Foreign body in the tracheobronchial tree

Foreign body in the tracheobronchial tree

A 20-year experience with the treatment of 74 patients (83.8% children) for foreign body aspiration is reviewed. The object of this review is to show the clinical manifestations, the radiological findings, the nature and distribution in the bronchial tree, and complications due to longstanding (mont...

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Bibliographic Details
Published in:Clinical pediatrics Vol. 36; no. 12; p. 701
Main Authors: Cataneo, A J, Reibscheid, S M, Ruiz Júnior, R L, Ferrari, G F
Format: Journal Article
Language:English
Published: United States 01-12-1997
Subjects:
Adolescent
Adult
Aged
Airway Obstruction - etiology
Arachis - adverse effects
Bronchi
Bronchiectasis - etiology
Bronchiectasis - surgery
Bronchoscopy
Child
Child, Preschool
Chronic Disease
Cough - etiology
Dyspnea - etiology
Fabaceae - adverse effects
Female
Fever - etiology
Foreign Bodies - complications
Foreign Bodies - diagnostic imaging
Foreign Bodies - surgery
Foreign Bodies - therapy
Humans
Infant
Inhalation
Male
Middle Aged
Plants, Medicinal
Pneumonia - etiology
Pulmonary Atelectasis - diagnostic imaging
Radiography
Respiratory Insufficiency - etiology
Respiratory Sounds - etiology
Retrospective Studies
Thoracotomy
Trachea
Zea mays - adverse effects
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Summary:A 20-year experience with the treatment of 74 patients (83.8% children) for foreign body aspiration is reviewed. The object of this review is to show the clinical manifestations, the radiological findings, the nature and distribution in the bronchial tree, and complications due to longstanding (months or years) foreign bodies in the bronchial tree. The most common foreign bodies found were peanuts (13.5%), corn (13.5%), and beans (13.5%). The most frequent clinical manifestation was choking (67.5%), and the most frequent radiological finding was atelectasis (41.8%). The most serious complication was bronchiectasis needing resection in six patients who had the foreign body retained for years in the bronchial tree. In conclusion, in spite of an obvious foreign body in the tracheobronchial tree many cases are not diagnosed, and a longstanding foreign body in the airway may be responsible for irreversible complications.
ISSN:0009-9228
DOI:10.1177/000992289703601206