@article{ref1,
title="A five-year review on pediatric foreign body aspiration",
journal="International archives of otorhinolaryngology",
year="2021",
author="Nasir, Zuraini Mohammad and Subha, Sethu Thakachy",
volume="25",
number="2",
pages="e193-e199",
abstract="Introduction  Foreign body aspiration is a leading cause of accidental death in children. Clinical presentation varies from non-specific respiratory symptoms to respiratory failure making diagnosis challenging. <br><br>OBJECTIVE  To review pediatric patients who underwent bronchoscopy due to suspicion of foreign body aspiration at a tertiary center in Malaysia. <br><br>METHODS  We retrospectively studied patients < 11 years old who underwent bronchoscopy from 2008 to 2018. <br><br>RESULTS  Over the 10-year period, 20 patients underwent bronchoscopy, and 16 were found to have foreign body aspiration with equal gender distribution. The most common age group was < 3 years old (75%). The most common clinical presentations were choking (82%) and stridor (31%). Foreign bodies were removed using flexible bronchoscope in 8 cases (50%), and difficulties were encountered in 6 cases (75%). Rigid ventilating bronchoscope was used in 8 cases (50%) with no difficulty. The most common object found was peanut (19%). The majority of foreign bodies were lodged in the right bronchus (43%). Eight patients (80%) received delayed treatment due to delayed diagnosis. The length of hospital stay was longer in the younger age groups. <br><br>CONCLUSION  Clinical presentation and chest radiograph findings were comparable across all age groups. The most difficulties encountered during foreign body removal were via flexible bronchoscope, in children < 3 years old. There was no significant correlation between age and type of foreign body aspiration. The majority of patients who received delayed treatment were < 3 years old. The length of hospital stay was longer in the younger age groups.<p /> <p>Language: en</p>",
language="en",
issn="1809-9777",
doi="10.1055/s-0040-1709739",
url="http://dx.doi.org/10.1055/s-0040-1709739"
}