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  • Title: Foreign bodies aspirated in children: role of bronchoscopy.
    Author: Divisi D, Di Tommaso S, Garramone M, Di Francescantonio W, Crisci RM, Costa AM, Gravina GL, Crisci R.
    Journal: Thorac Cardiovasc Surg; 2007 Jun; 55(4):249-52. PubMed ID: 17546556.
    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.
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