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Tracheobronchial Foreign Body Aspirations for Children

Yıl 2025, , 81 - 87, 30.04.2025

Leyla Nesrin Acar , Seray Hazer , Gokturk Findik , Pınar Bıçakçıoğlu , Selim Şakir Erkmen Gulhan

https://doi.org/10.18678/dtfd.1530690

Öz

Aim: Tracheobronchial foreign body aspiration (FBA) is a leading cause of accidental injury and sudden death in childhood. This study aimed to categorize pediatric patients under the age of 16 years with tracheobronchial FBA into distinct age groups, compare gender distribution, assess clinical and radiological findings, characterize the types of aspirated foreign body (FB), and evaluate preventive measures to reduce the incidence of FBA.
Material and Methods: This retrospective study included patients under the age of 16 years who were evaluated for suspected tracheobronchial FBA between 2010 and 2019. The patients were categorized into four age groups: ≤3 years, 4-7 years, 8-10 years, and >10 years.
Results: Among the 132 patients included, 80 (60.6%) were male, and 52 (39.4%) were female. The FBA was found to be significantly (p=0.003) most prevalent among males aged ≤3 years (72.7%, n=32) and among females aged >10 years (59.2%, n=29). The type of aspirated FB significantly varied by age group, with dried nuts being the most aspirated in children ≤3 years (50.0%, n=22), stationery items in the 8-10 years (47.1%, n=8), and headscarf needles in the >10-year (36.7%, n=18) groups (p<0.001).
Conclusion: The type of aspirated FBs varies according to age and cultural factors. The severity of FBA-related complications depends on the size, shape, and location of the aspirated object, as well as the patient’s age, duration of aspiration, and degree of airway obstruction. Enhancing public awareness, facilitating early diagnosis, and ensuring prompt treatment are crucial for minimizing FBA-related complications and mortality.

