TRACHEOBRONCHIAL FOREIGN BODIES IN INFANTS AND CHILDREN: PRESENTATION AND MANAGEMENT

Authors

Tarek Eldesoky, Mansoura University Children's Hospital Mansoura Faculty of Medicine

Article Type

Original Study

Abstract

Tracheobronchial foreign body as­piration (FBA) is a common event with serious sequences. The aim of this study is to analyze the clinical and ra­diological spectrum as well as the na­ture of tracheobronchia! foreign bod­ies (FBs) in children who were positive for foreign body (FB) after bronchoscopy. The age, gender, presence of a history of aspiration, symptoms and signs, radiographic findings, delay in diagnosis, FB type, FB localization in the respiratory tract and number of FBs in each case were noted. Out of 50 cases, 26 were male and 24 were female. Their age ranged from 5 months to 12 years (mean 2.48 ± 2.23 years). The peak incidence of FBA occurred in the age group 1-3 years, FBA was suspected by the parents in 70% of patients. Sudden onset of cough (88%), breathelessness (68%) and wheezing (60%) were the predominant symp­toms and signs. Atelectasis (42%), normal chest x-ray (24%) and ob­structive emphysema (24%) were the most frequent radiological findings. Foreign bodies were localized in the central airway (14%), in the right bronchial tree (40)% and in the left bronchial tree (44%). Bilateral FBs were found in one patient (2%). Wa­termelon seeds (34%) and peanuts (24%) were the most common FBs aspirated. The mean delay in diagno­sis (±SD) was 44±114 days. Only 7 patients (14%) were presented in the first 24 hours after aspiration. The longest delay was 2 years. ....

Recommended Citation

Eldesoky, Tarek (2005) "TRACHEOBRONCHIAL FOREIGN BODIES IN INFANTS AND CHILDREN: PRESENTATION AND MANAGEMENT," Mansoura Medical Journal: Vol. 34 : Iss. 1 , Article 7.
Available at: https://doi.org/10.21608/mjmu.2005.127760

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.