Foreign body aspiration in children

Fabio Midulla, Roberto Guidi, Angelo Barbato, Paolo Capocaccia, Nicola Forenza, Gianluigi Marseglia, Massimo Pifferi, Corrado Moretti, Enea Bonci, Fernando Maria De Benedictis

Research output: Contribution to journalArticle

68 Citations (Scopus)

Abstract

Background: The aim was to investigate the role of physical and radiological findings before bronchoscopy in the diagnosis of foreign body aspiration (FBA). Methods: We retrospectively reviewed the clinical records for 82 patients (mean age 26.4 ± 21.4 months, range 9 months to 13.5 years; 49 males) with a history suggestive of foreign body aspiration. Results: The presence of a foreign body in the airways was confirmed in 70 children (85.4%) (mean age 25 ± 14.1 months, 45 boys). Of the 70 children, 63 patients (90%) were under 3 years of age, with a peak incidence during the second year. Of the 70 foreign bodies retrieved, 46 (60%) were vegetable and 35 (76%) of these were nuts. In 42% of the patients the foreign body was located in the right bronchial tree. The most frequent physical findings observed in our patients were persistent cough (75%), localized decreased breath sound (62.8%) and localized wheezing (30%). The clinical triad (concomitant cough, localized wheezing and decreased breath sound) was present in 11 patients (15.7%). All clinical findings had a high positive predictive value with poor sensitivity. In 11 patients (20%) chest X-rays were normal. Five foreign bodies (9.1%) were radiopaque. The most frequent radiological findings observed were localized air trapping (43.6%), followed by atelectasis (40%). The diagnostic sensitivity was 80% and the specificity 33% for the presence of a single positive radiological finding. Conclusions: Our study confirmed that clinical symptoms and radiological findings before bronchoscopy have a low diagnostic value in children with a history of FBA.

Original languageEnglish
Pages (from-to)663-668
Number of pages6
JournalPediatrics International
Volume47
Issue number6
DOIs
Publication statusPublished - Dec 2005

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Foreign Bodies
Respiratory Sounds
Bronchoscopy
Cough
Nuts
Pulmonary Atelectasis
Vegetables
Thorax
History
Air
X-Rays
Incidence

Keywords

  • Bronchoscopy
  • Children
  • Foreign body aspiration

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Midulla, F., Guidi, R., Barbato, A., Capocaccia, P., Forenza, N., Marseglia, G., ... De Benedictis, F. M. (2005). Foreign body aspiration in children. Pediatrics International, 47(6), 663-668. https://doi.org/10.1111/j.1442-200x.2005.02136.x

Foreign body aspiration in children. / Midulla, Fabio; Guidi, Roberto; Barbato, Angelo; Capocaccia, Paolo; Forenza, Nicola; Marseglia, Gianluigi; Pifferi, Massimo; Moretti, Corrado; Bonci, Enea; De Benedictis, Fernando Maria.

In: Pediatrics International, Vol. 47, No. 6, 12.2005, p. 663-668.

Research output: Contribution to journalArticle

Midulla, F, Guidi, R, Barbato, A, Capocaccia, P, Forenza, N, Marseglia, G, Pifferi, M, Moretti, C, Bonci, E & De Benedictis, FM 2005, 'Foreign body aspiration in children', Pediatrics International, vol. 47, no. 6, pp. 663-668. https://doi.org/10.1111/j.1442-200x.2005.02136.x
Midulla F, Guidi R, Barbato A, Capocaccia P, Forenza N, Marseglia G et al. Foreign body aspiration in children. Pediatrics International. 2005 Dec;47(6):663-668. https://doi.org/10.1111/j.1442-200x.2005.02136.x
Midulla, Fabio ; Guidi, Roberto ; Barbato, Angelo ; Capocaccia, Paolo ; Forenza, Nicola ; Marseglia, Gianluigi ; Pifferi, Massimo ; Moretti, Corrado ; Bonci, Enea ; De Benedictis, Fernando Maria. / Foreign body aspiration in children. In: Pediatrics International. 2005 ; Vol. 47, No. 6. pp. 663-668.
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AU - Marseglia, Gianluigi

AU - Pifferi, Massimo

AU - Moretti, Corrado

AU - Bonci, Enea

AU - De Benedictis, Fernando Maria

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