CLINICAL ANALYSIS OF COMPARISON BETWEEN FLEXIBLE BRONCHOSCOPY AND VIRTUAL BRONCHOSCOPY IN FOREIGN BODY ASPIRATION

AbstractObjectives:Multidetector computed tomography virtual bronchoscopy is a non-invasive diagnostic tool which provides a three-dimensional view of the tracheobronchial airway. This study aimed to evaluate the usefulness of virtual bronchoscopy in cases of vegetable foreign body aspiration in children.Methods:The medical records of patients with a history of foreign body aspiration from August 2006 to August 2010 were reviewed. Data were collected regarding their clinical presentation and chest X-ray, virtual bronchoscopy and rigid bronchoscopy findings. Cases of metallic and other non-vegetable foreign bodies were excluded from the analysis. Patients with multidetector computed tomography virtual bronchoscopy showing features of vegetable foreign body were included in the analysis. For each patient, virtual bronchoscopy findings were reviewed and compared with those of rigid bronchoscopy.Results:A total of 60 patients; all children ranging from 1 month to 8 years of age, were included. The mean age at presentation was 2.01 years. Rigid bronchoscopy confirmed the results of multidetector computed tomography virtual bronchoscopy (i.e. presence of foreign body, site of lodgement, and size and shape) in 59 patients. In the remaining case, a vegetable foreign body identified by virtual bronchoscopy was revealed by rigid bronchoscopy to be a thick mucus plug. Thus, the positive predictive value of virtual bronchoscopy was 98.3 per cent.Conclusion:Multidetector computed tomography virtual bronchoscopy is a sensitive and specific diagnostic tool for identifying radiolucent vegetable foreign bodies in the tracheobronchial tree. It can also provide a useful pre-operative road map for rigid bronchoscopy. Patients suspected of having an airway foreign body or chronic unexplained respiratory symptoms should undergo multidetector computed tomography virtual bronchoscopy to rule out a vegetable foreign body in the tracheobronchial tree and avoid general anaesthesia and invasive rigid bronchoscopy.

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Flexible bronchoscopy in diagnosis and removal of foreign body aspiration in children

10.1183/13993003.congress-2018.pa1374 ◽

2018 ◽

Author(s):

Elpis Hatziagorou ◽

Fotios Kirvassilis ◽

Marina-Triantafyllia Kotzamani ◽

Maria Karailidou ◽

Athanasios Skouras ◽

...

Keyword(s):

Foreign Body ◽

Foreign Body Aspiration ◽

Flexible Bronchoscopy

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FIRST LINE TREATMENT FOR FOREIGN BODY ASPIRATION IN CHILDREN: FLEXIBLE BRONCHOSCOPY

10.1183/13993003.congress-2018.pa624 ◽

2018 ◽

Author(s):

Hasan Yuksel ◽

Ozge Yilmaz ◽

Arzu Acikel ◽

Yurda Basbay ◽

Adem Yasar ◽

...

Keyword(s):

Foreign Body ◽

Foreign Body Aspiration ◽

Flexible Bronchoscopy ◽

Line Treatment ◽

First Line ◽

First Line Treatment

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CT virtual bronchoscopy in the evaluation of children with suspected foreign body aspiration

European Journal of Radiology ◽

10.1016/s0720-048x(02)00295-4 ◽

2003 ◽

Vol 48 (2) ◽

pp. 188-192 ◽

Cited By ~ 81

Author(s):

Mithat Haliloglu ◽

Arbay O. Ciftci ◽

Aytekin Oto ◽

Burcak Gumus ◽

F.Cahit Tanyel ◽

...

Keyword(s):

Foreign Body ◽

Foreign Body Aspiration ◽

Virtual Bronchoscopy

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Foreign body aspiration: clinical utility of flexible bronchoscopy

Postgraduate Medical Journal ◽

10.1136/pmj.78.921.399 ◽

2002 ◽

Vol 78 (921) ◽

pp. 399-403 ◽

Cited By ~ 87

Author(s):

O Dikensoy

Keyword(s):

Foreign Body ◽

Clinical Utility ◽

Foreign Body Aspiration ◽

Flexible Bronchoscopy

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Foreign body aspiration in Israeli children during the COVID-19 pandemic

10.22541/au.164183064.48121769/v1 ◽

2022 ◽

Author(s):

Inbal Golan-Tripto ◽

Reuven Tsabari ◽

Elie Picard ◽

Patrick Stafler ◽

Keren Armoni Domany ◽

...

Keyword(s):

Foreign Body ◽

Pediatric Emergency ◽

Significant Rise ◽

Foreign Body Aspiration ◽

Emergency Department Visits ◽

Flexible Bronchoscopy ◽

First Year ◽

Parental Supervision ◽

Number Of Children ◽

Retrospective Multicenter Study

Background: Since the outbreak of the Coronavirus disease 2019 (COVID-19) pandemic, there has been a decline in pediatric emergency department visits. Our aim was to assess the pattern of pediatric foreign body aspiration (FBA) during the first year of the COVID-19, in comparison to the prior years. Methods: In this retrospective multicenter study, we compared the number of children that presented with FBA during the COVID-19 year (March 1st, 2020 to February 28, 2021), to the annual average of the years 2016-2019. We also compared the lockdown periods to the post-lockdown periods and the percentage of missed FBA, proven FBA, and flexible bronchoscopy as the removal procedure. Results: 345 children with FBA from six centers were included, 276 in the pre-COVID-19 years (average 69 per year) and 69 in the COVID-19 year. There was no difference in the prevalence of FBA between the COVID-19 year and any of the prior four years. Examining the lockdown effect, the monthly incidence of FBA dropped from a pre-COVID-19 average of 5.75 cases to 5.1 cases during lockdown periods and increased to 6.3 cases in post-lockdown periods. No difference in the percentage of missed FB or proven FB was observed. There was a significant rise in the usage of flexible bronchoscopy as the removal procedure (Average of 15.4% vs 30.4%, p=0.001) Conclusion: There was no difference in the prevalence of FBA during the COVID-19 year. However, there were fewer cases during lockdown periods, compared to post-lockdown periods, presumably related to better parental supervision.

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