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May 1989

Tracheobronchial Foreign Bodies: A Persistent Problem in Pediatric Patients

Author Affiliations

From the Departments of Otolaryngology (Dr Puhakka), Radiology (Dr Svedstrom), and Pediatrics (Drs Kero and Iisalo and Ms Valli) and University Central Hospital (Drs Puhakka, Svedstrom, Kero, and Iisalo and Ms Valli), Turku, Finland.

Am J Dis Child. 1989;143(5):543-545. doi:10.1001/archpedi.1989.02150170041016

• Extraction of a foreign body from the tracheobronchial tree was accomplished for 83 children. The mean age was 1 year 9 months for the 27 girls and 3 years 1 month for the 56 boys; 46 children (55%) were younger than 2 years of age. Sixteen (19%) of the foreign bodies were radiopaque, and 35 (42%) were either verified or suspected radiologically before endoscopy. Forty-one foreign bodies (49%) were situated in the right bronchial tree. Extraction was successful in 81 children (98%) and was performed on 50 children (60%) during the first 24 hours. Twenty-five (30%) of the foreign bodies were peanuts. Three children experienced a residual foreign body, without serious complications. We believe that an open tube bronchoscopy should be performed whenever abnormal stridor or cough is observed in a healthy child and when appropriate antibiotic therapy is unsuccessful.

(AJDC. 1989;143:543-545)