Palmer-Becerra JD, Osorio-Rosales CMV, Madriñán-Rivas JE, Montalvo-Marín A, Uro-Huerta H

Language: Spanish
References: 16
Page: 102-107
PDF size: 116.69 Kb.

ABSTRACT

Introduction. Foreign body aspiration is a common accident in children and represents an important cause of morbidity and mortality. The onset of respiratory distress may be sudden with cough.
Objective. To determine the clinical characteristics and the results of bronchoscopic treatment of children who aspired a foreign body.
Methods: Retrospective study of 84 children from January 2000 to December 2009 who had a foreign body removed from the airway by bronchoscopy. Fifty-five boys and 29 girls were included. Their ages ranged from 8 months to 13 years.
Results: The most frequent clinical manifestation was choking in 75, (90%); cyanosis, 67 (80.4%) and polypnea in 63 (75.6%). Positive radiological findings were present in 82 patients (98.4%), and the most common object aspired was a peanut (33.6%). Foreign bodies were located in the trachea in 9 cases (14.4 %); in the carina in 4 cases (4.8 %); in the right bronchus in 52 patients (62.4 %) and in the left bronchus in 19 cases (22.8 %).
Conclusions. Airway foreign bodies are a potentially life-threatening event. Medical history is the key for the diagnosis. Broncoscopy under general anesthesia is a very safe y effective procedure for patients with airway obstruction caused by a foreign body.

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