Foreign Body Aspiration in Children: Evidence-Based Emergency Imaging

  • Joost van SchuppenEmail author
  • Rick R. van Rijn
Part of the Evidence-Based Imaging book series (Evidence-Based Imag.)


Imaging in aspiration of foreign body in children is mainly obtained to detect the result of obstruction, since foreign bodies usually are radiolucent. Up to 37% of the chess radiographies may be normal. Persistent clinical suspicion of aspiration should lead to a CT of the chest in case of a normal chest x-ray. This chapter analyzes the imaging strategy in foreign body aspiration in children, based on recent literature. It discusses the imaging modality of choice, the value of the different modalities, and the diagnostic value of the different radiological findings.


Foreign body Aspiration Pediatric radiology CT MRI Fluoroscopy Radiography Imaging Emergency imaging Evidence-based imaging 


  1. 1.
    Orji FT, Akpeh JO. Clin Otolaryngol. 2010;35(6):479–85.CrossRefGoogle Scholar
  2. 2.
    Metrangelo S, Monetti C, Meneghini L, et al. J Pediatr Surg. 1999;34(8):1229–31.CrossRefGoogle Scholar
  3. 3.
    Bittencourt PF, Camargos PA, Scheinmann P, et al. Int J Pediatr Otorhinolaryngol. 2006;70(5):879–84.CrossRefGoogle Scholar
  4. 4.
    Boufersaoui A, Smati L, Benhalla KN, et al. Int J Pediatr Otorhinolaryngol. 2013;77(10):1683–8.CrossRefGoogle Scholar
  5. 5.
    Mantel K, Butenandt I. Eur J Pediatr. 1986;145(3):211–6.CrossRefGoogle Scholar
  6. 6.
    Zaupa P, Saxena AK, Barounig A, et al. Indian J Pediatr. 2009;76(2):157–61.CrossRefGoogle Scholar
  7. 7.
    Foltran F, Ballali S, Passali FM, et al. Indian J Pediatr. 2012;76(Suppl 1):S12–9.Google Scholar
  8. 8.
    Shubha AM, Das K. Int J Pediatr Otorhinolaryngol. 2009;73(10):1385–9.CrossRefGoogle Scholar
  9. 9.
    Sahin A, Meteroglu F, Eren S, et al. J Trauma Acute Care Surg. 2013;74(2):658–63.CrossRefGoogle Scholar
  10. 10.
    Pediatrics. 2010 Mar;125(3):601–7.Google Scholar
  11. 11.
    Gang W, Zhengxia P, Hongbo L, et al. J Pediatr Surg. 2012;47(11):2004–10.CrossRefGoogle Scholar
  12. 12.
    Mortellaro VE, Iqbal C, Fu R, et al. J Pediatr Surg. 2013;48(9):1867–70.CrossRefGoogle Scholar
  13. 13.
    Midulla F, Guidi R, Barbato A, et al. Pediatr Int. 2005;47(6):663–8.CrossRefGoogle Scholar
  14. 14.
    Mu LC, Sun DQ, He P. J Laryngol Otol. 1990;104(10):778–82.CrossRefGoogle Scholar
  15. 15.
    MMWR Morb Mortal Wkly Rep. 2002;51(42):945–8.Google Scholar
  16. 16.
    Council UNS. Injury Facts. 2008.
  17. 17.
    Kim IA, Shapiro N, Bhattacharyya N. Laryngoscope. 2015;125(5):1221–4.CrossRefGoogle Scholar
  18. 18.
    Hitter A, Hullo E, Durand C, et al. Eur Ann Otorhinolaryngol Head Neck Dis. 2011;128(5):248–52.CrossRefGoogle Scholar
  19. 19.
    Tong B, Zhang L, Fang R, et al. Eur Arch Otorhinolaryngol. 2013;270:1001–7.CrossRefGoogle Scholar
  20. 20.
    Kosucu P, Ahmetoglu A, Koramaz I, et al. AJR Am J Roentgenol. 2004;183(6):1771–7.CrossRefGoogle Scholar
  21. 21.
    Adaletli I, Kurugoglu S, Ulus S, et al. Pediatr Radiol. 2007;37(1):33–40.CrossRefGoogle Scholar
  22. 22.
    Shlizerman L, Mazzawi S, Rakover Y, et al. Am J Otolaryngol. 2010;31(5):320–4.CrossRefGoogle Scholar
  23. 23.
    Losek JD, Am J. Emerg Med. 1990;8(4):348–50.Google Scholar
  24. 24.
    Ikeda M, Himi K, Yamauchi Y, et al. Int J Pediatr Otorhinolaryngol. 2001;61(3):233–42.CrossRefGoogle Scholar
  25. 25.
    Hong SJ, Goo HW, Roh JL. Otolaryngol Head Neck Surg. 2008;138(5):576–80.CrossRefGoogle Scholar
  26. 26.
    Manach Y, Pierrot S, Couloigner V, et al. Int J Pediatr Otorhinolaryngol. 2013;77(5):808–12.CrossRefGoogle Scholar
  27. 27.
    Haliloglu M, Ciftci AO, Oto A, et al. Eur J Radiol. 2003;48(2):188–92.CrossRefGoogle Scholar
  28. 28.
    Bhat KV, Hegde JS, Nagalotimath US, et al. J Laryngol Otol. 2010;124(8):875–9.CrossRefGoogle Scholar
  29. 29.
    Morijiri M, Seto H, Kageyama M, et al. J Comput Assist Tomogr. 1994;18(5):836–8.CrossRefGoogle Scholar
  30. 30.
    Hisaa Y, Tatemotoa K, Dejimaa K, et al. J Laryngol Otol. 1994;108(09):2.Google Scholar
  31. 31.
    Assefa D, Amin N, Stringel G, et al. Pediatr Emerg Care. 2007;23(3):154–7.CrossRefGoogle Scholar
  32. 32.
    Brown JC, Chapman T, Klein EJ, et al. Ann Emerg Med. 2013;61(1):19–26.CrossRefGoogle Scholar
  33. 33.
    Cohen S, Avital A, Godfrey S, et al. J Pediatr. 2009;155(2):276–80.CrossRefGoogle Scholar
  34. 34.
    McLarty JD, Krishnan M, Rowe MR. Arch Otolaryngol Head Neck Surg. 2012;138(7):680–2.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Pediatric RadiologyEmma Children’s Hospital/Academic Medical Center AmsterdamAmsterdamThe Netherlands
  2. 2.Department of Forensic MedicineNetherlands Forensic InstituteAmsterdamThe Netherlands

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