Review of tracheobronchial foreign body aspiration in the South African paediatric age group

Background: The paediatric age group has very peculiar anatomic and physiologic airways therefore, obstruction which commonly occurs in this population, can pose serious challenges in this age group. Aim: To study the pattern and aetiology of acute upper airway obstruction in the paediatric age group in University of Port Harcourt teaching hospital and to determine the place of tracheostomy in the management. Patients and Methods: It is a descriptive hospital based study of all paediatric patients; aged 0-15 years with upper airway obstruction that presented to the ear, nose and throat department and the children emergency ward of university of Port Harcourt teaching hospital within the period of January 2014 to December 2019. Data on demographics, clinical presentations, causes and management were obtained using a Proforma. The diagnosis of upper airway obstruction is made in a child with any degree of respiratory difficulty with or without associated stridor or stertor arising from lesions above the thoracic inlet. Children with respiratory difficulty other than that from an upper airway obstruction were excluded from the study. Data obtained were analyzed with the IBM statistical package for social sciences SPSS version 20. Results were presented in simple descriptive forms with tables. Results: One hundred and sixty paediatric patients with upper air way obstruction with age ranging from 0-15 years were studied. The prevalence of upper airway obstruction was 1.87%. There were more males than females; male to female ratio was 1.2:1. Age group 4-7 years were the most affected, 43.75%. Foreign body aspiration was the commonest cause. Majority of the patients had tracheostomy done, 48.75%. Mortality was n=1(0.625%). Conclusion: Upper air way obstruction among the paediatric age group is still common with foreign body aspiration as a very important cause in our setting. The very young are the most affected and tracheostomy appears to still be the main option of securing airway in these cases in our environment.

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Multiple foreign body aspiration: a case report

Pediatria i Medycyna Rodzinna ◽

10.15557/pimr.2020.0060 ◽

2020 ◽

Vol 16 (3) ◽

pp. 325-328

Author(s):

Aranjit Singh Randhawa ◽

◽

Norhafiza Mat Lazim ◽

Khairul Bariah Noh ◽

Irfan Mohamad ◽

...

Keyword(s):

Case Report ◽

Foreign Body ◽

Tracheobronchial Tree ◽

Foreign Body Aspiration ◽

High Morbidity ◽

Age Group ◽

Delay In Diagnosis ◽

Cardiopulmonary Complications ◽

Paediatric Age ◽

Group A

Foreign body in the tracheobronchial tree is an emergency commonly affecting the paediatric age group. A delay in diagnosis and removal may cause high morbidity and mortality. We report a case of a 1-year-6-month-old presenting with multiple peanuts aspirated into both lungs, ultimately resulting in death due to cardiopulmonary complications. The aim of the case report is to highlight the importance of thorough history-taking from parents, intraoperative suspicion of more than a single aspirated foreign body, and meticulous measurements taken to minimise extraction time.

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Clinical analysis of tracheobronchial foreign body aspiration in children: a focus on external and intrinsic factors

BMC Surgery ◽

10.1186/s12893-021-01089-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Weigang Gan ◽

Ning Xiao ◽

Yiyuan Feng ◽

Danmei Zhou ◽

Juanjuan Hu ◽

...

Keyword(s):

