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foreign bodies airway review

Xiao-Jian Yang, Jie Zhang, Ping Chu, Yong-Li Guo, Jun Tai, Ya-Mei Zhang, Li-Xing Tang, Xin Ni
BACKGROUND: Pneumomediastinum (PM) secondary to foreign body aspiration (FBA) is rare in children. Although it is mainly benign, some cases may be fatal. Due to the rare nature of this clinical entity, proper assessment and management have been poorly studied so far. Here, we characterized the presentation and management of this clinical entity and provided an evaluation system for the management. METHODS: We retrospectively reviewed children with PM secondary to FBA, who were treated in Beijing Children's Hospital from January 2010 to December 2015...
2016: Chinese Medical Journal
Syed Rizwan Ali, Atul C Mehta
Aspiration of a foreign body into the lower airways is a common occurrence and can cause significant morbidity and mortality in humans. Most foreign bodies of the tracheobronchial tree are inanimate. However, medical literature includes reports of live foreign bodies in the airways. Fish, leeches and roundworms are the most common live foreign bodies of the lower airways. Fishermen are more prone to experience a live-fish aspiration while substandard conditions may expose individuals to leech and roundworm infestations...
November 3, 2016: Chest
Kevin Johnson, Maria Linnaus, David Notrica
BACKGROUND: Airway foreign bodies (FB) are a common medical emergency within the pediatric population. While deaths are not uncommon, the in-hospital mortality rates and correlation with anatomic location of the airway foreign body have not been previously reported. METHODS: The KID database was reviewed for 2003, 2006, 2009, and 2012 for pediatric patients with a discharge diagnosis of airway foreign body using ICD-9 codes (933.1, 934.x). RESULTS: 11,793 patients, ages 0-17, were found to have an airway FB...
October 13, 2016: Pediatric Surgery International
Tobias Tenenbaum, Georg Kähler, Christoph Janke, Horst Schroten, Süha Demirakca
BACKGROUND: Rigid bronchoscopy remains the gold standard in many countries to remove airway foreign bodies (FBs). We aimed to analyze the feasibility of airway FB removal in children, primarily by flexible bronchoscopy through a laryngeal mask. MATERIALS AND METHODS: Between 2008 and 2013 62 children with suspected airway FB who underwent flexible bronchoscopy were analyzed in a retrospective chart review at a tertiary university hospital with respect to clinical presentation and medical management...
September 10, 2016: Journal of Bronchology & Interventional Pulmonology
Samantha J Gardiner, Anne B Chang, Julie M Marchant, Helen L Petsky
BACKGROUND: Cough in children is a commonly experienced symptom that is associated with increased health service utilisation and burden to parents. The presence of chronic (equal to or more than four weeks) cough in children may indicate a serious underlying condition such as inhaled foreign body or bronchiectasis. Codeine (and derivative)-based medications are sometimes used to treat cough due to their antitussive properties. However, there are inherent risks associated with the use of these medications such as respiratory drive suppression, anaesthetic-induced anaphylaxis, and addiction...
2016: Cochrane Database of Systematic Reviews
Colin D Gause, Grace Hsiung, Ben Schwab, Matthew Clifton, Carroll M Harmon, Katherine A Barsness
BACKGROUND: Mandates for improved patient safety and increasing work hour restrictions have resulted in changes in surgical education. Educational courses increasingly must meet those needs. We sought to determine the experience, skill level, and the impact of simulation-based education (SBE) on two cohorts of pediatric surgery trainees. MATERIALS AND METHODS: After Institutional Review Board (IRB) exempt determination, a retrospective review was performed of evaluations for an annual advanced minimally invasive surgery (MIS) course over 2 consecutive years...
August 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Ashish Handa, Jasleen Kaur Handa
Ingestion/aspiration episodes of foreign bodies are potential complications in almost all branches of dentistry. Occasionally, orthodontic appliances or small orthodontic components are accidentally swallowed and have caused problems with either the airway or the gastrointestinal tract, especially where the patient is supine or semi-recumbent. Despite their rare occurrence, the morbidity from a single incident and the level of specialized medical care that may be needed on emergency basis to manage such incidents is too high to ignore...
