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ORIGINAL ARTICLE
Year : 2020  |  Volume : 33  |  Issue : 2  |  Page : 381-386

Foreign body aspiration in children: what is variant in management?


1 Department of Otorhinolaryngology, Faculty of Medicine, Menoufia University, Menoufia, Egypt
2 Department of Pulmonology, Faculty of Medicine, Menoufia University, Menoufia, Egypt

Correspondence Address:
Mennat-Allah G El-Dahshan
Shebin El-Kom, Menoufia
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/mmj.mmj_203_19

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Objective To evaluate children with foreign body aspiration (FBA) according to its incidence in pediatric, diagnostic tools, and the effectiveness of rigid bronchoscope. Background FBA is an important cause of morbidity and mortality in pediatrics. Management depends on the acuity of the presentation. Patients with evidence of complete upper airway obstruction should have age-appropriate basic life support maneuvers performed. Patients with partial obstruction who are able to maintain their airway but with potential for deterioration should be taken immediately to the operating room for removal whenever possible. Patients and methods In this prospective case series study, patients with suspected FBA up to 12 years old; presented to the Department of Otorhinolaryngology in Menoufia University Hospital in a period between April 2017 and September 2018 were enrolled to our work. Results Our study included 45 patients with different age groups prepared for bronchoscopic extraction. 43.9% of patients had right-sided foreign body (FB). Overall complications rate was 21.875%. These complications include hemoptysis, hoarseness of voice, laryngeal spasm, pulmonary edema, and temporary bronchospasm. Only one case failed to extract its FB. Conclusion It is concluded that the FB extraction in children occurred more for whom with low socioeconomic standard and higher number of siblings in one family. Rigid bronchoscope is used as diagnostic and therapeutic tool for patients with FBA to that could not be detected in radiological study.


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