Skip to main content
SpringerLink
Log in

Management of Tracheo-Bronchial Foreign Bodies in Children: Our Experience

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

(1) To study the epidemiological profile of the patients. (2) To study the various modalities of investigations to arrive at confirmatory diagnosis. (3) To study the post-operative complications. It was a hospital based prospective study. A total of 36 paediatric patients were included in the study over a duration of 2 years (August 2017 to July 2019). Written informed consent was taken from the parent of each patient before performing bronchoscopy. All the patients were subjected to careful clinical examination and investigations required followed by emergency bronchoscopic removal of foreign body. The patients were followed up at 1 and 3 months after bronchoscopic removal. Amongst the 36 cases, 12 cases presented with airway emergency which addressed by bronchoscopic removal immediately. 10 cases presented with suggestive history of foreign body aspiration were subjected to clinical and radiological studies followed by bronchoscopic removal. 14 cases were referred from paediatric in-patient department who were being treated for unresolved LRTI. Early intervention is life saving if timely done. Unresolved LRTIs should be looked carefully to address missed foreign bodies. HRCT Thorax with 3-D reconstruction (Virtual Bronchoscopy) helps in exact localization of the foreign body. Experienced team of surgeons and anesthetist along with a ICU support is needed for efficient management.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Eren S, Balci AE, Dikici B et al (2003) Foreign body aspiration in children: experience of 1160 cases. Ann Trop Paediatr 23:31–37

    Article  Google Scholar 

  2. Oliveira CF, Almeida JF, Troster EJ et al (2002) Complications of tracheobronchial foreign body aspiration in children: report of 5 cases and review of the literature. Rev Hosp Clin Fac Med Sao Paulo 57:108–111

    Article  Google Scholar 

  3. Sahin A, Meteroglu F, Eren S et al (2013) Inhalation of foreign bodies in children: experience of 22 years. J Trauma Acute Care Surg 74(2):658–663

    Article  Google Scholar 

  4. Paksu S, Paksu MS, Kilic M et al (2012) Foreign body aspiration in childhood: evaluation of diagnostic parameters. Pediatr Emerg Care 28:259–264

    Article  Google Scholar 

  5. Tan HK, Brown K, McGill T et al (2000) Airway foreign bodies (FB): a 10-year review. Int J Pediatr Otorhinolaryngol 56:91–99

    Article  CAS  Google Scholar 

  6. Ding G, Wu B, Vinturache A, Cai C, Lu M, Gu H (2020) Tracheobronchial foreign body aspiration in children: a retrospective single-center cross-sectional study. Medicine 99(22):e20480

    Article  Google Scholar 

  7. Schmidt H, Manegold BC (2000) Foreign body aspiration in children. Surg Endosc 14:644–648

    Article  CAS  Google Scholar 

  8. Wolach B, Raz A, Weinberg J et al (1994) Aspirated foreign bodies in the respiratory tract of children: eleven years experience with 127 patients. Int J Pediatr Otorhinolaryngol 30:1

    Article  CAS  Google Scholar 

  9. Oguzkaya F, Akçali Y, Kahraman C et al (1998) Tracheobronchial foreign body aspirations in childhood: a 10-year experience. Eur J Cardiothorac Surg 14:388–392

    Article  CAS  Google Scholar 

  10. Baharloo F, Veyckemans F, Francis C et al (1999) Tracheobronchial foreign bodies: presentation and management in children and adults. Chest 115:1357–1362

    CAS  Google Scholar 

  11. Latifi X, Mustafa A, Hysenaj Q (2006) Rigid tracheobronchoscopy in the management of airway foreign bodies: 10 years experience in Kosovo. Int J Pediatr Otorhinolaryngol 70:2055–2059

    Article  Google Scholar 

  12. Skoulakis CE, Doxas PG, Papadakis CE et al (2000) Bronchoscopy for foreign body removal in children. A review and analysis of 210 cases. Int J Pediatr Otorhinolaryngol 53:143–148

    Article  CAS  Google Scholar 

  13. Midulla F, Guidi R, Barbato A et al (2005) Foreign body aspiration in children. Pediatr Int 47:663–668

    Article  Google Scholar 

  14. Mansour B, Elias N (2015) Foreign body aspiration in children with focus on the role of flexible bronchoscopy: a 5 year experience. Isr Med Assoc J 17:599–603

