This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (48)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Experience in 131 Cases

Dennis W. Vane, MD; J. Pritchard, MD; Craig W. Colville, MD; Karen W. West, MD; Howard Eigen, MD; Jay L. Grosfeld, MD

Arch Surg. 1988;123(7):885-888.

Abstract
• One hundred thirty-one children underwent rigid bronchoscopy under general anesthesia for suspected aspirated foreign bodies. There were 79 boys and 52 girls, with a mean age of 2.1 years. Physical examination showed decreased breath sounds (n=130) and wheezing (n=119) over the affected site. Chest roentgenograms were diagnostic or suggestive of aspirated foreign bodies in 127 cases (97%). Radiopaque lesions were noted on roentgenograms in ten cases. Four infants had a preoperative hypoxic arrest. Two patients had negative results of bronchoscopy (1.5%). Extraction of the aspirated foreign body was carried out at laryngoscopy in two patients and by forceps under direct vision at bronchoscopy in 97 patients. A Fogarty catheter was used in 12 cases. Postendoscopic complications included fever (n=27), pulmonary infiltrate (n = 11), ventilatory support (n = 4), and pneumothorax (n=2). Rigid bronchoscopy for aspirated foreign body in children is a safe, effective, and sometimes life-saving procedure. Morbidity is low and mortality is zero.

(Arch Surg 1988;123:885-888)

Author Affiliations
From the Section of Pediatric Surgery, Department of Surgery, Indiana University School of Medicine, and the James Whitcomb Riley Hospital for Children, Indianapolis.

Footnotes
Accepted for publication Jan 5, 1988.

Read before the 95th Annual Meeting of the Western Surgical Association, Dallas, Nov 17, 1987.

Reprint requests to Department of Surgery, Indiana University School of Medicine, 702 Barnhill Dr (K21), Indianapolis, IN 46223 (Dr Grosfeld).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Inhaled foreign bodies: management according to early or late presentation
Sersar et al.
Eur. J. Cardiothorac. Surg. 2005;28:369-374.
ABSTRACT | FULL TEXT  

Clinical Conference on Management Dilemmas : Bronchiectasis and Endobronchial Polyps
Schnader et al.
Chest 2002;121:637-643.
FULL TEXT  

Tracheobronchial foreign body aspirations in childhood: a 10-year experience
Oguzkaya et al.
Eur. J. Cardiothorac. Surg. 1999;14:388-392.
ABSTRACT | FULL TEXT  

Foreign Body in the Tracheobronchial Tree
Cataneo et al.
CLIN PEDIATR 1997;36:701-705.
ABSTRACT  

Crunchy Peanut Butter: A Cause of Foreign Body Aspiration in Children
Roberts et al.
CLIN PEDIATR 1996;35:591-592.