correspondence to Mohamed Zahran MD, PhD.

Additional information

This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Zahran, M., Youssef, A. The role of rigid bronchoscopy in pediatric foreign body aspiration. Egypt J Otolaryngol 35, 213–218 (2019). https://doi.org/10.4103/ejo.ejo_61_18

Download citation

Keywords

  • bronchoscopy
  • FB aspiration
  • pediatric airway