Foreign Body in the Tracheobronchial Tree

• Published in: Clinical pediatrics 1997-12, Vol.36 (12), p.701-705
• Main Authors: Cataneo, Antonio José Maria, Reibscheid, Samuel Marek, Ruiz, Raul Lopes, Ferrari, Giesela Fleischer
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Aged; Airway Obstruction - etiology; Arachis - adverse effects; Biological and medical sciences; Bronchi; Bronchiectasis - etiology; Bronchiectasis - surgery; Bronchoscopy; Child; Child, Preschool; Chronic Disease; Cough - etiology; Dyspnea - etiology; Fabaceae - adverse effects; Female; Fever - etiology; Foreign Bodies - complications; Foreign Bodies - diagnostic imaging; Foreign Bodies - surgery; Foreign Bodies - therapy; Humans; Infant; Inhalation; Male; Medical sciences; Middle Aged; Plants, Medicinal; Pneumology; Pneumonia - etiology; Pulmonary Atelectasis - diagnostic imaging; Radiography; Respiratory Insufficiency - etiology; Respiratory Sounds - etiology; Respiratory system : syndromes and miscellaneous diseases; Retrospective Studies; Thoracotomy; Trachea; Zea mays - adverse effects
• ISSN: 0009-9228; 1938-2707
• DOI: 10.1177/000992289703601206

A 20-year experience with the treatment of 74 patients (83.8% children) for foreign body aspiration is reviewed. The object of this review is to show the clinical manifestations, the radiological findings, the nature and distribution in the bronchial tree, and complications due to longstanding (months or years) foreign bodies in the bronchial tree. The most common foreign bodies found were peanuts (13.5%), corn (13.5%), and beans (13.5%). The most frequent clinical manifestation was choking (67.5%), and the most frequent radiological finding was atelectasis (41.8%). The most serious complication was bronchiectasis needing resection in six patients who had the foreign body retained for years in the bronchial tree. In conclusion, in spite of an obvious foreign body in the tracheobronchial tree many cases are not diagnosed, and a longstanding foreign body in the airway may be responsible for irreversible complications.