Anahtar Kelimeler

Foreign body tracheobronchial aspiration bronchoscopy child

Kaynakça

  • Gang W, Zhengxia P, Hongbo L, Yonggang L, Jiangtao D, Shengde W, et al. Diagnosis and treatment of tracheobronchial foreign bodies in 1024 children. J Pediatr Surg. 2012;47(11):2004-10.
  • Dorterler ME, Kocaman OH, Gunendi T, Boleken ME. A single-center experience of pediatric foreign-body aspiration: A retrospective 4-year case series. Lung India. 2019;36(3):202-6.
  • Pietraś A, Markiewicz M, Mielnik-Niedzielska G. Rigid bronchoscopy in foreign body aspiration diagnosis and treatment in children. Children (Basel). 2021;8(12):1206.
  • From the Centers for Disease Control and Prevention. Nonfatal choking-related episodes among children--United States, 2001. JAMA. 2002;288(19):2400-2.
  • Oncel M, Sunam GS, Ceran S. Tracheobronchial aspiration of foreign bodies and rigid bronchoscopy in children. Pediatr Int. 2012;54(4):532-5.
  • Zur KB, Litman RS. Pediatric airway foreign body retrieval: surgical and anesthetic perspective. Pediatr Anaesth. 2009;19(Suppl 1):109-17.
  • Jaswal A, Jana U, Maiti PK. Tracheo-bronchial foreign bodies: a retrospective study and review of literature. Indian J Otolaryngol Head Neck Surg. 2014;66(Suppl 1):156-60.
  • Kaptanoglu M, Dogan K, Onen A, Kunt N. Turban pin aspiration; a potential risk for young Islamic girls. Int J Pediatr Otorhinolaryngol. 1999;48(2):131-5.
  • Bodart E, Gilbert A, Thimmesch M. Removal of an unusual bronchial foreign body: rigid or flexible bronchoscopy? Acta Clin Belg. 2014;69(2):125-6.
  • Ding L, Su S, Chen C, Yao H, Xiao L. Tracheobronchial foreign bodies in children: experience from 1,328 patients in China. Front Pediatr. 2022;10:873182.
  • Bakal Ü, Keleş E, Saraç M, Karlidağ T, Kaygusuz İ, Kazez A. A study of foreign body aspiration in children. J Craniofac Surg. 2016;27(4):e358-63.
  • Midulla F, Guidi R, Barbato A, Capocaccia P, Forenza N, Marseglia G, et al. Foreign body aspiration in children. Pediatr Int. 2005;47(6):663-8.
  • Ozdemir C, Uzun I, Sam B. Childhood foreign body aspiration in Istanbul, Turkey. Forensic Sci Int. 2005;153(2-3):136-41.
  • Samarei R. Survey of foreign body aspiration in airways and lungs. Glob J Health Sci. 2014;6(7):130-5.
  • Mallick MS. Tracheobronchial foreign body aspiration in children: A continuing diagnostic challenge. Afr J Paediatr Surg. 2014;11(3):225-8.
  • Bayraktar S, Tanyeri Bayraktar B, Çalışkan B, Ziyade S, Elevli M. Pneumothorax and subcutaneous emphysema due to foreign body aspiration. Duzce Med J. 2016;18(2):77-8. Turkish.
  • Cevizci MN. Our bronchoscopy results in suspected tracheobronchial foreign body aspiration in children. Balikesir Med J. 2020;4(1):32-9. Turkish.
  • Yıldırım M, Doğusoy I, Okay T, Yaşaroğlu M, Demirbağ H, Aydemir B, et al. Tracheobronchial foreign bodies. Turkish J Thorac Cardiovasc Surg 2003;11(4):228-31. Turkish.
  • Mu L, He P, Sun D. Inhalation of foreign bodies in Chinese children: a review of 400 cases. Laryngoscope. 1991;101(6 Pt 1):657-60.
  • AlRabiah AA, Alaithan TM, Alaithan A, Alsaeri AS, Alenazi FM, Ageeli FA, et al. Knowledge and awareness of the first aid management of foreign body aspiration in children among the general population: a cross-sectional study in Saudi Arabia. Cureus. 2024;16(9):e68841.
  • Gürsu S, Sırmalı M, Gezer S, Fındık G, Türüt H, Aydın E, et al. Tracheobronchial foreign body aspirations in adults. Turkish J Thorac Cardiovasc Surg. 2006;14(1):38-41. Turkish.
  • Erikci V, Karacay S, Arikan A. Foreign body aspiration: A four-year experience. Ulus Travma Acil Cerrahi Derg. 2003;9(1):45-9.
  • İlçe Z. Tracheobronchial foreign body aspiration in children. Kocaeli Med J. 2012;1(2):47-54. Turkish.
  • Sersar SI, Rizk WH, Bilal M, El Diasty MM, Eltantawy TA, Abdelhakam BB, et al. Inhaled foreign bodies: presentation, management and value of history and plain chest radiography in delayed presentation. Otolaryngol Head Neck Surg. 2006;134(1):92-9.
  • Heyer CM, Bollmeier ME, Rossler L, Nuesslein TG, Stephan V, Bauer TT, et al. Evaluation of clinical, radiologic, and laboratory prebronchoscopy findings in children with suspected foreign body aspiration. J Pediatr Surg. 2006;41(11):1882-8.
  • Antón-Pacheco JL, Martín-Alelú R, López M, Morante R, Merino-Mateo L, Barrero S, et al. Foreign body aspiration in children: Treatment timing and related complications. Int J Pediatr Otorhinolaryngol. 2021;144:110690.
  • Kısacık E, Gülhan E, Sırmalı M, Sarıca E, Türüt H, Karasu S, et al. Tracheobronchial foreign body aspirations: Retrospective analysis of 261 cases. Solunum Hast. 2004;15(2):86-91. Turkish.
  • Kaptanoğlu M, Kunt T, Kunt N, Doğan K, Markuz Ş. Foreign body inhalation (review of 119 cases. Turkish J Thorac Cardiovasc Surg. 1995;3(1):78-81. Turkish.
  • Korlacki W, Korecka K, Dzielicki J. Foreign body aspiration in children: diagnostic and therapeutic role of bronchoscopy. Pediatr Surg Int. 2011;27(8):833-7.
  • Gencer M, Ceylan E, Koksal N. Extraction of pins from the airway with flexible bronchoscopy. Respiration. 2007;74(6):674-9.
  • Kaptanoglu M, Nadir A, Dogan K, Sahin E. The heterodox nature of "Turban Pins" in foreign body aspiration; the central Anatolian experience. Int J Pediatr Otorhinolaryngol. 2007;71(4):553-8.
  • Hasdiraz L, Oguzkaya F, Bilgin M, Bicer C. Complications of bronchoscopy for foreign body removal: experience in 1,035 cases. Ann Saudi Med. 2006;26(4):283-7.
  • Panda SS, Bajpai M, Singh A, Baidya DK, Jana M. Foreign body in the bronchus in children: 22 years experience in a tertiary care paediatric centre. Afr J Paediatr Surg. 2014;11(3):252-5.
  • Parida P, Nirmal N, Gopalakrishnan S, Saxena SK. Factors predicting early diagnosis of pediatric laryngotracheobronchial foreign bodies. Otolaryngol Pol. 2015;69(6):45-52.
  • Darrin DH, Holinger LD. Foreign body of the larynx, trachea and bronchi. In: Bluestone CD, Stool S, Kenna MA, editors. Pediatric Otolaryngology. 1st ed. Philadelphia:WB Saunders; 1995. p.1390-8.
  • Dayıoğlu E, Rahimi M, Toker A, Akaslan İ, Barlas S, Tireli E, et al. Intrabronchial foreign bodies: complications of turban needles. Turkish J Thorac Cardiovasc Surg. 1995;3(1):82-5. Turkish.
  • Sezer HF, Eliçora A, Topçu S. Foreign body aspirations with rigid bronchoscopy and esophagoscopy in children. Turk Gogus Kalp Damar Cerrahisi Derg. 2024;32(Suppl 1):S55-9.
  • Liang J, Hu J, Chang H, Gao Y, Luo H, Wang Z, et al. Tracheobronchial foreign bodies in children - a retrospective study of 2,000 cases in Northwestern China. Ther Clin Risk Manag. 2015;11:1291-5.

