A STUDY OF SUSPECTED CASES OF FOREIGN BODIES ASPIRATION IN TRACHEOBRONCHIAL TREE IN PEDIATRIC AGE GROUP
Main Article Content
Keywords
foreign body aspiration, airway obstruction, radiological investigation, rigid bronchoscopy
Abstract
Foreign body aspiration (FBA) is a common and potentially life-threatening emergency in pediatric population. This study aimed to evaluate the clinical profile, diagnostic approach, and outcomes of suspected tracheobronchial foreign bodies in the pediatric age group. Children presenting with sudden onset cough, choking, wheeze, or unexplained respiratory distress were assessed through detailed history, clinical examination, radiological investigations, and rigid bronchoscopy. Most cases occurred in children under five years, with a male predominance. Sudden cough and choking were the most frequent presenting symptoms. Radiological findings were variable, with some showing collapse or hyperinflation, while others appeared normal. Rigid bronchoscopy served as both diagnostic and therapeutic, successfully retrieving organic foreign bodies such as peanuts and seeds in the majority of cases. Early recognition and timely bronchoscopic intervention resulted in favorable outcomes with minimal complications. Preventive measures and parental education remain essential.
References
2. Yousef, S., & Thiel, M. (2017). Bronchial Foreign Body Aspiration in Children: A Review of Diagnostic and Therapeutic Approaches. Pediatric Pulmonology, 52(2), 133- 142.
3. Reddy, V., & Farkas, J. (2020). Role of Imaging in Diagnosing Foreign Body Aspiration in Pediatric Patients. Pediatric Radiology, 50(6), 800-809.
4.J.N.G.Evans, Foreign bodies in the larynx and trachea, Scott Brown’s Paediatric Otorhinolaryngology chap 25 & vol 5, chapter 1, 1997.
5. G.Paul Digoy ,MD , Diagnosis and Management of Upper Aero Digestive Tract Foreign bodies, Otolaryngol Clin N Am 41(2008) 485-496.
6. Francois M, Maisani D, Prevost C, Roulleau P, Endoscopy for exploration for foreign bodies of the lower respiratory tract of the child. Apropos of 668 cases. Ann Otolaryngology Chir Cervicofac. 1985;102(6):433-41.
7 Fitzpatrick PC, Guarisco JL. Pediatric airway foreign bodies. J La State Med Soc. 1998;150:138.
8. Folch E, Mehta AC. Airway interventions in the tracheobronchial tree. Semin Respir Crit Care Med 2008;29(4):441-452.
9.Neyman K, Sundset A, Espinoza A, Kongerud J, Fosse E. Survival and complications after interventional bronchoscopy in malignant central airway obstruction: a singlecenter experience. J Bronchology Interventional Pulmonology 2011;18(3):233-238.
10.Wang, K., Kong, X., Yang, X., Bai, J., & Yang, L. (2017). Foreign body aspiration in children: Focus on the impact of delayed treatment. International Journal of Pediatric Otorhinolaryngology, 96,