May the first-line treatment for foreign body aspiration in childhood be flexible bronchoscopy?

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...

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Autores principales:	Hasan Yuksel, Adem Yaşar, Arzu Açıkel, İsmet Topçu, Özge Yılmaz
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer Medknow Publications 2021
Materias:	aspiration childhood flexible bronchoscopy foreign body treatment Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/282c2eb1c5864bfd94e04e6f0a2f53a1
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spelling	oai:doaj.org-article:282c2eb1c5864bfd94e04e6f0a2f53a12021-11-12T11:16:11ZMay the first-line treatment for foreign body aspiration in childhood be flexible bronchoscopy?2452-247310.4103/2452-2473.329631https://doaj.org/article/282c2eb1c5864bfd94e04e6f0a2f53a12021-01-01T00:00:00Zhttp://www.turkjemergmed.org/article.asp?issn=2452-2473;year=2021;volume=21;issue=4;spage=184;epage=188;aulast=Yukselhttps://doaj.org/toc/2452-2473INTRODUCTION: 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.Hasan YukselAdem YaşarArzu Açıkelİsmet TopçuÖzge YılmazWolters Kluwer Medknow Publicationsarticleaspirationchildhoodflexible bronchoscopyforeign bodytreatmentMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENTurkish Journal of Emergency Medicine, Vol 21, Iss 4, Pp 184-188 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	aspiration childhood flexible bronchoscopy foreign body treatment Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	aspiration childhood flexible bronchoscopy foreign body treatment Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Hasan Yuksel Adem Yaşar Arzu Açıkel İsmet Topçu Özge Yılmaz May the first-line treatment for foreign body aspiration in childhood be flexible bronchoscopy?
description	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.
format	article
author	Hasan Yuksel Adem Yaşar Arzu Açıkel İsmet Topçu Özge Yılmaz
author_facet	Hasan Yuksel Adem Yaşar Arzu Açıkel İsmet Topçu Özge Yılmaz
author_sort	Hasan Yuksel
title	May the first-line treatment for foreign body aspiration in childhood be flexible bronchoscopy?
title_short	May the first-line treatment for foreign body aspiration in childhood be flexible bronchoscopy?
title_full	May the first-line treatment for foreign body aspiration in childhood be flexible bronchoscopy?
title_fullStr	May the first-line treatment for foreign body aspiration in childhood be flexible bronchoscopy?
title_full_unstemmed	May the first-line treatment for foreign body aspiration in childhood be flexible bronchoscopy?
title_sort	may the first-line treatment for foreign body aspiration in childhood be flexible bronchoscopy?
publisher	Wolters Kluwer Medknow Publications
publishDate	2021
url	https://doaj.org/article/282c2eb1c5864bfd94e04e6f0a2f53a1
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May the first-line treatment for foreign body aspiration in childhood be flexible bronchoscopy?

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