Treatment of 38 cases of foreign body aspiration in children causing life-threatening complications

Abstract Objectives The objectives of this study were to discuss the clinical magnifications and therapies of tracheobronchial foreign body aspiration (FBA) in children causing life-threatening complications. Method We retrospectively reviewed 38 cases of FBA with serious complications in children o...

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Bibliographic Details
Published in:International journal of pediatric otorhinolaryngology 2009-12, Vol.73 (12), p.1624-1629
Main Authors: Li, Youzhong, Wu, Weijing, Yang, Xinming, Li, Jingjia
Format: Article
Language:English
Subjects:
Bronchi
Bronchoscopy
Bronchoscopy - methods
Child
Child, Preschool
China - epidemiology
Cohort Studies
Complications
Critical Illness
Female
Foreign Bodies - complications
Foreign Bodies - diagnostic imaging
Foreign Bodies - surgery
Foreign body aspiration
Heart Failure - epidemiology
Heart Failure - etiology
Hemothorax - epidemiology
Hemothorax - etiology
Humans
Incidence
Infant
Inhalation
Lung Abscess - epidemiology
Lung Abscess - etiology
Male
Otolaryngology
Pediatrics
Pneumonia - epidemiology
Pneumonia - etiology
Pneumothorax - epidemiology
Pneumothorax - etiology
Respiratory Aspiration - diagnostic imaging
Respiratory Aspiration - etiology
Respiratory Aspiration - surgery
Retrospective Studies
Survival Rate
Tomography, X-Ray Computed
Trachea
Tracheoesophageal Fistula - epidemiology
Tracheoesophageal Fistula - etiology
Treatment
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Summary:Abstract Objectives The objectives of this study were to discuss the clinical magnifications and therapies of tracheobronchial foreign body aspiration (FBA) in children causing life-threatening complications. Method We retrospectively reviewed 38 cases of FBA with serious complications in children out of 749 cases of FBA in children that had been admitted to and treated in the Second Xiangya Hospital, Central South University, Changsha, Hunan, P.R. China, from June 1990 to December 2007. The complications included pneumothorax (14 cases); pneumomediastinum (6 cases); pulmonary abscess (7 cases); massive hemorrhage, tracheoesophageal fistula and exudative pleurisy, in 3 cases, respectively; and heart failure (2 cases). Each child's symptoms, including duration, physical findings, chest radiographs, including CT, and the nature of the foreign body causing the complications due to FBA were recorded. Results Among the 38 cases of FBA, the FBs in 36 cases were removed by bronchoscopy, and in 2 cases the FBs were removed via thoracotomy. Except for 1 case that resulted in death, the other 37 children were completely cured and discharged to home from the hospital. Conclusions For children with FBA who experience severe and life-threatening complications from FBA, our recommendation is that emergency measures should be available during FBs removal. With correct judgment and management of the complications of FBA, the mortality rate can be reduced.
ISSN:0165-5876
1872-8464
DOI:10.1016/j.ijporl.2009.08.003