Occult foreign body aspirations in pediatric patients: 20-years of experience
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...
Main Authors: | , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2020-12-01
|
Series: | BMC Pulmonary Medicine |
Subjects: | |
Online Access: | https://doi.org/10.1186/s12890-020-01356-8 |
id |
doaj-d852e93e25ba4ef3b19dc3b30eae7284 |
---|---|
record_format |
Article |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Bo Liu Fengxia Ding Yong An Yonggang Li Zhengxia Pan Gang Wang Jiangtao Dai Hongbo Li Chun Wu |
spellingShingle |
Bo Liu Fengxia Ding Yong An Yonggang Li Zhengxia Pan Gang Wang Jiangtao Dai Hongbo Li Chun Wu Occult foreign body aspirations in pediatric patients: 20-years of experience BMC Pulmonary Medicine Occult Foreign body Paediatrics |
author_facet |
Bo Liu Fengxia Ding Yong An Yonggang Li Zhengxia Pan Gang Wang Jiangtao Dai Hongbo Li Chun Wu |
author_sort |
Bo Liu |
title |
Occult foreign body aspirations in pediatric patients: 20-years of experience |
title_short |
Occult foreign body aspirations in pediatric patients: 20-years of experience |
title_full |
Occult foreign body aspirations in pediatric patients: 20-years of experience |
title_fullStr |
Occult foreign body aspirations in pediatric patients: 20-years of experience |
title_full_unstemmed |
Occult foreign body aspirations in pediatric patients: 20-years of experience |
title_sort |
occult foreign body aspirations in pediatric patients: 20-years of experience |
publisher |
BMC |
series |
BMC Pulmonary Medicine |
issn |
1471-2466 |
publishDate |
2020-12-01 |
description |
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. |
topic |
Occult Foreign body Paediatrics |
url |
https://doi.org/10.1186/s12890-020-01356-8 |
work_keys_str_mv |
AT boliu occultforeignbodyaspirationsinpediatricpatients20yearsofexperience AT fengxiading occultforeignbodyaspirationsinpediatricpatients20yearsofexperience AT yongan occultforeignbodyaspirationsinpediatricpatients20yearsofexperience AT yonggangli occultforeignbodyaspirationsinpediatricpatients20yearsofexperience AT zhengxiapan occultforeignbodyaspirationsinpediatricpatients20yearsofexperience AT gangwang occultforeignbodyaspirationsinpediatricpatients20yearsofexperience AT jiangtaodai occultforeignbodyaspirationsinpediatricpatients20yearsofexperience AT hongboli occultforeignbodyaspirationsinpediatricpatients20yearsofexperience AT chunwu occultforeignbodyaspirationsinpediatricpatients20yearsofexperience |
_version_ |
1724384821270020096 |
spelling |
doaj-d852e93e25ba4ef3b19dc3b30eae72842020-12-13T12:21:29ZengBMCBMC Pulmonary Medicine1471-24662020-12-012011610.1186/s12890-020-01356-8Occult foreign body aspirations in pediatric patients: 20-years of experienceBo Liu0Fengxia Ding1Yong An2Yonggang Li3Zhengxia Pan4Gang Wang5Jiangtao Dai6Hongbo Li7Chun Wu8Department of Cardiothoracic Surgery; Ministry of Education Key Laboratory of Child Development and Disorders; National Clinical Research Center for Child Health and Disorders; China International Science and Technology Cooperation base of Child development and Critical Disorders, Children’s Hospital of Chongqing Medical UniversityChongqing Key Laboratory of Pediatrics; Chongqing Engineering Research Center of Stem Cell Therapy, Chongqing Medical UniversityDepartment of Cardiothoracic Surgery; Ministry of Education Key Laboratory of Child Development and Disorders; National Clinical Research Center for Child Health and Disorders; China International Science and Technology Cooperation base of Child development and Critical Disorders, Children’s Hospital of Chongqing Medical UniversityDepartment of Cardiothoracic Surgery; Ministry of Education Key Laboratory of Child Development and Disorders; National Clinical Research Center for Child Health and Disorders; China International Science and Technology Cooperation base of Child development and Critical Disorders, Children’s Hospital of Chongqing Medical UniversityDepartment of Cardiothoracic Surgery; Ministry of Education Key Laboratory of Child Development and Disorders; National Clinical Research Center for Child Health and Disorders; China International Science and Technology Cooperation base of Child development and Critical Disorders, Children’s Hospital of Chongqing Medical UniversityDepartment of Cardiothoracic Surgery; Ministry of Education Key Laboratory of Child Development and Disorders; National Clinical Research Center for Child Health and Disorders; China International Science and Technology Cooperation base of Child development and Critical Disorders, Children’s Hospital of Chongqing Medical UniversityDepartment of Cardiothoracic Surgery; Ministry of Education Key Laboratory of Child Development and Disorders; National Clinical Research Center for Child Health and Disorders; China International Science and Technology Cooperation base of Child development and Critical Disorders, Children’s Hospital of Chongqing Medical UniversityDepartment of Cardiothoracic Surgery; Ministry of Education Key Laboratory of Child Development and Disorders; National Clinical Research Center for Child Health and Disorders; China International Science and Technology Cooperation base of Child development and Critical Disorders, Children’s Hospital of Chongqing Medical UniversityDepartment of Cardiothoracic Surgery; Ministry of Education Key Laboratory of Child Development and Disorders; National Clinical Research Center for Child Health and Disorders; China International Science and Technology Cooperation base of Child development and Critical Disorders, Children’s Hospital of Chongqing Medical UniversityAbstract 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.https://doi.org/10.1186/s12890-020-01356-8OccultForeign bodyPaediatrics |