2016: International Journal of Orthodontics
Do-Yeon Cho, Geoffrey P Aaron, Kimberly G Shepard
A 14-year-old girl with no significant medical history presented at Emergency Department with sore throat and odynophagia after one episode of nonviolent coughing. She denied any respiratory distress, voice change, foreign body ingestion, retching, substance abuse, dental procedures, or trauma. She was afebrile with normal oxygen saturation and physical examination including the head and neck was unremarkable with the exception of bilateral neck crepitus without tenderness on palpation. Fiberoptic laryngoscopy revealed a patent laryngeal airway with normal vocal fold movement...
June 2016: Clinical and Experimental Otorhinolaryngology
Jacquelyn R Sink, Dennis J Kitsko, Matthew W Georg, Daniel G Winger, Jeffrey P Simons
OBJECTIVES: To examine the sensitivity and specificity of history, physical examination, and radiologic studies as predictors of foreign body aspiration in children. STUDY DESIGN: Case series with chart review. SETTING: Tertiary care children's hospital. SUBJECTS AND METHODS: Medical records were reviewed for 102 children who presented to our institution from 2006 to 2013 with suspected foreign body aspiration and who underwent endoscopy...
September 2016: Otolaryngology—Head and Neck Surgery
Alaaddin M Salih, Musab Alfaki, Dafalla M Alam-Elhuda
BACKGROUND: Airway foreign bodies (AFBs) is an interdisciplinary area between emergency medicine, pediatrics and otolaryngology. It is a life-threatening condition that is not infrequently seen; however, it is poorly covered in medical literature. Accidental aspiration of an element into airways is a widespread clinical scenario among children under 3 years, predominantly males. Moreover, it is the leading cause of infantile deaths and the fourth one among preschool children. DATA RESOURCES: A systemic search was conducted in July 2015 using PubMed/PubMed Central Database of The National Center for Biotechnology Information (NCBI) (http://www...
2016: World Journal of Emergency Medicine
Ellen M Friedman, Benjamin Anthony
OBJECTIVE: To identify characteristics in patients who undergo positive and negative bronchoscopy for a suspected airway foreign body (AFB). METHODS: Review medical records between 2008 and 2012. RESULTS: There were 145 patients who went to the operating room with the pre-bronchoscopy diagnosis of suspected AFB during the study period. There was an overall negative bronchoscopy rate of an average of 37%, with an annual range between 21% and 50%...
July 2016: Annals of Otology, Rhinology, and Laryngology
Doreen Nakku, Richard Byaruhanga, Francis Bajunirwe, Imelda T Kyamwanga
BACKGROUND: Aerodigestive foreign bodies (ADFB) in children are a common emergency in ENT clinics globally. The aim of this study was to determine the prevalence and common types of ADFB's presenting to a referral hospital in South Western Uganda, and to review clinical presentation and factors that influence their occurrence among children under 12 years of age. METHODS: We conducted a case control study comprising 40 cases and 80 unmatched controls. Consecutive and random sampling were used for the cases and controls respectively...
2016: BMC Ear, Nose, and Throat Disorders
Hany H Elsayed, Ahmed M Mostafa, Saleh Soliman, Hatem Y El-Bawab, Adel A Moharram, Ahmed A El-Nori
OBJECTIVES: Airway metal pins are one of the most commonly inhaled foreign bodies in Eastern societies in young females wearing headscarves. We innovated a modified bronchoscopic technique to extract tracheobronchial headscarf pins by the insertion of a magnet to allow an easy and non-traumatic extraction of the pins. The aim of this study was to assess the feasibility and safety of our new technique and compare it with our large previous experience with the classic bronchoscopic method of extraction of tracheobronchial headscarf pins...
May 2016: Interactive Cardiovascular and Thoracic Surgery
Beata Rybojad, Anna Aftyka, Ewa Rudnicka-Drozak
PURPOSE: 1) To evaluate postanesthesia complications after bronchoscopy performed for a suspected foreign body (FB) in the pediatric population and 2) To propose an algorithm of nursing activities for management of this problem. DESIGN: A retrospective descriptive design was used. METHODS: A chart review of 155 children who underwent rigid bronchoscopy for FB removal was conducted. FINDING: Complications occurred in 78% of children: 43% of them experienced desaturation below 90% requiring oxygen therapy...
