Allergy Asthma Respir Dis.  2016 Mar;4(2):107-113. 10.4168/aard.2016.4.2.107.

Foreign body aspiration in 48 children: clinical manifestations and outcomes

Affiliations
  • 1Department of Pediatrics, The Catholic University of Korea College of Medicine, Seoul, Korea.
  • 2I to B Pediatrics, Seoul, Korea. crystallar@hanmail.net

Abstract

PURPOSE
This study aimed to have a deeper insight into the clinical spectrum of foreign body aspiration in children and to prospect the further clinical implications of early diagnosis.
METHODS
We conducted a retrospective medical chart review of 48 children with foreign bodies at The Catholic University of Korea, Seoul St. Mary's Hospital, between January 2009 and December 2013 in terms of age, sex, symptoms and signs, radiologic findings, and clinical courses. Patients were divided into 2 groups according to the time from aspiration to a definite diagnosis. The 2 groups were compared for clinical courses, radiologic findings, and the length of hospitalization.
RESULTS
Approximately 85% of patients were 3 years of age or younger. About one-fifth of patients had no history of foreign body aspiration. Cough and coarse breathing sounds were the most common symptoms and signs. The most frequent radiologic finding was pulmonary air trapping (33.3%). The mostly commonly aspirated foreign body was peanut and detected in left main bronchus. Cough, sputum, and absence of aspiration history were more common in the delayed diagnosed group than in the early diagnosed group.
CONCLUSION
Our results suggest that the number of accidents associated with foreign body aspiration can be reduced by keeping infants with nut formula under close observation and by conducting assertive bronchoscopic examination on children with delayed recovery from respiratory infections. After removal of foreign bodies, close monitoring and expectation of possible complications can prevent patients from a long hospital stay.

Keyword

Child; Foreign body aspiration; Bronchoscopy; Diagnosis; Outcome

MeSH Terms

Bronchi
Bronchoscopy
Child*
Cough
Diagnosis
Early Diagnosis
Foreign Bodies*
Hospitalization
Humans
Infant
Korea
Length of Stay
Nuts
Respiratory Sounds
Respiratory Tract Infections
Retrospective Studies
Seoul
Sputum

Cited by  2 articles

Clinical characteristics of foreign body aspiration in children in Incheon city, Korea
Sun Kim, Kyung Jin Oh, Jeong Hee Kim, Young Han Sun, Dae Hyun Lim
Allergy Asthma Respir Dis. 2018;6(6):303-309.    doi: 10.4168/aard.2018.6.6.303.

Chest radiographs and computed tomography scans in children with airway foreign body
Yu Mi Park, Kyunghoon Kim, Hye Jin Lee, Eu Kyoung Lee, Eun Ae Yang, Hwan Soo Kim, Yoon Hong Chun, Jong-Seo Yoon, Soo Ah Im, Hyun Hee Kim, Jin Tack Kim
Allergy Asthma Respir Dis. 2018;6(5):241-247.    doi: 10.4168/aard.2018.6.5.241.


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