Echegoyen CR, Tsubaki PE

Language: Spanish
References: 7
Page: 187-192
PDF size: 100.51 Kb.

ABSTRACT

Background: Retrospective review of patients seen at the National Institute of Respiratory Diseases (México) during 1995-2005 due to a foreign body aspiration.
Objective: To know the frequency of this event in the institution, and to compare our results with other reports.
Materials and Methods: Clinical and radiologic files from 84 patients admitted to the emergency room or hospital wards were reviewed.
Results: There were 56 males and 28 females aged between 7 months and 85 years. Up to 42 cases were between 7 months and 3 years old, and they had aspirated vegetables; 25 cases between 4 and 18 years old aspirated plastic objects and scholar material; 14 patients from 20 to 50 years old aspirated working material, and 3 cases between 60 and 85 years old had dental prosthesis aspiration. At the beginning they had asphyxia, pneumonic events or respiratory distress. In 21 cases foreign objects were visible at chest x-rays, while radiologic manifestation in the remaining subjects were images of pneumonia, atelectasis or air trapping. In only 4 cases the chest x-rays were normal. Fiberoptic bronchoscopy confirmed the localization and the possibility of extraction. Four of the foreign bodies were located in upper airways, and those in lower airways were positioned in the right bronchial tree. Extraction was accomplished through rigid bronchoscopy. One patient needed bronchotomy and two lobectomy.
Complications: included lacerations of pharyngeal and laryngeal mucosa in one pediatric and one adult patients. Two subjects had severe hypoxemia, and a child presented cardiorespiratory arrest in two occasions. Three cases suffered from pneumotorax.

REFERENCES

1. Shlizerman L, Ashkenazi D, Mazzawi S, Rakover Y. Foreign body aspiration in children: ten-years experience at the Ha’Emek Medical Center. Harefuah 2006;145:569-571, 631.

2. Ludemann JP, Riding KH. Choking on pins, needles and a blowdart: aspiration of sharp, metallic foreign bodies secondary to careless behavior in seven adolescents. Int J Pediatr Otorhinolaryngol 2007;71: 307-310.

3. Hasdiraz L, Oguzkaya F, Bilgin M, Bicer C. Complications of bronchoscopy for foreign body removal: experience in 1,035 cases. Ann Saudi Med 2006;26:283-287.

4. Assefa D, Amin N, Stringel G, Dozor AJ. Use of decubitus radiographs in the diagnosis of foreign body aspiration in young children. Pediatr Emerg Care 2007; 23:154-157.

5. Pinto A, Scaglione M, Pinto F, et ál. Tracheobronchial aspiration of foreign bodies: current indications for emergency plain chest radiography. Radiol Med (Torino) 2006;111:497-506.

6. Divisi D, Di Tommaso S, Garramone M, et ál. Foreign bodies aspirated in children: role of bronchoscopy. Thorac Cardiovasc Surg 2007;55:249-252.

7. Karatzanis AD, Vardouniotis A, Moschandreas J, et ál. The risk of foreign body aspiration in children can be reduced with proper education of the general population. Int J Pediatric Otorhinolaryngol 2007; 71:311-315.