A Common Health Problem in Children: Tracheobronchial Foreign Body Aspirations
Bayram Altuntas 1 * , Yener Aydin 1, Ilker Ince 1, Atilla Eroglu 1
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1 Ataturk University, Erzurum, Turkey* Corresponding Author

Abstract

Introduction:
Tracheobronchial foreign body aspiration is serious health problem in children. In this paper, we aimed to present our experience in tracheobronchial foreign body aspirations and rigid bronchoscopy in children.

Material and Methods:
Between January 1990 and May 2015, 693 patients less than 17 years of age with presumptive diagnosis of tracheobronchial aspiration of foreign bodies were included this study. Patients records were retrospectively analysed according to age, gender, symptoms and physical fndings, foreign body type and localization, radiologic fndings and treatments.

Results:
Three hundred ffty one of the patients were male (51%) and 342 patients were female (49%). All patients underwent rigid bronchoscopy procedure except six patients. Foreign bodies were found in 589 patients (85%). Mcgill clemp was used for removing of foreign bodies settled on vocal cords in six patients and subsequently, rigid bronchoscopy was performed for checking of tracheobronchial system. Thoracotomy was required in four patients (0.7%). The most common foreign bodies were nuts (n=373). The most frequent localization site of foreign bodies was right bronchial system (n=292). The chief radiologic fnding was obstructive emphysema (n=296). Cardiopulmonary arrest occurred in 11 patients and 2 of them died (0,3%).

Conclusions:
The gold standard in diagnosis and management of tracheobronchial foreign body aspiration is bronchoscopy, which can be performed with a low complication rate.

License

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Original Article

EUR J GEN MED, 2016, Volume 13, Issue 3, 8-11

https://doi.org/10.29333/ejgm/81895

Publication date: 06 Aug 2016

Article Views: 1331

Article Downloads: 818

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