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Thorac Cardiovasc Surg. 2007 Jun;55(4):249-52.

Foreign bodies aspirated in children: role of bronchoscopy.

Author information

1
Thoracic Surgery, G. Mazzini Hospital of Teramo, University of L'Aquila, Teramo, Italy. duilio@virgilio.it

Abstract

OBJECTIVE:

To examine the diagnostic and therapeutic role of fiber-optic and rigid bronchoscopy in pediatric patients with foreign body inhalations.

METHODS:

From January 1986 to December 2004, we observed 128 young patients with suspicion of foreign body aspiration. Patients were divided into 3 groups: group I, patients with negative chest X-ray; group II, patients with radiological direct signs; group III, patients with radiological indirect signs.

RESULTS:

Removal of the foreign body was effected in 105 patients by rigid bronchoscopy and in 13 patients by fiber-optic bronchoscopy. In 3 group II patients a thoracotomy with a bronchotomy was necessary.

CONCLUSIONS:

Fiber-optic bronchoscopy showed a diagnostic accuracy rate of 100 % but played a poor therapeutic role with a case resolution of 10.7 %. Rigid bronchoscopy was the main technique, permitting the removal of the tracheobronchial foreign body in 97.2 % of patients.

PMID:
17546556
DOI:
10.1055/s-2006-924714
[Indexed for MEDLINE]

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