nach oben

Indian Journal of Otolaryngology and Head & Neck Surgery

Erschienen in:

15.03.2023 | Original Article

Foreign Body Aspiration in Children and Emergency Rigid Bronchoscopy: A Retrospective Observational Study

verfasst von: Debasish Ghosh, Ritabrata Mitra, Sripurna Mondal, Soutrik Kumar, Arunabha Sengupta

Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery | Ausgabe 3/2023

Einloggen, um Zugang zu erhalten

Abstract

Foreign body aspiration is potentially life-threatening in paediatric age group. Early recognition and emergency intervention by Rigid bronchoscopy is life-saving. To highlight various difficulties in emergency paediatric bronchoscopy and discuss our experience in 138 patients. < 12 years children with suspected foreign body aspiration were included. Data of 138 patients < 12 years of age were studied. The most common foreign body found was peanut and organic foreign bodies constituted of total foreign bodies removed. Choking, Cough and sudden onset breathlessness were common symptoms. Tachypnoea, asymmetric breath sound, rhonchi, stridor, reduced chest movements were common signs. Obstructive emphysema was commonest radiological findings. Majority of the patients were discharged within 72 h & only two patients expired. History, clinical and radiological findings are highly indicative of foreign body in the airway. Inspite of being a high risk procedure, Rigid bronchoscopy when performed with necessary expertise,trained anaesthesia team and a paediatric ICU, saves majority of lives of children with tracheobronchial foreign bodies.

Watkinson JC, Clarke RW (eds), Scott-Brown’s otorhinolaryngology head & neck surgery. 8th Ed. Vol 1. chapter 34. p 364; CRC press, Taylor & Francis Group, Boca Raton, US

McGuirt WF, Holmes KD, Feehs R, Browne JD (1988) Affiliation. Tracheobronchial foreign bodies. Laryngoscope 98(6 Pt 1):615–618. https://doi.org/10.1288/00005537-198806000-00007CrossRefPubMed

Beamis JF, Mathur P, Mehta AC McGraw Hill, New York 1999:17–28. Interventional pulmonary medicine (Lung Biology in Health and Disease Book 189)

Turner JF, Ernst A, Becker HD (2000) Rigid bronchoscopy: how I do it. J Bronchol 7(2):171–176CrossRef

Elias J, Fishman J, Pack A, Senior R, Kotloff R (1997) Fishman’s pulmonary diseases and disorders by michael grippi. McGraw Hill, New York, pp 589–602

Ramon P, Brichet A (1999) Complications of interventional bronchoscopy. Rev Mal 16:693–698

Rothmann BF, Boeckman CR (1980) Foreign bodies in the larynx and tracheobronchial tree in children. Ann Otol Rhinol Laryngol 89(51):434–436. https://doi.org/10.1177/000348948008900512CrossRefPubMed

Zahran M, Youssef A (2019) The role of rigid bronchoscopy in pediatric foreign body aspiration. Egyptian J Otolaryngol 35(2):213–218. https://doi.org/10.4103/ejo.ejo_61_18CrossRef

Sinha V, Gurnani D, Barot DA (2014) A study of applications of rigid bronchoscopy in pediatric patients. Indian J Otolaryngol Head Neck Surg 66(2):142–144. https://doi.org/10.21037/jtd.2016.11.87CrossRefPubMed

10.

Naragund AI, Mudhol RS, Harugop AS, Patil PH, Hajare PS, Metgudmath VV (2011) Tracheo-bronchial foreign body aspiration in children: a one year descriptive study. Indian J Otolaryngol Head Neck Surg 66(Suppl.1):180–185. https://doi.org/10.1007/s12070-011-0416-2CrossRefPubMedPubMedCentral

11.

Cramer N, Jabbour N, Tavarez MM et al. (2018) Foreign body aspiration. Review from Stat Pearls publishing, Treasure Island (FL). PMID 30285375

12.

Sehgal A, Singh V, Chandra J, Mathur NN (2002) Foreign body aspiration. Indian Paediatrics 39:1006–1016

13.

Tan HK, Brown K, McGill T, Kenna MA, Lund DP, Healy GB (2000) Airway foreign bodies (FB): A 10-year review. Int J Paediatr Otorhinolaryngol 56(2):91–99. https://doi.org/10.1016/S0165-5876(00)00324-4CrossRef

14.

Even L, Heno N, Talmon Y, Samet E, Zonis Z, Kugelman A (2005) Diagnostic evaluation of foreign body aspiration in children: a prospective study. J Paediatr Surg 40(7):1122–1127. https://doi.org/10.1016/j.jpedsurg.2005.03.049CrossRef

15.

