اجسام خارجي راه هوايي ف بررسي هزار مورد در كودكان

Foreign Body Aspiration ; A Study Of 1,000 Cases In Children

Introduction: Airway foreign bodies are one of the important emergencies in otolaryngology that can be life-threatening. Early diagnosis and treatment prevent complications and death. Airway foreign bodies can mimic other conditions such as asthma and pneumonia. The Goals: Determination of foreign body distribution from the point of age, sex, clinical and radiological findings, type and location, duration of enlodgement, the way of referring, and negative bronchoscope. Study Design: The retrospective study of 1000 cases of foreign body aspiration in the Department of Otolaryngology of central Childrenʹs Hospital of Tabriz. Results: Foreign body aspiration in boys was 1.7 times more common than girls. The most common age group was between 1-2 years. The most common symptom was cough. In 24.6% the bronchoscopy was negative. CXR was normal in 54.2%, and the most common abnormality was obstructive emphysema. The most common location was the right bronchus (44.2%), and the foreign body was vegetative matter in 82.5%. IN 29.7% duration of enlodgement was 1-5 days. Preference was by parents more than others (42.4%). Conclusion: Delay in diagnosis causes some complications. The lack of clinical and radiological findings can not rule out foreign body aspiration. In any patient with suspected history of aspiration bronchoscope is necessary for definitive diagnosis. Education of parents is important in prevention.