May the first‐line treatment for foreign body aspiration in childhood be flexible bronchoscopy?
1Department of Pediatric Allergy and Pulmonology, Medical Faculty, Celal Bayar University, Manisa, Turkey
2Department of Anesthesia and Reanimation, Medical Faculty, Celal Bayar University, Manisa, Turkey
Keywords: Aspiration, childhood, flexible bronchoscopy, foreign body, treatment
INTRODUCTION: Rigid bronchoscopy (RB) is the traditional treatment in foreign body (FB) aspiration in childhood but is a traumatic and invasive procedure. However, flexible optic bronchoscopy (FoB) is a noninvasive and nontraumatic respiratory intervention. The aim of this study was to evaluate FoB as a first-line treatment modality in pediatric cases presenting with a preliminary diagnosis of FB aspiration.
METHODS: Subjects who underwent FoB under general anesthesia with the preliminary diagnosis of FB aspiration were enrolled in this cross-sectional study. Two cases were inherited from pediatric surgery because they were not removed with FoB. The demographic, clinical, and radiological findings at the presentation were recorded. Results of success rate and complications were recorded.
RESULTS: Among the FB aspiration cases age range of 7 months to 16 years. FoB demonstrated a FB in the airways of 31 (62.2%) subjects. The duration of the symptoms in the subjects was 9.1 ± 8.8 days. Three of the cases were taken over from pediatric surgery because they were not removed with RB. Most commonly encountered FB's were organic materials (n = 20, 64%). FoB was successful in removing the FB from the proximal and also distal airways in 93% of the subjects. No significant complications and side effects were observed except post-FoB cough.
CONCLUSION: This result has shown that FoB for the treatment of FB aspiration is successful in removing FB aspiration from both the proximal and distal airway that the RB cannot remove. Furthermore, FoB did not have any significant airway complication. FoB may be used as the first-line treatment modality for FB aspiration instead of RB in childhood the fact that noninvasive and nontraumatic respiratory intervention.
Institutional Review Board of Celal Bayar University,School of Medicine (date of approval: 15/10/2019,number of approval: 54).
Study conception and design: Hasan Yüksel, Özge Yılmaz.
Data acquisition: Hasan Yüksel, Özge Yılmaz, Adem Yaşar.
Analysis and data interpretation: Özge Yılmaz, Arzu Açıkel, İsmet Topçu.
Drafting of the manuscript: Özge Yılmaz, Arzu Açıkel, İsmet Topçu, Adem Yaşar.
Critical revision: Hasan Yüksel, Özge Yılmaz.
Submit this form with the manuscript. Hasan Yüksel, Adem Yaşar.