Çocukluk Çağında Yabancı Cisim Aspirasyonları

Öz

Yabancı cisim aspirasyonları çocukluk çağında sık görülür ve ani çocuk ölümleri arasında önemli yer tutar. Üç yaş altında ve erkek çocuklarda daha sık rastlanır. Ani başlayan öksürük, hışıltı ve tek taraflı azalmış solunum sesleri en sık görülen bulgulardır. Radyolojik görüntüler tanısal olmasa da tek taraflı amfizem ve atelektazi en önemli bulgulardır. Belirgin öykü vermeyen hastalarda tanı gecikebilmektedir. Trakeobronşiyal yabancı cisimlerde tedavi acildir. Şüphelenilen vakalarda bronkoskopi yapılmalıdır. Koruyucu önlemler yabancı cisim aspirasyon insidansını azaltmaktadır.

Anahtar Kelimeler

• Yabancı cisim aspirasyonu, bronkoskopi, çocuk

FOREIGN BODY ASPIRATION IN CHILDHOOD

Öz

Foreign body aspiration is the most frequent problem during childhood. It is among the most common reasons of unexpected childhood deaths. It is more frequent in children younger than 3 years of age, predominantly boys. Sudden onset of cough, wheezing and decreased breath sounds are the most common signs and symptoms of foreign body aspiration. Radiographical findings are not diagnostic, but the presence of unilateral obstructive emphysema or atelectasis is important clues. Careful and detailed history is essential not to cause delay in diagnosis. Treatment is very important for the aspirated tracheobronchial foreign bodies. Bronchoscopic procedure must be performed if there is a suspicion of foreign body aspiration. Routine preventive measures must be taught to caregivers in order to reduce the incidence

Anahtar Kelimeler

• Foreign body aspiration, bronchoscopy, child

Kaynakça

1. Ozdemir C, Uzun I, Sam B. Childhood foreign body aspiration in Istanbul, Turkey. Forensic Sci Int 2005;153:136 -141.
2. Tan HK, Brown K, McGill T, Kenna MA, Lund DP, Healy GB. Airway fo- reign bodies (FB): a 10-year review. Int J Pediatr Otorhinolaryngol 2000; 56: 91–99.
3. Kısacık E, Gülhan E, Sırmalı M, Sarıca E, Türüt H, Karasu S, Gezer S, Kaya S. Trakea Bronşial Yabancı Cisim Aspirasyonları: 261 Olgunun Analizi. Solunum Hastalıkları 2004;15: 86-91.
4. Lea E, Nawaf H, Yoav T, Elvin S, Ze’ev Z, Amir K. Diagnostic evaluation of foreign body aspiration in children: a prospective study. J Pediatr Surg 2005;40:1122-1127.
5. Tander B, Kirdar B, Ariturk E, Rizalar R, Bernay F. Why nut? The aspirati- on of hazelnuts has become a public health problem among small children in the central and eastern Black Sea regions of Turkey. Pediatr Surg Int 2004;20:502-504.
6. Kaptanoglu M, Dogan K, Onen A, Kunt N. Turban pin aspiration, a potential risk for young Islamic girls. Int J Pediatr Otorhinolaryngol, 1999;48:131-135.
7. Elhassani NB. Tracheobronchial foreign bodies in the Middle East: A Baghdad Study. J Thorac Cardiovasc Surg 1988;96:621-625.
8. Sarısoy Ö, Liman ŞT, Aydoğan M, Topçu S Burç K, Hatun Ş. Çocukluk çağı yabancı cisim aspirasyonları: klinik ve radyolojik değerlendirme Çocuk Sağlığı ve Hastalıkları Dergisi 2007;50:96-101.

9. Midulla F, Guidi R, Barbato A, Capocaccia P, Forenza N, Marseglia G, Pifferi M, Moretti C, Bonci E, De Benedictis FM. Foreign body aspiration in children. Pediatr Int 2005;47:663-668.
10. Rovin JD, Rodgers BM. Pediatric Foreign Body Aspiration. Pediatr Rev 2000; 21:86-90.
11. Sersar SI, Rizk WH, Bilal M, El Diasty MM, Eltantawy TA, Abdelhakam BB, Elgamal AM, Bieh AA. Inhaled foreign bodies: presentation, manage- ment and value of history and plain chest radiography in delayed presenta- tion. Otolaryngol Head Neck Surg 2006;134:92-99.
12. Jackson C. Grasses as foreign bodies in the bronchus and lung. Laryngoscope.1952; 62:897-923
13. Kim IG, Brummit WM, Humphry A Siomra SW, Wallace WB. Foreign body in the airways: a review of 202 cases. Laryngoscope 1973; 83:347- 54.
14. Even L, Heno N, Talmon Y, Samet E, Zonis Z, Kugelman A. Diagnostic evaluation of foreign body aspiration in children: a prospective study. J Pediatr Surg 2005; 40:1122-1127.
15. Kiyan G, Uygun I, Karadağ B, Tuğtepe H, Iskit SH, Dağli TE. Foreign body aspiration in children. Kulak Burun Bogaz Ihtis Derg 2004; 12:128- 133.
16. Bittencourt PF, Camargos PA. Foreign body aspiration. J Pediatr 2002;78:9-18.
17. Çobanoğlu U, Can M. Çocuklarda Trakeobronşial Yabancı cisim aspiras- yonları. Van Tıp Dergisi 2007;14:96-101.
18. Silvia AB, Muntz HR, Clary R. Utility of conventional radiography in the diagnosis and management of pediatric airway foreign bodies. Ann Otol Rhinol Laryngol 1998;107:834-838.
19. Haliloğlu M, Çiftci AO, Oto A, Gumus B, Tanyel FC, Senocak ME, Buyukpamukcu N, Besim A. CT virtual bronchoscopy in the evaluation of children with suspected foreign body aspiration. Eur J Radiol 2003; 48:188-192.
20. Shivakumar AM, Naik AS, Prashanth KB, Shetty KD, Praveen DS. Tracheobronchial Foreign Bodies. Indian J Pediatr 2003;70: 793-797.
21. Cotton RT, Rutter MJ. Foreign body aspiration. In: Chernic V, Boat TF (eds) In:. Kendig’s Disorders of the Respiratory Tract in Children. 7th ed. Philadelphia: W.B. Saunders Co. 2006: 610-615.
22. Kürklü EU, Williams MA, Roux BT. Bronchiectasis consequent upon fo- reign body retention. Thorax 1973;28:601-605.
23. Hui H, Na L, Zhijun CJ, Fugao ZG, Yan S, Niankai ZK, Jingjing CJ. Therapeutic experience from 1428 patients with pediatric tracheobronchial foreign body. J Pediatr Surg 2008;43:718-721.
24. Caversaccio MD, Zbaren P, Vischer M, Tschäppeler H. Tracheobronchial foreign body in children. Is anamnesis alone enough to indicate tracheob- ronchoscopy? HNO 1996;44:440-444.
25. Black RE, Choi KJ, Syme WC et al. Bronchoscopic removal of aspirated foreign bodies in children. Am J Surg 1984;148:778 -781.