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Occult foreign body aspirations in pediatric patients: 20-years of experience
BACKGROUND: The purpose of our study was to assess the frequency of occult foreign body aspiration (FBA) and to evaluate the diagnostic difficulties and therapeutic methods for these patients. METHODS: Between May 2000 and May 2020, 3557 patients with the diagnosis of FBA were treated in our departm...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7724703/ https://www.ncbi.nlm.nih.gov/pubmed/33298020 http://dx.doi.org/10.1186/s12890-020-01356-8 |
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author | Liu, Bo Ding, Fengxia An, Yong Li, Yonggang Pan, Zhengxia Wang, Gang Dai, Jiangtao Li, Hongbo Wu, Chun |
author_facet | Liu, Bo Ding, Fengxia An, Yong Li, Yonggang Pan, Zhengxia Wang, Gang Dai, Jiangtao Li, Hongbo Wu, Chun |
author_sort | Liu, Bo |
collection | PubMed |
description | BACKGROUND: The purpose of our study was to assess the frequency of occult foreign body aspiration (FBA) and to evaluate the diagnostic difficulties and therapeutic methods for these patients. METHODS: Between May 2000 and May 2020, 3557 patients with the diagnosis of FBA were treated in our department. Thirty-five patients with occult FBA were included in this study. A retrospective analysis of medical records was performed. RESULTS: Twenty-three male patients (65.7%) and 12 female patients (34.3%) were hospitalized due to occult FBA. The average age was 3.60 years (range 9 months-12 years). Most of the patients were younger than 3 years old (n = 25, 71.4%). Coughing (n = 35, 100%) and wheezing (n = 18, 51.4%) were the main symptoms and signs. All the patients were found to have a FBA under the fiberoptic bronchoscope. The most common organic foreign bodies were peanuts (n = 10) and the most common inorganic foreign bodies were pen caps (n = 5). The extraction of foreign bodies under rigid bronchoscopy was applied successfully in 34 patients. Only one patient needed a surgical intervention. CONCLUSIONS: Occult FBA should always be considered in the differential diagnosis of chronic or recurrent respiratory diseases that are poorly explained, even in the absence of a previous history of aspiration. |
format | Online Article Text |
id | pubmed-7724703 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-77247032020-12-09 Occult foreign body aspirations in pediatric patients: 20-years of experience Liu, Bo Ding, Fengxia An, Yong Li, Yonggang Pan, Zhengxia Wang, Gang Dai, Jiangtao Li, Hongbo Wu, Chun BMC Pulm Med Research Article BACKGROUND: The purpose of our study was to assess the frequency of occult foreign body aspiration (FBA) and to evaluate the diagnostic difficulties and therapeutic methods for these patients. METHODS: Between May 2000 and May 2020, 3557 patients with the diagnosis of FBA were treated in our department. Thirty-five patients with occult FBA were included in this study. A retrospective analysis of medical records was performed. RESULTS: Twenty-three male patients (65.7%) and 12 female patients (34.3%) were hospitalized due to occult FBA. The average age was 3.60 years (range 9 months-12 years). Most of the patients were younger than 3 years old (n = 25, 71.4%). Coughing (n = 35, 100%) and wheezing (n = 18, 51.4%) were the main symptoms and signs. All the patients were found to have a FBA under the fiberoptic bronchoscope. The most common organic foreign bodies were peanuts (n = 10) and the most common inorganic foreign bodies were pen caps (n = 5). The extraction of foreign bodies under rigid bronchoscopy was applied successfully in 34 patients. Only one patient needed a surgical intervention. CONCLUSIONS: Occult FBA should always be considered in the differential diagnosis of chronic or recurrent respiratory diseases that are poorly explained, even in the absence of a previous history of aspiration. BioMed Central 2020-12-09 /pmc/articles/PMC7724703/ /pubmed/33298020 http://dx.doi.org/10.1186/s12890-020-01356-8 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Liu, Bo Ding, Fengxia An, Yong Li, Yonggang Pan, Zhengxia Wang, Gang Dai, Jiangtao Li, Hongbo Wu, Chun Occult foreign body aspirations in pediatric patients: 20-years of experience |
title | Occult foreign body aspirations in pediatric patients: 20-years of experience |
title_full | Occult foreign body aspirations in pediatric patients: 20-years of experience |
title_fullStr | Occult foreign body aspirations in pediatric patients: 20-years of experience |
title_full_unstemmed | Occult foreign body aspirations in pediatric patients: 20-years of experience |
title_short | Occult foreign body aspirations in pediatric patients: 20-years of experience |
title_sort | occult foreign body aspirations in pediatric patients: 20-years of experience |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7724703/ https://www.ncbi.nlm.nih.gov/pubmed/33298020 http://dx.doi.org/10.1186/s12890-020-01356-8 |
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