February 2016: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
Hashem M Al-Momani, Khaled R Alzaben, Ayman Mismar
INTRODUCTION: Many objects were described in the literature as causes of upper airway obstruction including seeds, nuts and household particles but fragmented tracheostomy tube is a rarely reported cause of airway obstruction. We report a case of foreign body aspiration in the tracheobronchial tree due to a fragmented and migrated tracheostomy tube. PRESENTATION OF CASE: We report a 4.5 year old female patient who had upper airway obstruction due to a fragmented and migrated tracheostomy tube...
2015: International Journal of Surgery Case Reports
Taiwo O Adedeji, Olusola A Sogebi, James E Tobih
BACKGROUND: Patients with ORL lesions sometimes present to the general emergency room. This study reviews the common ENT admissions via emergency room in a sub-urban town in Nigeria. METHODS: A retrospective study spanning five years from January 2009 to December 2013. RESULTS: A total of 211 cases consisting of 131 (62.1%) males with male: female ratio 1.6: 1 and a mean age of 32.8 ± 22.4 years. About a quarter of the patients were children, the peak age was 21-40 years (in 37%)...
September 2015: International Journal of Biomedical Science: IJBS
François Gorostidi, Anthony de Buys Roessingh, Michel Gonzalez, Christian Simon, Yan Monnier
We report here the case of a 15 months old girl presenting with clinical signs and radiological exams highly suggestive of a foreign body (FB) aspiration. Diagnostic endoscopy revealed an overlooked bronchial malformation responsible for a congenital lobar emphysema (CLE). CLE presenting after one year of age is rare and can easily be misdiagnosed. Therefore, the possibility of an overlooked CLE needs to be known and evoked as an alternative diagnosis when dealing with children presenting with suspected FB aspirations...
December 2015: International Journal of Pediatric Otorhinolaryngology
Shaodan Zhang, Wuping Li
Respiratory virus poses a serious threat to human life and health. Airway epithelial cells are the body's first line of defense from a wide variety of foreign pathogens, such as viruses and bacteria. Therefore, successful airway epithelial cell culture can provide a model for investigating the mechanisms underlying respiratory pathogenic diseases following airway virus infection. This respiratory disease model can also be used for the potential development of novel therapeutics. Here we provide a brief review of recent developments on the culture of cells derived from human trachea-bronchial airway epithelium, and the application of this model for studying respiratory virus and disease...
May 2015: Bing du Xue Bao, Chinese Journal of Virology
Narin Sriratanaviriyakul, Francis Lam, Brian M Morrissey, Nicholas Stollenwerk, Michael Schivo, Ken Y Yoneda
BACKGROUND: Airway obstruction from blood clots, airway secretions, and foreign bodies is a potentially life-threatening condition. Optimal management of this problem, whether by rigid or flexible bronchoscopy, has not been well studied. We report our single-center experience on the safety and clinical utility of cryoprobe extraction for this indication. METHODS: We performed a retrospective chart review from January 2006 to November 2014 of all subjects aged 18 and older who underwent flexible bronchoscopic cryoprobe extraction...
October 2015: Journal of Bronchology & Interventional Pulmonology
Erdem Atalay Cetinkaya, İlker Burak Arslan, İbrahim Cukurova
OBJECTIVES: To evaluate 1875 cases of nasal foreign body (NFB) removal with regard to type of foreign body (FB), location, complications, techniques for removal, age and gender, and to present the results of the evaluation. METHODS: Between 2006 and 2013, a total of 1875 NFBs were removed from 1870 children in ENT Services of Antalya Ataturk State Hospital and Izmir Tepecik Training - Research Hospital. A retrospective review was undertaken to evaluate the parameters related to the NFBs and their removal and the data were analyzed...
November 2015: International Journal of Pediatric Otorhinolaryngology
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