DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20182727

Retrieval of foreign body bronchus in paediatric age group: a challenge

Gunjan Dwivedi, Vikas Gupta, Deepak Dwivedi, Amit Sood, Madhukar Upadhyay, Manoj Kumar

Abstract


Foreign body (FB) aspiration can be a cause of serious morbidity and occasional mortality in pediatric population. Sometimes the diagnosis is delayed when the history of FB aspiration is not forthcoming, not witnessed or when parents fail to appreciate the symptoms. Unless there is a high degree of suspicion these cases may easily be missed and may be treated for a prolonged duration as upper respiratory tract infection (URTI) or pneumonia.  A careful history plus a high degree of clinical suspicion is crucial. Involvement of other specialties is the key to diagnose and remove a FB from airway successfully. We present a case series of three cases of FB bronchus and challenges faced during their retrieval. The aim of this report is to highlight the importance of history taking, meticulous preparation, and precision required to remove a foreign body bronchus.


Keywords


Foreign body bronchus, Optical forceps, Rigid bronchoscopy, Virtual bronchoscopy, Paediatric anaesthesia

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References


Seth D, Kamat DM. Foreign-body aspiration: A guide to early detection, optimal therapy. Allergy. 2007;2:6.

Ramírez‐Figueroa JL, Gochicoa‐Rangel LG, Juan RS, David H, Vargas MH. Foreign body removal by flexible fiberoptic bronchoscopy in infants and children. Pediatric pulmonol. 2005;40(5):392-7.

Rovin JD, Rodgers BM. Pediatric foreign body aspiration. Pediatrics in review. 2000;21(3):86-90.

Louie MC, Bradin S. Foreign body ingestion and aspiration. Pediatr Rev. 2009;30:295-301.

Pinto A, Scaglione M, Pinto F, Guidi G, Pepe M, Del Prato B, et al. Tracheobronchial aspiration of foreign bodies: current indications for emergency plain chest radiography. La radiologia medica. 2006;111(4):497-506.

Bai W, Zhou X, Gao X, Shao C, Califano JA, Ha PK. Value of chest CT in the diagnosis and management of tracheobronchial foreign bodies. Pediatrics International. 2011;53(4):515-8.

Haliloglu M, Ciftci AO, Oto A, Gumus B, Tanyel FC, Senocak ME, et al. CT virtual bronchoscopy in the evaluation of children with suspected foreign body aspiration. European journal of radiology. 2003;48(2):188-92.

Cohen S, Avital A, Godfrey S, Gross M, Kerem E, Springer C. Suspected foreign body inhalation in children: what are the indications for bronchoscopy? J pediat. 2009;155(2):276-80.

Aydoğan LB, Tuncer U, Soylu L, Kiroğlu M, Ozsahinoglu C. Rigid bronchoscopy for the suspicion of foreign body in the airway. Int J Pediatric Otorhinolaryngol. 2006;70(5):823-8.

Fidkowski CW, Zheng H, Firth PG. The anesthetic considerations of tracheobronchial foreign bodies in children: a literature review of 12,979 cases. Anesthes Analg. 2010;111(4):1016-25.

Kalyanappagol VT, Kulkarni NH, Bidri LH. Management of tracheobronchial foreign body aspirations in paediatric age group-A 10 year retrospective analysis. Indian J Anaesthes. 2007;51(1):20.

Gang W, Zhengxia P, Hongbo L, Yonggang L, Jiangtao D, Shengde W, et al. Diagnosis and treatment of tracheobronchial foreign bodies in 1024 children. J Pediat Surg. 2012;47(11):2004-10.

Soysal O, Kuzucu A, Ulutas H. Tracheobronchial foreign body aspiration: a continuing challenge. Otolaryngol Head Neck Surg. 2006;135(2):223-6.

Wood RE, Gauderer MW. Flexible fiberoptic bronchoscopy in the management of tracheobronchial foreign bodies in children: the value of a combined approach with open tube bronchoscopy. J Pediatr Surg. 1984;19(6):693-8.

Reilly J, Thompson J, Macarthur C, Pransky S, Beste D, Smith M, et al. Pediatric aerodigestive foreign body injuries are complications related to timeliness of diagnosis. Laryngoscope. 1997;107(1):17-20.