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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.


Article
Chest X-Ray Findings of Foreign Body Aspiration and Their Relation With Type and Site of Impaction

Authors: Hayder Sabeeh Nsaif --- Rehab Faisal Laftah
Journal: Journal of University of Babylon مجلة جامعة بابل ISSN: 19920652 23128135 Year: 2015 Volume: 23 Issue: 2 Pages: 862-869
Publisher: Babylon University جامعة بابل

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Abstract

Objectives: Foreign body (FB) aspiration is still one of the most common emergencies in daily practice with great dependency of diagnosis on the history and radiological exam. Our work is to analyze the role of chest x-ray exam (CXR) in the management of FB aspiration trying to reach the most common radiological findings and how can such findings be affected by type and site of impaction of FB.Methods: A retrospective study (descriptive study) of FB aspiration at Hilla General Teaching Hospital. CXR findings were analyzed in 53 positive cases, identifying the common patterns of such exam, then we tried to identify any possible effect of the type of FB and their site of impactions upon such CXR findings.Results: Organic FB most commonly impacted at right bronchi and presented with complications specially emphysema, while inorganic metallic foreign bodies most commonly impacted at left bronchi, being radiopaque with no obvious radiological complications.Conclusions: CXR findings will be affected by the type and site of impaction of FB.

ألهدف استنشاق الاجسام الغريبة في القصبة الهوائية ما يزال واحدا من الحالات الطارئة التي نواجهها باستمرار في حياتنا العملية مع اعتمادية كبيرة لتشخيص هذا المرض على تاريخ الحالة المرضية و مظاهر اشعة الصدر السينية. الهدف من دراستنا هو تحديد الدور الذي تلعبه اشعة الصدر السينية في تشخيص هذا المرض وعلاجه بصورة عامة وصولا لتحديد المظاهر الاكثر شيوعا وكيفية تاثر المظاهر الشعاعية المختلفة بنوع الجسم الغريب ومكان استقراره في القصبات الهوائية ألطريقة دراسة استرجاعية وصفية اجريت لمرضى حالات استنشاق الاجسام الغريبة في مستشفى الحلة التعليمي العام. تم تحليل مظاهر اشعة الصدر السينية لثلاثة وخمسين مريضا كانت اصابتهم بهذه الحالة موجبة ومن خلال هذا التحليل تم التعرف على المظاهر الشائعة من الاقل شيوعا مع محاولة التعرف على تأثير نوع الاجسام الغريبة ومحل استقرارها في القصبات الهوائية على شيوع هذه المظاهر من عدمها.ألنتائج الاجسام الغريبة العضوية شائعة الانحسار في القصبات اليمنى وتتمظهر شعاعيا على شكل مضاعفات الحالة المرضية بينما الاجسام الغريبة اللاعضوية (واغلبها اجسام معدنية معتمة) تنحسر غالبا في القصبات اليسرى وتتمظهر شعاعيا على شكل اجسام غريبة بعينها مع ندرة في حصول مضاعفات للمرض وقت الاستشارة الطبيةألاستنتاجات المظاهر الشعاعية لأشعة الصدر السينية المجراة لمرضى استنشاق الاجسام الغريبة ستتأثر بنوع ومكان استقرار الاجسام الغريبة في القصبات الهوائية

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