Laryngo-Tracheo-Bronchial Foreign Bodies in Children: Clinical Presentations and Complications

Authors

  • Ahmed M A Maaty Lecturer of Anesthesia and ICU, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
  • Ashraf Raafat Consultant of Otorhinolaryngology, Benha Teaching Hospital, Benha, Egypt.
  • Ehab Sobhy Departmen of Cardiothoracic Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
  • Hazem Saeed Amer Departmen of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
  • Mohamed AlShawadfy Departmen of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
  • Mohammad Waheed El-Anwar Departmen of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Abstract:

Introduction: Foreign-body (FB) aspiration in the airway of children is a life-threatening clinical situation responsible for many deaths each year. The aim of this study was to evaluate the different clinical presentations, methods of diagnosis, types and complications of FB inhalation in the pediatric age group.   Materials and Methods: The study included patients who presented with a definitive or suspicious history of FB aspiration. Detailed data for each patient were recorded concerning the age, sex, nature and site of the FB, presenting symptoms and signs, and radiological findings.   Results: Fifty-six patients were enrolled in this study. The age of patients ranged from 6 months to 14 years, with a mean age of 4.5 years. Sixty percent of patients were under 3 years of age. The time interval between aspiration of foreign body and onset of diagnosis ranged from 2 hours to 5 months. Thirty-four (60.7%) patients had normal chest X-ray findings, while opaque FB was seen in eight patients (14.3%). Signs of bronchitis were seen in five patients (9%), while pneumonia and atelectasis were seen in six (10.7%) and three cases (5.3%), respectively.   Conclusion: FB aspiration is a life-threatening clinical situation, with children

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Journal title

volume 29  issue 3

pages  155- 159

publication date 2017-05-01

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