Mallick MS (2014) Tracheobronchial foreign body aspiration in children: a continuing diagnostic challenge. Afr J Paediatr Surg 11(3):225–228. https://doi.org/10.4103/0189-6725.137330CrossRefPubMed

16.

Soysal O, Kuzucu A, Ulutas H (2006) Tracheobronchial foreign body aspiration: a continuing challenge. Otolaryngol Head Neck Surg 135(2):223–226. https://doi.org/10.1016/j.otohns.2005.09.035CrossRefPubMed

17.

Zerella JT, Dimler M, McGill LC et al (1998) Foreign body aspiration in children: value of radiography and complications of bronchoscopy. J Paediatr Surg 33(11):1651–1654. https://doi.org/10.1016/s0022-3468(98)90601-7CrossRef

18.

Svedstrom E, Puhakka H, Kero P (1989) How accurate is chest radiography in the diagnosis of tracheo-bronchial foreign bodies in children? Pediatr Radiol 19:520–522. https://doi.org/10.1007/BF02389562CrossRefPubMed

19.

Mu L, He P, Sun D (1991) Inhalation of foreign bodies in Chinese children: a review of 400 cases. Laryngoscope 101(6):657–660. https://doi.org/10.1288/00005537-199106000-00014CrossRefPubMed

20.

Tokar B, Ozkan R, Ilhan H (2004) Tracheobronchial foreign bodies in children: importance of accurate history and plain chest radiography in delayed presentation. Clin Radiol 59(7):609–615. https://doi.org/10.1016/j.crad.2004.01.006CrossRefPubMed

21.

Rovin JD, Rodgers BM (2000) Pediatric foreign body aspiration. Pediatr Rev 21(3):86–90. https://doi.org/10.1542/pir.21-3-86CrossRefPubMed

22.

Paşaoğlu I, Doğan R, Demircin M, Hatipoğlu A, Bozer AY (1991) Bronchoscopic removal of foreign bodies in children: retrospective analysis of 822 cases. Thoracic Cardiac Surg 39(2):95–98. https://doi.org/10.1055/s-2007-1013940CrossRef

23.

Yadav SP, Singh J, Aggarwal N, Goel A (2007) Airway foreign bodies in children: experience of 132 cases. Singapore Med J 48(9):850–853PubMed

24.

Cotton E, Yasuda K (1984) Foreign body aspiration. Paediatr Clin North Am 31(4):937–941. https://doi.org/10.1016/s0031-3955(16)34655-7CrossRef

25.

Oğuzkaya F, Akçali Y, Kahraman C, Bilgin M, Sahin A (1998) Tracheobronchial foreign body aspirations in childhood: a 10-year experience. Eur J Cardiothoracic Surg 14(4):388–392. https://doi.org/10.1016/s1010-7940(98)00205-xCrossRef

26.

Hasdiraz L, Oguzkaya F, Bilgin M, Bicer C (2006) Complications of bronchoscopy for foreign body removal: experience in 1,035 cases. Ann Saudi Med 26(4):283–287. https://doi.org/10.5144/0256-4947.2006.283CrossRefPubMedPubMedCentral

27.

Banerjee A, Rao KS, Khanna SK, Narayanan PS, Gupta BK, Sekar JC (1988) Laryngo-tracheo-bronchial foreign bodies in children. J Laryngol Otol 102(11):1029–1032. https://doi.org/10.1017/s0022215100107170CrossRefPubMed

28.

Ülkü R et al (2005) The value of open surgical approaches for aspirated pen caps. J Paediatr Surg 40(11):1780–1783. https://doi.org/10.1016/j.jpedsurg.2005.07.028CrossRef

29.

Marks SC et al (1993) Indications for open surgical removal of airway foreign bodies. Ann Otol Rhinol Laryngol 102(9):690–694. https://doi.org/10.1177/000348949310200908CrossRefPubMed

30.

Yang X, Ni X, Guo Y, Zhang J (2018) Combined low tracheotomy and rigid bronchoscopy to remove an irregular tracheal foreign body. Paediatric Invest 2(3):196–197. https://doi.org/10.1002/ped4.12059CrossRef

31.

Bittencourt PFS, Camargos PAM (2006) Foreign body aspiration: clinical, radiological findings and factors associated with its late removal. Int J Paediatr Otorhinolaryngol 70(5):879–884. https://doi.org/10.1016/j.ijporl.2005.09.024CrossRef

32.

Girardi G, Contador AM, Castro-Rodriguez JA (2004) Two new radiological findings to improve the diagnosis of bronchial foreign-body aspiration in children. Pediatr Pulmonol 38(3):261–264. https://doi.org/10.1002/ppul.20065CrossRefPubMed

33.

