Foreign body aspiration in children: A study of children who lived or died following aspiration

Int J Pediatr Otorhinolaryngol. 2017 Jul:98:29-31. doi: 10.1016/j.ijporl.2017.04.029. Epub 2017 Apr 20.

Abstract

Foreign body aspiration (FBA) is a preventable cause of mortality and morbidity in children. We conducted a chart review of children who presented to a university hospital due to FBA in the period 1999-2014. Children were either managed with bronchoscopy for removal of the foreign body or died due to FBA. A total of 103 children were seen due to FBA including 27 deaths. The majority of children were boys and were less than 3 years old. Most aspirated foreign bodies were food-related, mainly peanuts. The majority of children presented with acute choking incidents, a smaller number presented with recurrent chest infections, and few children's choking incidents were unwitnessed. X-ray had a high rate of false negatives and bronchoscopy was the gold standard technique for assessment and management. Aspiration of foreign bodies is a preventable, life-threatening condition that calls for increased parent education and awareness.

Keywords: Aspiration; Bronchoscopy; Foreign body; Pediatric.

MeSH terms

  • Adolescent
  • Airway Obstruction / mortality*
  • Bronchoscopy / methods*
  • Child
  • Child, Preschool
  • Female
  • Foreign Bodies / mortality*
  • Humans
  • Infant
  • Jordan
  • Male
  • Retrospective Studies