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Pediatric Surgery International

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01-12-2023 | Bronchoscopy | Original Article

The management of children aged 0–5 years wıth suspected foreign body aspiration: a prospective study

Authors: Ahmet Gökhan Güler, Ali Erdal Karakaya, Mustafa Sabih Kaya, Gözen Öksüz, Ayşe Azak Bozan, Dilan Altıntaş Ural

Published in: Pediatric Surgery International | Issue 1/2023

Abstract

Introduction

A simple algorithm for bronchoscopy was prepared in very young children.

Methods

The patients aged 0–5 years who were applied with bronchoscopy because of suspected foreign body aspiration (FBA) analysed.

Results

Evaluations were made of 89 patients, as 55 (61.7%) in the FBA (+) group and 34 (38.3%) in the FBA (−) group. FBA was determined most in the 1–2 years age group (28 patients, 50.9%, p = 0.04) due to organic hard foodstuffs (94.5%, p < 0.001). The parameters found to be significant were witnessing the event (OR 12.133, 95% CI 3.147–46.774, p < 0.001) and not obtaining unilateral respiratory sounds (OR 7.556, 95% CI 2.681–21.292, p < 0.001). The most significant diagnostic finding was the determination of unilateral hyperventilation on X-ray (OR 16.730, 95% CI 4.541–61.632, p < 0.001). The operating time and length of stay in hospital was significantly shorter in the FBA (−) patients (p < 0.001).

Conclusion

The presence of a witness, not obtaining unilateral respiratory sounds, and unilateral hyperventilation seen on X-ray are indications for bronchoscopy. In FBA (−) patients applied with bronchoscopy, the complication rate associated with the procedure is low, and the operating time and length of stay in hospital are short.

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Title: The management of children aged 0–5 years wıth suspected foreign body aspiration: a prospective study
Authors: Ahmet Gökhan Güler
Ali Erdal Karakaya
Mustafa Sabih Kaya
Gözen Öksüz
Ayşe Azak Bozan
Dilan Altıntaş Ural
Publication date: 01-12-2023
Publisher: Springer Berlin Heidelberg
Keywords: Bronchoscopy
Foreign Body Aspiration
Foreign Body Aspiration
Foreign Body Aspiration
Published in: Pediatric Surgery International / Issue 1/2023
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-022-05335-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The management of children aged 0–5 years wıth suspected foreign body aspiration: a prospective study

Abstract

Introduction

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusion

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