Solid exogenous foreign bodies in the lower airways in children

Czech version

Authors: I. Šebová; A. Vöröšová; M. Čverha; M. Homolová; I. Matejová
Authors‘ workplace: Detská otorinolaryngologická klinika LFUK a NÚDCH, Bratislava, Slovensko
Published in: Čes-slov Pediat 2020; 75 (2): 59-65.
Category:

Overview

Aim and method: In the study the authors present a summary of results processed in a retrospective study in 226 child patients admitted in the interval of 10 years (July 2006 – June 2016) at the Department od Paediatric Otorinolaryngology of the Faculty of Medicine at Comenius University and the National Institute of Children’s Diseases in Bratislava with suspected presence of a foreign body in the lower respiratory tract.

Results: Bronchoscopy in total anaesthesia was performed in 164 patients, whereby 54% of these found the finding positive. Especially solid exogenous foreign bodies of organic origin (mostly nuts) were removed. They got stuck mainly in the right main bronchi. This group involved primarily small children aged 6 months to 3 years (130 children), boys prevailed (66%). 19 patients needed bronchoscopy several times, we did not meet any fatal incident, complications were prevailingly minor – their character being obstructive or inflammatory. Exceptionally the surgery/performance was interrupted due to desaturation, laryngospasm, in one case the child had to be resuscitated during the surgery, in one case we noticed fluidothorax. 57% of children with bronchoscopy were also treated with system antibiotics.

Conclusion: In the discussion the authors draw their attention to the rising importance of flexible bronchoscopy at the extraction of foreign bodies from the lower respiratory organs, to the need of standard diagnostic and treatment procedures and to the new possibilities of treatment (simulation teaching methods) and prevention of foreign body aspiration.

Keywords:

foreign body – children – aspiration – bronchoscopy

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