Foreign Body ◽

Pediatric Patients ◽

Treatment Delay ◽

Rigid Bronchoscopy ◽

Foreign Body Aspiration ◽

External Factors ◽

Factors Affecting ◽

Intrinsic Factors ◽

Common Location ◽

Tracheobronchial Foreign Body

Abstract Background Tracheobronchial foreign body aspiration (TFBA) is a critical disease in children and is extremely dangerous, even life-threatening. The factors affecting the occurrence and prognosis of TFBA are complex. The purpose of this study is to examine the external and intrinsic factors affecting clinical features of TFBA in West China and propose potential effective intervention measures. Methods We retrospectively analyzed the clinical data of pediatric patients diagnosed with TFBA with foreign bodies (FBs) removed by rigid bronchoscopy under general anesthesia at the otolaryngology department from December 2017 to November 2018. The data included age, sex, clinical symptoms, type and location of FB, guardians, prehospital duration and residence of these pediatric patients. Results The ratio of males (72) to females (53) was 1.4:1. Children aged from 1 to 3 years accounted for 76% (95/125) of patients. Cough, continuous fever and dyspnea were the primary symptoms. The right primary bronchus was the most common location of FB detection by rigid bronchoscopy (67 cases, 53.6%). Organic FBs were most common in our study. Guardians of patients significantly differed in the rural (parents 16, grandparents 31) and urban (parents 52, grandparents 26) groups (χ2 = 12.583, p = 0.000). More children in the rural group than in the urban group had a treatment delay longer than 72 h. More children in the group with no history of FB aspiration (12, 25%) than in the group with prior FB aspiration had a treatment delay longer than 72 h. Conclusion Pediatric TFBA is a common emergency in otolaryngology. Age, sex, tracheobronchial anatomy and other physiological elements were defined as intrinsic factors, while guardians, residence, FB species and prehospital time were defined as external factors of TFBA. External and intrinsic factors both influence the occurrence and progression of TFBA. It is extremely important to take effective measures to control external factors, which can decrease morbidity and mortality.

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The Relationship between Time of Admittance and Complications in Paediatric Tracheobronchial Foreign Body Aspiration

Acta Chirurgica Belgica ◽

10.1080/00015458.2005.11679791 ◽

2005 ◽

Vol 105 (6) ◽

pp. 631-634 ◽

Cited By ~ 18

Author(s):

M. Sirmali ◽

H. Türüt ◽

E. Kisacik ◽

G. Findik ◽

S. Kaya ◽

...

Keyword(s):

Foreign Body ◽

Foreign Body Aspiration ◽

Tracheobronchial Foreign Body ◽

The Relationship

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Clinical Characteristics in Suspected Tracheobronchial Foreign Body Aspiration in Children

Journal of Bronchology ◽

10.1097/00128594-200210000-00003 ◽

2002 ◽

Vol 9 (4) ◽

pp. 276-280 ◽

Cited By ~ 4

Author(s):

Karen L. Swanson ◽

Udaya B. S. Prakash ◽

David E. Midthun ◽

Eric S. Edell ◽

James P. Utz ◽

...

Keyword(s):

Foreign Body ◽

Clinical Characteristics ◽

Foreign Body Aspiration ◽

Tracheobronchial Foreign Body

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Tracheobronchial Foreign Body Aspiration in Children

Clinical Pediatrics ◽

10.1177/0009922813506259 ◽

2013 ◽

Vol 53 (5) ◽

pp. 415-419 ◽

Cited By ~ 17

Author(s):

Harpal Singh ◽

Ankit Parakh

Keyword(s):

Foreign Body ◽

Foreign Body Aspiration ◽

Tracheobronchial Foreign Body

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Foreign Body Aspiration in Dentistry

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i56a33881 ◽

2021 ◽

pp. 8-14

Author(s):

Drishti Dixit ◽

Amit Reche ◽

Kumar Gaurav Chabra ◽

Priyanka Paul Madhu ◽

Anura Saher Raza

Keyword(s):

Foreign Body ◽

Standard Operating Procedure ◽

Foreign Body Aspiration ◽

Careful Study ◽

Age Group ◽

Aged Patients ◽

Age Related ◽

Threatening Condition ◽

Foreign Body Extraction ◽

Life Threatening

Background: The foreign body aspiration is very common while performing a dental procedure. Most of the patients are from lower age group as these group of people have high amount of sugar and starch containing diet which is not good for the oral health. But it is not limited to them and several aged patients are also victim of foreign body aspiration. Summary: Foreign bodies can be anything from cloth dam, barrier techniques itself to broken tooth. Due to age related delayed gag reflex and impact of anesthesia can be possible reasons behind the foreign body aspiration. Pulmonary aspiration is a serious cause of concern and cannot be neglected. It can go unnoticed which can brought to cognizance after careful study and observation of the radiographs. Endoscopic procedures are used to locate and extract the foreign body from the lungs. Conclusion: Proper guidelines regarding the extraction of foreign body extraction and identification must be followed as it is life threatening condition. Vulnerable age group must be treated with extra caution and every chance of mistake must be covered. Standard operating procedure must be strictly adhered to in order rot have maximum accuracy.

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