Foreign Body Removal by Flexible Bronchoscopy Using Retrieval Basket in Children

Foreign Body Removal by Flexible Bronchoscopy Using Retrieval Basket in Children

Foreign Body Removal by Flexible Bronchoscopy Using Retrieval Basket in Children

(포스터):
Release Date : 2017. 10. 26(목)
Kyunghoon Kim, Hye Jin Lee, Eun Ae Yang, Hwan Soo Kim, Yoon Hong Chun, Jong-Seo Yoon, Jin Tack Kim , Hyun Hee Kim
Catholic University College of Medicine Department of Pediatrics1
김경훈, 이혜진 , 양은애, 김환수, 전윤홍, 윤종서, 김현희 , 김진택
가톨릭대학교 의과대학 소아청소년과1

Abstract

Introduction: Aspiration of foreign bodies into the tracheobronchial tree is a common accident in children. This study aimed to evaluate the safety and outcome of foreign body removal by flexible bronchoscopy using a retrieval basket in children. Methods: This was a retrospective study of children treated for foreign bodies in the airway via flexible bronchoscopy using a retrieval basket at a tertiary hospital in Korea between January, 2014 and July, 2017. The medical records of the patients were retrospectively reviewed and analyzed. Results: A total of 17 children underwent foreign body removal from the airway via flexible bronchoscopy using a retrieval basket. The median age of the patients was 13 (range, 8-48) months, and 11 (64.7%) were male. Foreign bodies removed included 13 (76.5%) organic items including peanuts, almond, beans; and 4 (23.5%) inorganic items including a plastic bag, metal screw, spring, and lego brick. The locations of the foreign bodies were as follows: 5 in the central airway (trachea, n=4; subglottic area, n=1), 7 in the right bronchial tree, and 5 in the left bronchial tree. Successful removal was observed in 15 (88.2%) cases. The only complication that occurred was mild laryngeal edema (n=2) after the procedure; both improved with corticosteroid administration. Conclusion: Flexible bronchoscopic extraction of foreign body in the airway using a retrieval basket in children can be performed successfully with minimal complications.

Keywords: Foreign body aspiration in children, Flexible bronchoscopy, Retrieval basket