1. Occult foreign body aspirations in pediatric patients: 20-years of experience.
- Author
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Liu B, Ding F, An Y, Li Y, Pan Z, Wang G, Dai J, Li H, and Wu C
- Subjects
- Child, Child, Preschool, China epidemiology, Cough etiology, Diagnosis, Differential, Female, Foreign Bodies epidemiology, Foreign Bodies therapy, Humans, Infant, Male, Respiratory Aspiration, Respiratory Sounds etiology, Retrospective Studies, Bronchi injuries, Bronchoscopy methods, Foreign Bodies diagnosis
- Abstract
Background: The purpose of our study was to assess the frequency of occult foreign body aspiration (FBA) and to evaluate the diagnostic difficulties and therapeutic methods for these patients., Methods: Between May 2000 and May 2020, 3557 patients with the diagnosis of FBA were treated in our department. Thirty-five patients with occult FBA were included in this study. A retrospective analysis of medical records was performed., Results: Twenty-three male patients (65.7%) and 12 female patients (34.3%) were hospitalized due to occult FBA. The average age was 3.60 years (range 9 months-12 years). Most of the patients were younger than 3 years old (n = 25, 71.4%). Coughing (n = 35, 100%) and wheezing (n = 18, 51.4%) were the main symptoms and signs. All the patients were found to have a FBA under the fiberoptic bronchoscope. The most common organic foreign bodies were peanuts (n = 10) and the most common inorganic foreign bodies were pen caps (n = 5). The extraction of foreign bodies under rigid bronchoscopy was applied successfully in 34 patients. Only one patient needed a surgical intervention., Conclusions: Occult FBA should always be considered in the differential diagnosis of chronic or recurrent respiratory diseases that are poorly explained, even in the absence of a previous history of aspiration.
- Published
- 2020
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