@article{ref1,
title="Tracheobronchial foreign bodies in children: the role of emergency rigid bronchoscopy",
journal="Global pediatric health",
year="2017",
author="Baram, Aram and Sherzad, Hewa and Saeed, Sara and Kakamad, Fahmi H. and Hamawandi, Adnan M. H.",
volume="4",
number="",
pages="e2333794X17743663-e2333794X17743663",
abstract="Foreign body aspiration (FBA) is a common and lethal accident in the pediatric age group. It requires early recognition and treatment by rigid bronchoscopy to avoid fatal outcomes. <br><br>OBJECTIVE. The aim of this study was to study the pattern of FBA in the tracheobronchial tree as well as the success rate of rigid bronchoscopy in children admitted to a single center and to analyze the relationship of the type of foreign body (FB) with patients' age, presentation, and complications. <br><br>METHODS. A retrospective cross-sectional study of FBA was conducted in children in the Sulaimani/Kurdistan region, Iraq, admitted to the emergency teaching hospital of the University of Sulaimani from January 2014 to March 2016. Result. Data of 83 patients between 6 months and 15 years old were studied. The most affected was the 1- to 5-year-old group. There was a slight female predominance (male to female ratio 0.93:1). The most common FB was sunflower seed (49.4%). History of choking was present in 92.8% of patients; 55.4% had normal air entry, and 37.3% had no added sound on chest auscultation. Normal chest X-ray (CXR) was found in 40% of patients. The most common site was the right bronchial tree (39.8%). Two patients needed mechanical ventilation; both of them died. There was a significant relationship between the type of FB (P =.013,.000, respectively). <br><br>CONCLUSION. Medical history is the most important factor for reaching the diagnosis; bronchoscopy is mandatory if choking was witnessed, even if examination and CXR are normal. Organic material causes more local reaction than nonorganic material.<p /> <p>Language: en</p>",
language="en",
issn="2333-794X",
doi="10.1177/2333794X17743663",
url="http://dx.doi.org/10.1177/2333794X17743663"
}