Endoscopic removal of tracheobronchial foreign bodies: results on a series of 51 pediatric patients
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In brief
In brief
Retrospective study of 51 pediatric patients demonstrating that flexible bronchoscopy with Dormia basket achieved higher success rates (97%) and shorter procedure times compared to rigid bronchoscopy for tracheobronchial foreign body removal. FOB proved effective as both diagnostic and therapeutic approach, particularly for peripherally located foreign bodies.
Written by the GCMD Library team from the article.
Abstract
Purpose
Rigid bronchoscopy (RB) is still considered the gold standard approach for the removal of airway foreign bodies (FBs) in children; however, flexible bronchoscopy (FOB) has recently been proposed both as diagnostic and therapeutic means. Our purpose was to evaluate the outcomes of FOB, associated with the Dormia basket, for the removal of FBs.
Methods
Retrospective data about 124 children who underwent bronchoscopy for the suspicion of a FB aspiration between January 2008 and January 2019 in our department were collected.
Results
In a total of 51 cases, FBs were removed through FOB or RB associated with forceps or Dormia basket. Male to female ratio was 1.8:1, mean age 30 ± 26.1 months. Thirty-four (67%) FBs were directly removed through FOB, in most of the cases using Dormia basket and twelve (23%) patients underwent RB. The overall left-versus-right distribution was 57% vs. 43%. The mean retrieval procedural time was 36.29 ± 24.99 min for FOB and 52.5 ± 29.74 min for RB; the success rate of the procedures was 97% vs. 67%.
Conclusion
FOB can be used not only as a diagnostic procedure, but also as the first method for the removal of airway FBs. The Dormia basket is a useful tool, especially to remove peripherally located FBs.