Çocuklarda Trakeobronşiyal Yabancı Cisim Aspirasyonları

Yıl 2025, , 81 - 87, 30.04.2025

Leyla Nesrin Acar , Seray Hazer , Gokturk Findik , Pınar Bıçakçıoğlu , Selim Şakir Erkmen Gulhan

https://doi.org/10.18678/dtfd.1530690

Öz

Amaç: Trakeobronşiyal yabancı cisim aspirasyonu (YCA), çocukluk çağında kazara yaralanmaların ve ani ölümlerin önde gelen nedenidir. Bu çalışmada, trakeobronşiyal YCA olan 16 yaş altı çocukların farklı yaş gruplarına göre kategorize edilmesi, cinsiyet dağılımının, klinik ve radyolojik bulguların, aspire edilen yabancı cisim (YC) tiplerinin karşılaştırılarak YCA insidansının azaltılması için koruyucu önlemlerin değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntemler: Bu geriye dönük çalışmaya 2010 ve 2019 yılları arasında trakeobronşiyal YCA şüphesi ile değerlendirilen 16 yaşından küçük hastalar dahil edilmiştir. Hastalar dört yaş grubuna ayrılmıştır: ≤3 yaş, 4-7 yaş, 8-10 yaş ve >10 yaş.
Bulgular: Çalışmaya dahil edilen 132 hastadan 80'i (%60,6) erkek ve 52'si (%39,4) kadındı. YCA'nın, ≤3 yaş erkeklerde (%72,7; n=32) ve >10 yaş kadınlarda (%59,2; n=29) anlamlı olarak en yaygın olduğu bulundu (p=0,003). Aspire edilen YB tipleri yaş grubuna göre anlamlı bir şekilde değişiyordu; kuru yemişler ≤3 yaş çocuklarda (%50,0; n=22), kırtasiye malzemeleri 8-10 yaş grubunda (%47,1; n=8) ve başörtüsü iğneleri ise >10 yaş grubunda (%36,7; n=18) en çok aspire edildi (p<0,001).
Sonuç: Aspire edilen YC türleri yaş grubuna ve kültürel faktörlere göre değişmektedir. YCA ile ilişkili komplikasyonların şiddeti, aspire edilen cismin büyüklüğüne, şekline ve lokalizasyonuna, ayrıca hastanın yaşına, aspirasyon süresine ve hava yolu tıkanıklığının derecesine bağlıdır. Kamuoyunun farkındalığını artırmak, erken tanıyı kolaylaştırmak ve hızlı tedaviyi sağlamak, YCA ile ilişkili komplikasyonları ve mortaliteyi en aza indirmek için çok önemlidir.