Hua H, Na L, Zhijun CJ, Fugao ZG, Yan S, Niankai ZK et al (2008) Therapeutic experience from 1428 patients with pediatric tracheobronchial foreign body. J Paediatr Surg 43(4):718–721. https://doi.org/10.1016/j.jpedsurg.2007.10.010CrossRef

34.

Barrios Fontoba JE, Gutierrez C, Lluna J, Vila JJ, Poquet J, Ruiz-Company S (1997) Bronchial foreign body: should bronchoscopy be performed in all patients with a choking crisis? Pediatr Surg Int 12:118–120. https://doi.org/10.1007/BF01349976CrossRefPubMed

35.

Baharloo F, Veyckemans F, Francis C, Biettlot M-P, Rodenstein DO (1999) Tracheobronchial foreign bodies: presentation and management in children and adults. Chest 115(5):1357–1362. https://doi.org/10.1378/chest.115.5.1357CrossRefPubMed

36.

Hoeve LJ, Rombout J, Pot DJ (1993) Foreign body aspiration in children. The diagnostic value of signs, symptoms and pre-operative examination. Clin Otolaryngol Allied Sci 18(1):55–57. https://doi.org/10.1111/j.1365-2273.1993.tb00810.xCrossRefPubMed

37.

Fazal-I-Wahid N, Ur-Rehman H, Amin G, Ahmad I (2011) Rigid Bronchoscopy for extraction of foreign bodies tracheobronchial tree: an experience of 232 cases. JPMI 25(2):152–157

38.

Lemberg PS, Darrow DH, Hollinger LD (1996) Aerodigestive tract foreign bodies in the older child and adolescent. Ann Otol Rhinol Laryngol 105(4):267–271. https://doi.org/10.1177/000348949610500404CrossRefPubMed

39.

Emir H, Tekant G, Beşik C, Eliçevik M (2001) Bronchoscopic removal of tracheobroncheal foreign bodies: value of patient history and timing. Paediatr Surg Int 17:85–87. https://doi.org/10.1007/s003830000485CrossRef

40.

Perrin G, Colt HG, Martin C et al (1992) Safety of interventional rigid bronchoscopy using intravenous anesthesia and spontaneous assisted ventilation: a prospective study. Chest 202:1526–1530. https://doi.org/10.1378/chest.102.5.1526CrossRef

41.

Hanowell LH, Martin WR (1991) Complications of general anesthesia for Nd:YAG laser resection of endobronchial tumors. Chest J. https://doi.org/10.1378/chest.99.1.72CrossRef

42.

Dumon JF, Shapshay S, Bourcereau J, Cavaliere S, Meric B, Garbi N, Beamis J (1984) Principles for safety in application of neodymium-YAG laser in bronchology. Chest 86(2):163–168. https://doi.org/10.1378/chest.86.2.163CrossRefPubMed

43.

Miligan KR, Howe JP, O’Toole DP et al (1987) Outpatient anaesthesia: recovery after propofol, methohexitol and thiopental. Anaesthesia Analgesia 66(2):s118CrossRef

44.

Aydogan LB, Tuncer U, Soylu L et al (2006) Rigid bronchoscopy for the suspicion of foreign body in the airway. Int J Paediatr Otolaryngol 70(5):823–828. https://doi.org/10.1016/j.ijporl.2005.09.010CrossRef

45.

Roberts CA et al (2018) Morbidity and mortality in children undergoing bronchoscopy for foreign body removal. Laryngoscope 128(5):1226–1229. https://doi.org/10.1002/lary.26817CrossRefPubMed

46.

Divarci E, Toker B, Dokumcu Z, Musayev A, Ozcan C, Erdener A (2017) The multivariate analysis of indications of rigid bronchoscopy in suspected foreign body aspiration. Int J Paediatr Otorhinolaryngol 100:232–237. https://doi.org/10.1016/j.ijporl.2017.07.012CrossRef

47.

Fidkowski CW, Zheng H, Firth P (2010) The anesthetic considerations of tracheobronchial foreign bodies in children: a literature review of 12,979 cases. Anesthesia Analgesia 111(4):1016–1025. https://doi.org/10.21037/jtd.2016.12.69.2101CrossRefPubMed

48.

Latifi X, Mustafa A, Hysenaj Q (2006) Rigid tracheobronchoscopy in the management of airway foreign bodies: 10 years experience in Kosovo. Int J Pediatr Otorhinol 70(12):2055–2059. https://doi.org/10.1016/j.ijporl.2006.07.017CrossRef

49.

