Mojgan Safari1, Mohammad Reza Hashemi Manesh2. 1. Department of Pediatrics, Immunology and Allergy Ward, Besat Hospital, Hamadan University of Medical Sciences, Hamadan, Iran ; Department of Pediatrics, Immunology and Allergy Ward, Besat Hospital, Hamadan University of Medical Sciences, Hamadan, Iran. 2. Department of Cardiology, Tehran University of Medical Sciences, Tehran, Iran ; Department of Pediatrics, Immunology and Allergy Ward, Besat Hospital, Hamadan University of Medical Sciences, Hamadan, Iran.
Abstract
BACKGROUND: Foreign body aspiration (FBA) is a significant cause of airway distress, mortality, and morbidity in children. Diagnosis of FBA can be challenging and is sometimes delayed for weeks or even months. If not diagnosed and treated promptly, FBA can result in serious consequences. METHODS: For this retrospective study, we investigated the medical records of 89 children who underwent bronchoscopy for suspected FBA and recorded relevant demographic, clinical, and treatment data. RESULTS: Of the 89 patients identified for this study, 51 had a definitive diagnosis of FBA. Among these patients, choking, chronic cough and wheezing, cyanosis, and dyspnea were the most frequent symptoms of FBA. The foreign bodies were located in the left bronchus (45.1%), the right bronchus (35.3%), the trachea (15.7%), and in both the right and left bronchi (3.9%). Seeds were the most prevalent foreign body, found in 39.2% of the patients. CONCLUSION: Lack of complete medical history in patients with suspected FBA is one of the main causes of delayed FBA diagnosis. Bronchoscopy is considered the definitive diagnostic method for FBA and should be conducted in all patients with suspected FBA because of the low risk of complications and reduced probability that FBA diagnosis and treatment will be delayed.
BACKGROUND: Foreign body aspiration (FBA) is a significant cause of airway distress, mortality, and morbidity in children. Diagnosis of FBA can be challenging and is sometimes delayed for weeks or even months. If not diagnosed and treated promptly, FBA can result in serious consequences. METHODS: For this retrospective study, we investigated the medical records of 89 children who underwent bronchoscopy for suspected FBA and recorded relevant demographic, clinical, and treatment data. RESULTS: Of the 89 patients identified for this study, 51 had a definitive diagnosis of FBA. Among these patients, choking, chronic cough and wheezing, cyanosis, and dyspnea were the most frequent symptoms of FBA. The foreign bodies were located in the left bronchus (45.1%), the right bronchus (35.3%), the trachea (15.7%), and in both the right and left bronchi (3.9%). Seeds were the most prevalent foreign body, found in 39.2% of the patients. CONCLUSION: Lack of complete medical history in patients with suspected FBA is one of the main causes of delayed FBA diagnosis. Bronchoscopy is considered the definitive diagnostic method for FBA and should be conducted in all patients with suspected FBA because of the low risk of complications and reduced probability that FBA diagnosis and treatment will be delayed.
Authors: T J Sumanth; Bhagyashree D Bokare; Devendra M Mahore; Vipin R Ekhar; Prafulla T Sakhare; Surendra H Gawarle Journal: Indian J Otolaryngol Head Neck Surg Date: 2011-10-16