Anahtar Kelimeler

Yabancı cisim trakreobronşiyal aspirasyon bronkoskopi çocuk

Kaynakça

  • Gang W, Zhengxia P, Hongbo L, Yonggang L, Jiangtao D, Shengde W, et al. Diagnosis and treatment of tracheobronchial foreign bodies in 1024 children. J Pediatr Surg. 2012;47(11):2004-10.
  • Dorterler ME, Kocaman OH, Gunendi T, Boleken ME. A single-center experience of pediatric foreign-body aspiration: A retrospective 4-year case series. Lung India. 2019;36(3):202-6.
  • Pietraś A, Markiewicz M, Mielnik-Niedzielska G. Rigid bronchoscopy in foreign body aspiration diagnosis and treatment in children. Children (Basel). 2021;8(12):1206.
  • From the Centers for Disease Control and Prevention. Nonfatal choking-related episodes among children--United States, 2001. JAMA. 2002;288(19):2400-2.
  • Oncel M, Sunam GS, Ceran S. Tracheobronchial aspiration of foreign bodies and rigid bronchoscopy in children. Pediatr Int. 2012;54(4):532-5.
  • Zur KB, Litman RS. Pediatric airway foreign body retrieval: surgical and anesthetic perspective. Pediatr Anaesth. 2009;19(Suppl 1):109-17.
  • Jaswal A, Jana U, Maiti PK. Tracheo-bronchial foreign bodies: a retrospective study and review of literature. Indian J Otolaryngol Head Neck Surg. 2014;66(Suppl 1):156-60.
  • Kaptanoglu M, Dogan K, Onen A, Kunt N. Turban pin aspiration; a potential risk for young Islamic girls. Int J Pediatr Otorhinolaryngol. 1999;48(2):131-5.
  • Bodart E, Gilbert A, Thimmesch M. Removal of an unusual bronchial foreign body: rigid or flexible bronchoscopy? Acta Clin Belg. 2014;69(2):125-6.
  • Ding L, Su S, Chen C, Yao H, Xiao L. Tracheobronchial foreign bodies in children: experience from 1,328 patients in China. Front Pediatr. 2022;10:873182.
  • Bakal Ü, Keleş E, Saraç M, Karlidağ T, Kaygusuz İ, Kazez A. A study of foreign body aspiration in children. J Craniofac Surg. 2016;27(4):e358-63.
  • Midulla F, Guidi R, Barbato A, Capocaccia P, Forenza N, Marseglia G, et al. Foreign body aspiration in children. Pediatr Int. 2005;47(6):663-8.
  • Ozdemir C, Uzun I, Sam B. Childhood foreign body aspiration in Istanbul, Turkey. Forensic Sci Int. 2005;153(2-3):136-41.
  • Samarei R. Survey of foreign body aspiration in airways and lungs. Glob J Health Sci. 2014;6(7):130-5.
  • Mallick MS. Tracheobronchial foreign body aspiration in children: A continuing diagnostic challenge. Afr J Paediatr Surg. 2014;11(3):225-8.
  • Bayraktar S, Tanyeri Bayraktar B, Çalışkan B, Ziyade S, Elevli M. Pneumothorax and subcutaneous emphysema due to foreign body aspiration. Duzce Med J. 2016;18(2):77-8. Turkish.
  • Cevizci MN. Our bronchoscopy results in suspected tracheobronchial foreign body aspiration in children. Balikesir Med J. 2020;4(1):32-9. Turkish.
  • Yıldırım M, Doğusoy I, Okay T, Yaşaroğlu M, Demirbağ H, Aydemir B, et al. Tracheobronchial foreign bodies. Turkish J Thorac Cardiovasc Surg 2003;11(4):228-31. Turkish.
  • Mu L, He P, Sun D. Inhalation of foreign bodies in Chinese children: a review of 400 cases. Laryngoscope. 1991;101(6 Pt 1):657-60.
  • AlRabiah AA, Alaithan TM, Alaithan A, Alsaeri AS, Alenazi FM, Ageeli FA, et al. Knowledge and awareness of the first aid management of foreign body aspiration in children among the general population: a cross-sectional study in Saudi Arabia. Cureus. 2024;16(9):e68841.
