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Bronchoscopic techniques for removal of foreign bodies in children's airways.
INTRODUCTIONThe management of airway foreign bodies (AFB) can be a dramatic situation in the emergency treatment of children and different techniques have been used to improve the therapeutic success and minimize risks.
OBJECTIVEto describe the bronchoscopic techniques used in the treatment of AFB in children referred to the Service of Respiratory Endoscopy of HC-FMUSP.
PATIENTS AND METHODSRetrospective analysis of 78 children who underwent bronchoscopy for foreign body removal, at our Service from February 2003 to April 2008.
RESULTS78 patients with an AFB, aged 08 months to 14 years, with 39 being organic and 39 inorganic foreign bodies. Nine foreign bodies were located in the central airway (four in the larynx and five in the trachea), 34 in the right bronchial tree and 33 in the left bronchial tree. There was bilateral aspiration in two cases. All patients were initially submitted to diagnostic flexible bronchoscopy. A rigid bronchoscope was used in 39 cases; a flexible bronchoscope in 23 and an association of techniques in 15 cases (rigid bronchoscopy, flexible bronchoscopy, suspension laryngoscopy, and fluoroscopy).
DISCUSSIONAlthough the rigid bronchoscopy is considered the main tool for the removal of foreign bodies from airways, other useful techniques deserve attention as part of the medical training.
CONCLUSIONThe knowledge and association of different methods in pediatric bronchoscopy add the benefits of one method to another, minimizing the chances of therapeutic failure.
Service of Respiratory Endoscopy of Hospital das Clinicas, FMUSP Prédio dos Ambulatórios, São Paulo SP, Brasil. firstname.lastname@example.org, , , , , ,
Pediatric pulmonology 47:1 2012 Jan pg 59-62
Pub Type(s)Journal Article