    Google Scholar 

  15. Mu L, He P, Sun D (1991) Inhalation of foreign bodies in Chinese children: a review of 400 cases. Laryngoscope 101(6 Pt 1):657–660

    CAS  Google Scholar 

  16. Shivakumar AM, Naik AS, Prashanth KB et al (2003) Tracheobronchial foreign bodies. Indian J Pediatr 70:793–797

    Article  CAS  Google Scholar 

  17. Hegde SV, Hui PK, Lee EY (2015) Tracheobronchial foreign bodies in children: imaging assessment. Semin Ultrasound CT MR 36(1):8–20. https://doi.org/10.1053/j.sult.2014.10.001

    Article  Google Scholar 

  18. Gang W, Zhengxia P, Hongbo L, Yonggang L, Jiangtao D, Shengde W, Chun W (2012) Diagnosis and treatment of tracheobronchial foreign bodies in 1024 children. J Pediatr Surg 47(11):2004–2010. https://doi.org/10.1016/j.jpedsurg.2012.07.036 (PMID: 23163990)

    Article  Google Scholar 

  19. Heyer CM, Bollmeier ME, Rossler L et al (2006) Evaluation of clinical, radiologic, and laboratory prebronchoscopy findings in children with suspected foreign body aspiration. J Pediatr Surg 41:1882–1888

    Article  Google Scholar 

  20. Pinzoni F, Boniotti C, Molinaro SM et al (2007) Inhaled foreign bodies in pediatric patients: review of personal experience. Int J Pediatr Otorhinolaryngol 71:1897–1903

    Article  Google Scholar 

  21. Metrangelo S, Monetti C, Meneghini L et al (1999) Eight years’ experience with foreign-body aspiration in children: what is really important for a timely diagnosis? J Pediatr Surg 34:1229–1231

    Article  CAS  Google Scholar 

  22. Tokar B, Ozkan R, Ilhan H (2004) Tracheobronchial foreign bodies in children: importance of accurate history and plain chest radiography in delayed presentation. Clin Radiol 59:609–615

    Article  CAS  Google Scholar 

  23. Divisi D, Di Tommaso S, Garramone M, Di Francescantonio W, Crisci RM, Costa AM, Gravina GL, Crisci R (2007) Foreign bodies aspirated in children: role of bronchoscopy. Thorac Cardiovasc Surg 55:249–252

    Article  CAS  Google Scholar 

  24. Brkić F, Umihanić S (2007) Tracheobronchial foreign bodies in children. Experience at ORL clinic Tuzla, 1954–2004. Int J Pediatr Otorhinolaryngol 71:909–915

    Article  Google Scholar 

  25. Van Looij MAJ, Rood PPM, Hoeve LJ, Borgstein JA (2003) Aspirated foreign bodies in children: why are they more commonly found on the left? Clin Otolaryngol Allied Sci 28:364–367

    Article  Google Scholar 

  26. Hasdiraz L, Oguzkaya F, Bilgin M et al (2006) Complications of bronchoscopy for foreign body removal: experience in 1,035 cases. Ann Saudi Med 26:283–287

    Article  Google Scholar 

Download references

Funding

No funding sources.

Author information

Authors and Affiliations

  1. Department of ENT and Head Neck Surgery, Malda Medical College and Hospital, Singatala, Uma Roy Sarani, Malda Town, West Bengal, 732101, India

    Ganesh Chandra Gayen & Mainak Maitra

  2. Department of ENT and Head Neck Surgery, R G Kar Medical College and Hospital, 1, Khudiram Bose Sarani, Kolkata, West Bengal, 700004, India

    Debabrata Das

  3. Department of ENT and Head Neck Surgery, Burdwan Medical College and Hospital, Frazer Avenue, Burdwan, 713104, India

    Ritam Ray

Authors
  1. Ganesh Chandra Gayen
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Debabrata Das
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ritam Ray
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Mainak Maitra
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mainak Maitra.

Ethics declarations

Conflict of Interest

None declared.

Ethical Approval

The study was approved by the Institutional Ethics Committee.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gayen, G.C., Das, D., Ray, R. et al. Management of Tracheo-Bronchial Foreign Bodies in Children: Our Experience. Indian J Otolaryngol Head Neck Surg 74, 536–539 (2022). https://doi.org/10.1007/s12070-022-03098-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-022-03098-x

Keywords

Search

Navigation