  • Gürsu S, Sırmalı M, Gezer S, Fındık G, Türüt H, Aydın E, et al. Tracheobronchial foreign body aspirations in adults. Turkish J Thorac Cardiovasc Surg. 2006;14(1):38-41. Turkish.
  • Erikci V, Karacay S, Arikan A. Foreign body aspiration: A four-year experience. Ulus Travma Acil Cerrahi Derg. 2003;9(1):45-9.
  • İlçe Z. Tracheobronchial foreign body aspiration in children. Kocaeli Med J. 2012;1(2):47-54. Turkish.
  • Sersar SI, Rizk WH, Bilal M, El Diasty MM, Eltantawy TA, Abdelhakam BB, et al. Inhaled foreign bodies: presentation, management and value of history and plain chest radiography in delayed presentation. Otolaryngol Head Neck Surg. 2006;134(1):92-9.
  • Heyer CM, Bollmeier ME, Rossler L, Nuesslein TG, Stephan V, Bauer TT, et al. Evaluation of clinical, radiologic, and laboratory prebronchoscopy findings in children with suspected foreign body aspiration. J Pediatr Surg. 2006;41(11):1882-8.
  • Antón-Pacheco JL, Martín-Alelú R, López M, Morante R, Merino-Mateo L, Barrero S, et al. Foreign body aspiration in children: Treatment timing and related complications. Int J Pediatr Otorhinolaryngol. 2021;144:110690.
  • Kısacık E, Gülhan E, Sırmalı M, Sarıca E, Türüt H, Karasu S, et al. Tracheobronchial foreign body aspirations: Retrospective analysis of 261 cases. Solunum Hast. 2004;15(2):86-91. Turkish.
  • Kaptanoğlu M, Kunt T, Kunt N, Doğan K, Markuz Ş. Foreign body inhalation (review of 119 cases. Turkish J Thorac Cardiovasc Surg. 1995;3(1):78-81. Turkish.
  • Korlacki W, Korecka K, Dzielicki J. Foreign body aspiration in children: diagnostic and therapeutic role of bronchoscopy. Pediatr Surg Int. 2011;27(8):833-7.
  • Gencer M, Ceylan E, Koksal N. Extraction of pins from the airway with flexible bronchoscopy. Respiration. 2007;74(6):674-9.
  • Kaptanoglu M, Nadir A, Dogan K, Sahin E. The heterodox nature of "Turban Pins" in foreign body aspiration; the central Anatolian experience. Int J Pediatr Otorhinolaryngol. 2007;71(4):553-8.
  • Hasdiraz L, Oguzkaya F, Bilgin M, Bicer C. Complications of bronchoscopy for foreign body removal: experience in 1,035 cases. Ann Saudi Med. 2006;26(4):283-7.
  • Panda SS, Bajpai M, Singh A, Baidya DK, Jana M. Foreign body in the bronchus in children: 22 years experience in a tertiary care paediatric centre. Afr J Paediatr Surg. 2014;11(3):252-5.
  • Parida P, Nirmal N, Gopalakrishnan S, Saxena SK. Factors predicting early diagnosis of pediatric laryngotracheobronchial foreign bodies. Otolaryngol Pol. 2015;69(6):45-52.
  • Darrin DH, Holinger LD. Foreign body of the larynx, trachea and bronchi. In: Bluestone CD, Stool S, Kenna MA, editors. Pediatric Otolaryngology. 1st ed. Philadelphia:WB Saunders; 1995. p.1390-8.
  • Dayıoğlu E, Rahimi M, Toker A, Akaslan İ, Barlas S, Tireli E, et al. Intrabronchial foreign bodies: complications of turban needles. Turkish J Thorac Cardiovasc Surg. 1995;3(1):82-5. Turkish.
  • Sezer HF, Eliçora A, Topçu S. Foreign body aspirations with rigid bronchoscopy and esophagoscopy in children. Turk Gogus Kalp Damar Cerrahisi Derg. 2024;32(Suppl 1):S55-9.
  • Liang J, Hu J, Chang H, Gao Y, Luo H, Wang Z, et al. Tracheobronchial foreign bodies in children - a retrospective study of 2,000 cases in Northwestern China. Ther Clin Risk Manag. 2015;11:1291-5.
Toplam 38 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Göğüs Cerrahisi
Bölüm Araştırma Makalesi
Yazarlar

