HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Fahri Oguzkaya Yigit Akçali Mehmet Bilgin Atalay Sahin Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Oguzkaya, F. Articles by Sahin, A. Search for Related Content PubMed PubMed Citation Articles by Oguzkaya, F. Articles by Sahin, A.

Eur J Cardiothorac Surg 1998;14:388-392
© 1998 Elsevier Science NL

Tracheobronchial foreign body aspirations in childhood: a 10-year experience

Fahri Ouzkaya, Yiit Akçal, Cemal Kahraman, Mehmet Bilgin, Atalay ahin

Department of Thoracic and Cardiovascular Surgery, Erciyes University Medical Faculty, Kayseri, Turkey

Received 9 March 1998; received in revised form 15 June 1998; accepted 8 July 1998.

Corresponding author. Tel.: +90 542 4146468; fax: +90 352 4377683; e-mails: yakcali@service.raksnet.com.tr and okaya@erciyes.edu.tr

Objective: Tracheobronchial foreign body aspirations comprise the majority of accidental deaths in childhood. Diagnostic delay may cause an increase in mortality and morbidity in cases without acute respiratory failure. We report our diagnostic and therapeutic modalities. Methods: In our department, bronchoscopy was performed on 548 patients with the diagnosis of tracheobronchial foreign body aspirations (from 1987 to 1997). Of these cases, 55.6% were male and 44.4% female. Their ages ranged from 2 months to 16 years (average 5.5 years). Diagnosis was made on history, physical examination, radiological methods and bronchoscopy. Results: Foreign bodies were localized in the right bronchial tree in 312 cases (56.9%), the left in 126 cases (23.0%) and in the trachea in 62 cases (11.3%). Foreign body was not found during bronchoscopy in 48 cases (8.7%). The majority of the foreign bodies were vegetable matters. Foreign bodies were removed with bronchoscopy in all but two cases which underwent limited thoracotomy. In the late period, pulmonary resection was performed in five cases because of irreversible complications. After bronchoscopy, hypoxia developed in four patients, requiring mechanical ventilation. Pneumothorax developed in two cases and mediastinal emphysema in two. Four patients (0.7%) died because of respiratory failure. Conclusion: Proper use of diagnostic techniques provides a high degree of success, and the treatment modality to be used depending on the type of the foreign body is mostly satisfactory.

Key Words: Foreign body aspiration • Bronchoscopy

This article has been cited by other articles:

				S.-T. Fung, Y.-Y. Poon, Z.-K. Chong, B. Jawan, and J.-H. Lee Removal of an Aspirated Prosthetic Tooth by Tracheal Backflow Air Anesth. Analg., April 1, 2000; 90(4): 993 - 994. [Full Text] [PDF]

				C. Kahraman, F. Oguzkaya, Y. Akcali, and A. Sahin Lung Infections Due to Aspirated Foreign Bodies: Analysis of 84 Cases Asian Cardiovasc Thorac Ann, December 1, 1999; 7(4): 305 - 308. [Abstract] [Full Text] [PDF]