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Foreign Body Aspiration in Children

Authors: Firas Shakir Al-Fahham1 --- Khalid Khaleel Al–Araji2 --- Hasan Mohammed Ridha AL- Qazzaz
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2014 Volume: 7 Issue: 1 Pages: 1771-1779
Publisher: Kerbala University جامعة كربلاء

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Abstract

background: foreign bodies aspiration in children is a common emergency condition especially in less than 3 years old, comprising an important proportion of accidental deaths. Usually, there is a suggestive history of choking. The evolution of foreign body aspiration can lead to variable degrees of respiratory distress, serious respiratory complications, and even death. Early rigid bronchoscopy is a very effective procedure for definite diagnosis and removal of aspirated foreign body with fewer complications.Aim of study: To discuss causes and types of foreign body aspirationand effectiveness of bronchoscopy in children.Patients and Method: In Al-Hussein Medical City Hospital, bronchoscopy had been performed to 254 patients with the diagnosis of foreign body aspiration (from 2005 to 2012). Of which, 152 (59.85%) were males and 102 (40.15%) were females. Their ages ranged from 6 months to 10 years. Diagnosis had been established depending on history, physical examination, radiological studies and bronchoscopy.Results & Discussion: Foreign bodies (FBs) were removed by rigid bronchoscope. The sites of FBs were distributed in the following pattern: at the right main bronchus in 129 (50.79%) patients, at the left main bronchus in 55 (21.65%) patients, at the trachea in 38 (14.96%) patients, at the larynx in 16(6.3%) patients, and both bronchi in 4 (1.57%) patients. No foreign body could be found in 12 (4.73%) cases. The majority of the FBs were seeds 155 (61.02%). Pneumonia occurred in only 8(3.14%) patients.Foreign body aspiration is frequently encountered in pediatric practice. the condition is often not diagnosed immediately because there are no specific clinical manifestations. the ages 1 to 3 years were predominantly affected. The most common foreign body inhaled, Symptoms, most frequent age, and type of inhaled foreign body are different from region to region across the world. Foreign body aspiration was misdiagnosed by physician as pneumonia, asthma, bronchiectasis and bronchiolitis. Their definite diagnosis and treatment were provided by bronchoscopy, which was resorted to after unresponsiveness to previous treatment.Conclusion: Rigid bronchoscopy is very effective procedure to remove aspirated FBs with fewer complications.

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