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Foreign Body Aspiration in Children—Retrospective Study and Management Novelties

Foreign body aspiration (FBA) is a frequent diagnosis in children. In the absence of other lung conditions, such as asthma or chronic pulmonary infections, this manifests as a sudden onset of cough, dyspnea, and wheezing. The differential diagnosis is based on a scoring system which takes into accou...

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Autores principales: Mîndru, Dana Elena, Păduraru, Gabriela, Rusu, Carmen Daniela, Țarcă, Elena, Azoicăi, Alice Nicoleta, Roșu, Solange Tamara, Curpăn, Alexandrina-Ștefania, Ciomaga Jitaru, Irina Mihaela, Pădureț, Ioana Alexandra, Luca, Alina Costina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10302152/
https://www.ncbi.nlm.nih.gov/pubmed/37374317
http://dx.doi.org/10.3390/medicina59061113
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author Mîndru, Dana Elena
Păduraru, Gabriela
Rusu, Carmen Daniela
Țarcă, Elena
Azoicăi, Alice Nicoleta
Roșu, Solange Tamara
Curpăn, Alexandrina-Ștefania
Ciomaga Jitaru, Irina Mihaela
Pădureț, Ioana Alexandra
Luca, Alina Costina
author_facet Mîndru, Dana Elena
Păduraru, Gabriela
Rusu, Carmen Daniela
Țarcă, Elena
Azoicăi, Alice Nicoleta
Roșu, Solange Tamara
Curpăn, Alexandrina-Ștefania
Ciomaga Jitaru, Irina Mihaela
Pădureț, Ioana Alexandra
Luca, Alina Costina
author_sort Mîndru, Dana Elena
collection PubMed
description Foreign body aspiration (FBA) is a frequent diagnosis in children. In the absence of other lung conditions, such as asthma or chronic pulmonary infections, this manifests as a sudden onset of cough, dyspnea, and wheezing. The differential diagnosis is based on a scoring system which takes into account the clinical picture as well as the radiologic aspects. The treatment that is considered the gold-standard for FBA in children remains to be rigid fibronchoscopy, however it comes with several potentially crucial local complications such as airway edema, bleeding, and bronchospasm, along inherent issues due to general anesthesia. Material and methods: Our study is a retrospective study analyzing the medical files of the cases from our hospital over the span of 9 years. The study group consisted of 242 patients aged 0–16 years diagnosed with foreign body aspiration in the Emergency Clinical Hospital for Children “Sfânta Maria” Iași, between January 2010–January 2018. Clinical and imaging data were extracted from the patients’ observation sheets. Results: In our cohort, the distribution of children with foreign body aspiration was uneven, with the highest incidence being reported in children from rural areas (70% of cases), whereas the most affected age group was 1–3 years, amounting to 79% of all cases. The main symptoms which led to emergency admittance were coughing (33%) and dyspnea (22%). The most important factors that determined the unequal distribution were socio-economic status, which relates to a lack of adequate supervision by parents, as well as the consumption of food inappropriate for their age. Conclusions: Foreign body aspiration is a major medical emergency that may be associated with dramatic clinical manifestations. Several scoring algorithms designed to establish the need for bronchoscopy have been proposed, taking into account both the clinical and radiological results. The issue with asymptomatic or mild symptomatic cases, as well as difficulties managing cases with radiolucent foreign bodies, remains a challenge.
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spelling pubmed-103021522023-06-29 Foreign Body Aspiration in Children—Retrospective Study and Management Novelties Mîndru, Dana Elena Păduraru, Gabriela Rusu, Carmen Daniela Țarcă, Elena Azoicăi, Alice Nicoleta Roșu, Solange Tamara Curpăn, Alexandrina-Ștefania Ciomaga Jitaru, Irina Mihaela Pădureț, Ioana Alexandra Luca, Alina Costina Medicina (Kaunas) Article Foreign body aspiration (FBA) is a frequent diagnosis in children. In the absence of other lung conditions, such as asthma or chronic pulmonary infections, this manifests as a sudden onset of cough, dyspnea, and wheezing. The differential diagnosis is based on a scoring system which takes into account the clinical picture as well as the radiologic aspects. The treatment that is considered the gold-standard for FBA in children remains to be rigid fibronchoscopy, however it comes with several potentially crucial local complications such as airway edema, bleeding, and bronchospasm, along inherent issues due to general anesthesia. Material and methods: Our study is a retrospective study analyzing the medical files of the cases from our hospital over the span of 9 years. The study group consisted of 242 patients aged 0–16 years diagnosed with foreign body aspiration in the Emergency Clinical Hospital for Children “Sfânta Maria” Iași, between January 2010–January 2018. Clinical and imaging data were extracted from the patients’ observation sheets. Results: In our cohort, the distribution of children with foreign body aspiration was uneven, with the highest incidence being reported in children from rural areas (70% of cases), whereas the most affected age group was 1–3 years, amounting to 79% of all cases. The main symptoms which led to emergency admittance were coughing (33%) and dyspnea (22%). The most important factors that determined the unequal distribution were socio-economic status, which relates to a lack of adequate supervision by parents, as well as the consumption of food inappropriate for their age. Conclusions: Foreign body aspiration is a major medical emergency that may be associated with dramatic clinical manifestations. Several scoring algorithms designed to establish the need for bronchoscopy have been proposed, taking into account both the clinical and radiological results. The issue with asymptomatic or mild symptomatic cases, as well as difficulties managing cases with radiolucent foreign bodies, remains a challenge. MDPI 2023-06-09 /pmc/articles/PMC10302152/ /pubmed/37374317 http://dx.doi.org/10.3390/medicina59061113 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Mîndru, Dana Elena
Păduraru, Gabriela
Rusu, Carmen Daniela
Țarcă, Elena
Azoicăi, Alice Nicoleta
Roșu, Solange Tamara
Curpăn, Alexandrina-Ștefania
Ciomaga Jitaru, Irina Mihaela
Pădureț, Ioana Alexandra
Luca, Alina Costina
Foreign Body Aspiration in Children—Retrospective Study and Management Novelties
title Foreign Body Aspiration in Children—Retrospective Study and Management Novelties
title_full Foreign Body Aspiration in Children—Retrospective Study and Management Novelties
title_fullStr Foreign Body Aspiration in Children—Retrospective Study and Management Novelties
title_full_unstemmed Foreign Body Aspiration in Children—Retrospective Study and Management Novelties
title_short Foreign Body Aspiration in Children—Retrospective Study and Management Novelties
title_sort foreign body aspiration in children—retrospective study and management novelties
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10302152/
https://www.ncbi.nlm.nih.gov/pubmed/37374317
http://dx.doi.org/10.3390/medicina59061113
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