Leyla Nesrin Acar 0009-0001-8920-7416

Seray Hazer 0000-0003-1474-5591

Gokturk Findik 0000-0002-8861-7608

Pınar Bıçakçıoğlu 0000-0002-7058-6508

Selim Şakir Erkmen Gulhan 0000-0002-1143-9655

Erken Görünüm Tarihi 22 Nisan 2025
Yayımlanma Tarihi 30 Nisan 2025
Gönderilme Tarihi 10 Ağustos 2024
Kabul Tarihi 13 Nisan 2025
Yayımlandığı Sayı Yıl 2025

Kaynak Göster

APA Acar, L. N., Hazer, S., Findik, G., Bıçakçıoğlu, P., vd. (2025). Tracheobronchial Foreign Body Aspirations for Children. Duzce Medical Journal, 27(1), 81-87. https://doi.org/10.18678/dtfd.1530690
AMA Acar LN, Hazer S, Findik G, Bıçakçıoğlu P, Gulhan SŞE. Tracheobronchial Foreign Body Aspirations for Children. Duzce Med J. Nisan 2025;27(1):81-87. doi:10.18678/dtfd.1530690
Chicago Acar, Leyla Nesrin, Seray Hazer, Gokturk Findik, Pınar Bıçakçıoğlu, ve Selim Şakir Erkmen Gulhan. “Tracheobronchial Foreign Body Aspirations for Children”. Duzce Medical Journal 27, sy. 1 (Nisan 2025): 81-87. https://doi.org/10.18678/dtfd.1530690.
EndNote Acar LN, Hazer S, Findik G, Bıçakçıoğlu P, Gulhan SŞE (01 Nisan 2025) Tracheobronchial Foreign Body Aspirations for Children. Duzce Medical Journal 27 1 81–87.
IEEE L. N. Acar, S. Hazer, G. Findik, P. Bıçakçıoğlu, ve S. Ş. E. Gulhan, “Tracheobronchial Foreign Body Aspirations for Children”, Duzce Med J, c. 27, sy. 1, ss. 81–87, 2025, doi: 10.18678/dtfd.1530690.
ISNAD Acar, Leyla Nesrin vd. “Tracheobronchial Foreign Body Aspirations for Children”. Duzce Medical Journal 27/1 (Nisan 2025), 81-87. https://doi.org/10.18678/dtfd.1530690.
JAMA Acar LN, Hazer S, Findik G, Bıçakçıoğlu P, Gulhan SŞE. Tracheobronchial Foreign Body Aspirations for Children. Duzce Med J. 2025;27:81–87.
MLA Acar, Leyla Nesrin vd. “Tracheobronchial Foreign Body Aspirations for Children”. Duzce Medical Journal, c. 27, sy. 1, 2025, ss. 81-87, doi:10.18678/dtfd.1530690.
Vancouver Acar LN, Hazer S, Findik G, Bıçakçıoğlu P, Gulhan SŞE. Tracheobronchial Foreign Body Aspirations for Children. Duzce Med J. 2025;27(1):81-7.
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