Foreign Body Aspiration In Children; Duzce University Five-Years Results

Year 2021, Volume: 13 Issue: 3, 601 - 605, 18.10.2021

Nadide Melike Sav , Önder Kiliçaslan , Seda Erişen Karaca , Cansu Tamtürk , Murat Kabaklıoğlu

https://doi.org/10.18521/ktd.778715

Abstract

Objective: Foreign body aspiration is a preventable cause of mortality and morbidity especially in younger than three years old children. The aim of this study is to determine the risk factors, causes and prognosis in patients with foreign body aspiration.
Method: In this study, laboratory and examination findings of 35 patients who underwent bronchoscopy, because of suspected foreign body aspiration, were retrospectively analyzed.
Results: Of the 35 patients included in the study, 19 were boys and 16 were girls. The mean age was 3,2. The most causes of application were cough, and wheezing. Foreign body was detected in the right main bronchus in 62,8%, in the left main bronchus in 25,7%, in the trachea in 5,7% and in both bronchi in 5,7% of the patients.
Conclusion: Early diagnosis and intervention significantly reduce the mortality and morbidity in foreign body aspirations. Prevention of foreign body aspirations is possible with the education of babysitters and family members.

Keywords

foreign body aspiration, children, bronchoscopy

Çocuklarda Yabancı Cisim Aspirasyonu; Düzce Üniversitesi Beş Yıllık Sonuçlar

Abstract

Amaç: Yabancı cisim aspirasyonu, özellikle 3 yaşından küçük çocuklarda önlenebilir bir mortalite ve morbidite nedenidir. Bu çalışmanın amacı yabancı cisim aspirasyonu nedeniyle başvuran hastalarda risk faktörleri, nedenleri ve prognozu belirlemektir.
Metod: Yabancı cisim aspirasyonu şüphesiyle bronkoskopi yapılan 35 hastanın şikayetleri, laboratuvar ve muayene bulguları retrospektif olarak incelendi.
Bulgular: Çalışmaya alınan toplam 35 hastanın 19’u erkek ve 16’sı kızdı. Hastalar ortalama 3,2 yaşındaydı. Hastaların hastaneye başvuru nedeni en sık öksürük ve hırıltılı solunum idi. Yabancı cisim hastaların %62,8’inde sağ ana bronşta, %25,7’sinde sol ana bronşta, %5,7’sinde trakeada ve %5,7’sinde de her iki bronşta saptandı.
Sonuç: Yabancı cisim aspirasyonlarında hızlı tanı ve erken müdahale ile mortalite ve morbidite oranları belirgin şekilde azalmaktadır. Yabancı cisim aspirasyonlarının önlenmesi ancak bebek bakıcılarının ve aile bireylerinin eğitimi ile mümkündür.

Keywords

yabancı cisim aspirasyonları, çocuklar, bronkoskopi

References

• 1- Karaaslan E, Yıldız T. Management of anesthesia and complications in children with Tracheobronchial Foreign Body Aspiration. Pakistan Journal of Medical Sciences. 2019 Nov-Dec; 35(6): 1592–1597
• 2- Higo R, Matsumoto Y, Ichimura K, Kaga K. Foreign bodies in the aerodigestive tract in pediatric patients. Auris Nasus Larynx, 30 (4) (2003), pp. 397-401.
• 3- Foltran F, Ballali S, Rodriguez H, van As A. B. (Sebastian), Passali D, Gulati A, Gregori D. Inhaled foreign bodies in children: a global perspective on their epidemiological, clinical, and preventive aspects Pediatric Pulmonology. 48 (4) (2013), pp. 344-351.
• 4- Safari M, Manesh M.R. Demographic and clinical findings in children undergoing bronchoscopy for foreign body aspiration. Ochsner Journal. 16 (2) (2016), pp. 120-124
• 5- Altuntas B, Aydın Y, Eroglu A. Foreign Bodies in Trachea: A 25-years of Experience. The Eurasian Journal of Medicine. 2016 Jun;48(2):119–123
• 6- Liang J, Hu J, Chang H, Gao Y, Luo H, Wang Z, Zheng G, Chen F, Wang T, Yang Y, Kou X, Xu M. Tracheobronchial foreign bodies in children - a retrospective study of 2,000 cases in Northwestern China. Therapeutics and Clinical Risk Management. 11 (2015), pp. 1291-1295
• 7- Saki N, Nikakhlagh S, Rahim F, Abshirini H. Foreign body aspirations in infancy: a 20-year experience International Journal of Medical Sciences. 6 (6) (2009), pp. 322-328
• 8- Passàli D, Lauriello M, Bellussi L, Passali GC, Passali FM, Gregori D. Foreign body inhalation in children: an update. Acta Otorhinolaryngologica Italica. 30 (1) (2010), pp. 27-32
• 9- Sheehan CC, Lopez J, Elmaraghy CA. Low rate of positive bronchoscopy for suspected foreign body aspiration in infants. International Journal of Pediatric Otorhinolaryngology. 2018; 104:72–75
• 10- Kıyan G, Uygun İ, Karadağ B, et al. Çocuklarda yabancı cisim aspirasyonu. Kulak Burun Boğaz İhtisas Dergisi. 2004;12:128-133.
• 11- Brkic F, Umihanic S, Altumbabic H, Ramas A, Salkic A, Umihanic S, Mujic M, Softic L, Zulcic S. Death as a Consequence of Foreign Body Aspiration in Children. Medical Archives. 2018 Jun; 72(3): 220-223.
• 12- Tokar B, Ozkan R, Ilhan H. Tracheobronchial foreign bodies in children: importance of accurate history and plain chest radiography in delayed presentation. Clinical Radiology 2004; 59: 609-615.
• 13- Zerella JT, Dimler M, McGill LC, Pippus KJ. Foreign body aspiration in children: value of radiography and complications of bronchoscopy. Journal of Pediatric Surgery 1998; 33: 1651-1654.