Abstract
Objective: To examine the diagnostic and therapeutic role of fiber-optic and rigid bronchoscopy in pediatric patients with foreign body inhalations. Methods: From January 1986 to December 2004, we observed 128 young patients with suspicion of foreign body aspiration. Patients were divided into 3 groups: group I, patients with negative chest X‐ray; group II, patients with radiological direct signs; group III, patients with radiological indirect signs. Results: Removal of the foreign body was effected in 105 patients by rigid bronchoscopy and in 13 patients by fiber-optic bronchoscopy. In 3 group II patients a thoracotomy with a bronchotomy was necessary. Conclusions: Fiber-optic bronchoscopy showed a diagnostic accuracy rate of 100 % but played a poor therapeutic role with a case resolution of 10.7 %. Rigid bronchoscopy was the main technique, permitting the removal of the tracheobronchial foreign body in 97.2 % of patients.
Key words
thoracic surgery - rigid bronchoscopy - fiber‐optic bronchoscopy - diagnosis - surgical treatment
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Dr. PhD Duilio Divisi
Thoracic Surgery
“G. Mazzini” Hospital of Teramo
University of L'Aquila
Circonvallazione Ragusa 39
64100 Teramo
Italy
Phone: + 39 8 61 42 94 82
Fax: + 39 8 61 42 94 78
Email: duilio.divisi@virgilio.it