Ernst A, Simoff M, Ost D et al (2008) Prospective risk-adjusted morbidity and mortality outcome analysis after therapeutic bronchoscopic procedures: results of a multi-institutional outcomes database. Chest 134(3):514–519. https://doi.org/10.1378/chest.08-0580CrossRefPubMed

50.

Zhang J, Zhang Y et al. (2004) How to reduce the incidence of complications and mortality in Paediatric tracheobronchial foreign body patients. Zhonghua Er B, Yan Hou Ke Za Zhi [Article in Chinese] 39(11): 658–662. PMID 15835815

51.

Reilly J, Thompson J, MacArthur C et al (1997) Pediatric aerodigestive foreign body injuries are complications related to timeliness of diagnosis. Laryngoscope. https://doi.org/10.1097/00005537-199701000-00006CrossRefPubMed

52.

American Academy of Paediatrics (1997:91) Guidelines for health supervision III. 3rd Ed ELK Grove village III: American Academy of Paediatrics

Titel: Foreign Body Aspiration in Children and Emergency Rigid Bronchoscopy: A Retrospective Observational Study
verfasst von: Debasish Ghosh
Ritabrata Mitra
Sripurna Mondal
Soutrik Kumar
Arunabha Sengupta
Publikationsdatum: 15.03.2023
Verlag: Springer India
Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery / Ausgabe 3/2023
Print ISSN: 2231-3796
Elektronische ISSN: 0973-7707
DOI: https://doi.org/10.1007/s12070-023-03628-1

Neu im Fachgebiet HNO

Erhebliches Risiko für Kehlkopfkrebs bei mäßiger Dysplasie

29.05.2024 Larynxkarzinom Nachrichten

Fast ein Viertel der Personen mit mäßig dysplastischen Stimmlippenläsionen entwickelt einen Kehlkopftumor. Solche Personen benötigen daher eine besonders enge ärztliche Überwachung.

Hörschwäche erhöht Demenzrisiko unabhängig von Beta-Amyloid

29.05.2024 Hörstörungen Nachrichten

Hört jemand im Alter schlecht, nimmt das Hirn- und Hippocampusvolumen besonders schnell ab, was auch mit einem beschleunigten kognitiven Abbau einhergeht. Und diese Prozesse scheinen sich unabhängig von der Amyloidablagerung zu ereignen.

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

17.05.2024 Klinik aktuell Nachrichten

Sie sei „ethisch geboten“, meint Gesundheitsminister Karl Lauterbach: mehr Transparenz über die Qualität von Klinikbehandlungen. Um sie abzubilden, lässt er gegen den Widerstand vieler Länder einen virtuellen Klinik-Atlas freischalten.

Betalaktam-Allergie: praxisnahes Vorgehen beim Delabeling

16.05.2024 Pädiatrische Allergologie Nachrichten

Die große Mehrheit der vermeintlichen Penicillinallergien sind keine. Da das „Etikett“ Betalaktam-Allergie oft schon in der Kindheit erworben wird, kann ein frühzeitiges Delabeling lebenslange Vorteile bringen. Ein Team von Pädiaterinnen und Pädiatern aus Kanada stellt vor, wie sie dabei vorgehen.

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Foreign Body Aspiration in Children and Emergency Rigid Bronchoscopy: A Retrospective Observational Study

Abstract

Neu im Fachgebiet HNO

Erhebliches Risiko für Kehlkopfkrebs bei mäßiger Dysplasie

Hörschwäche erhöht Demenzrisiko unabhängig von Beta-Amyloid

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

Betalaktam-Allergie: praxisnahes Vorgehen beim Delabeling

Update HNO

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3/2023

Demystifying Histologic Conundrum of Adenoid Ameloblastoma: Case Report with Literature Review

Partial Horizontal Supracricoid Laryngectomy: Which Factors Impact on Post-decannulation Swallowing Outcomes? A Prospective Single-Center Experience

Our Experience in 576 Cases of Cochlear Implant Surgery by Veria Technique

Resolution of blood eosinophilia and limited mouth opening after short-term follow-up in a pediatric Langerhans cell histiocytosis case

A Missed Nasopharyngeal Foreign Body

A Rare Cause of Acute Dyspnoea: Reinke Oedema

Neu im Fachgebiet HNO

Erhebliches Risiko für Kehlkopfkrebs bei mäßiger Dysplasie

Hörschwäche erhöht Demenzrisiko unabhängig von Beta-Amyloid

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

Betalaktam-Allergie: praxisnahes Vorgehen beim Delabeling

Update HNO