Published: 2022-01-25

Diagnostic and therapeutic role of bronchoscopy in suspected cases of foreign bodies in tracheobronchial tree in pediatric age group

Kirti P. Ambani, Amit B. Chavda, Urvish D. Patel, Ajay M. Mulani, Shaili S. Shah


Background:  Aim and objectives were to review the importance and benefits of bronchoscopy in suspected foreign body aspiration in tracheobronchial tree, prompt diagnosis and early management, and correlation between clinical and bronchoscopic findings.

Methods: A retrospective study was conducted. Total 50 pediatric patients were enrolled in our study who were giving strong history of foreign body aspiration with sudden respiratory symptoms. Chest X-ray PA view was performed in all the patients. All the bronchoscopy done under general anesthesia.

Results: In our study, children between 6 months to 3 years of age are the commonest victims, males are more affected than females. Classic triad of unilateral wheeze, coughing, and ipsilateral reduced air entry-is observed in less than 50% of cases.

Conclusions: Bronchoscopy is essential in all cases of bronchial foreign body known or suspected and rigid bronchoscopy has proven over time to be safest and most efficacious to therapy. Although X-ray examination is essential for diagnosis and management, CT thorax with virtual bronchoscopy is advisable before bronchoscopy procedure in suspected cases (if general condition permits), it gives better idea about exact location, nature and type of foreign body. 


Rigid bronchoscopy, Foreign body aspiration, Tracheo-bronchial tree

Full Text:



Jackson C, Jackson CL. Diseases of the air and food passages of foreign body origin, Philadelphia, WB Saunders. 1936.

Roberto L, Lauren BD. Hollinger. Foreign bodies of the Airway and Esophagus Cummings: Otolaryngology: Head & Neck Surgery, 4th ed. Mosby, inc. 2005.

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.

Wolach B, Raz A, Weinberg J. Aspirated FB in the respiratory tract of children: eleven years of experience with 127 patients. Int J Pediatric Otorhinolaryngology. 1994:30(1):1-10.

Sehgal A, Singh V. Foreign body aspiration. Available at: Accessed on 20 August 2021.

Dutta P. Pediatric Nursing. 1st ed. New Delhi: Jaypee publications. 2007;273-4.

Rovin JD, Rodgers JB. Aspiration of foreign bodies by children, Pedsinreview. Available at: Accessed on 20 August 2021.

Sehgal A, Singh V. Foreign body aspiration. Available at: Accessed on 20 August 2021.