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Year : 2003  |  Volume : 5  |  Issue : 1  |  Page : 10-14

Diagnosis of foreign body aspiration in children

Department of Otolaryngology, King Saud University, Faculty of Medicine, Riyadh, Kingdom of Saudi Arabia

Correspondence Address:
MD, FKSU Ahmed Y Al-Ammar
King Abulaziz University Hospital, P.O Box 61419, Riyadh 11565
Kingdom of Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-8491.289559

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Objective: To assess the diagnostic value of symptoms, signs, and imaging studies of Iaryngo-tracheo- bronchial foreign bodies (FBS). Methods: A retrospective analysis of data available from files of 39 consecutive children with presumptive diagnosis of FB aspiration. Based on bronchoscopic findings children were divided into group A (30 children) with FB aspiration, and group B (9 children) no FB aspiration. Comparison between findings in each group was carried out. Result: History, considering coughing and choking together, had a sensitivity of 67% and specificity of 78% for FB aspiration. The combination of unilateral reduction of air entry with wheezing resulted in a specificity of 100%, however, with a sensitivity of 17% only for FB aspiration. Chest radiograph was found to have a sensitivity of 57% and a specificity of 50% for FB aspiration. Conclusion: The diagnosis of aspirated FBs should take an advantage of all the available indicators of airway FBS, and above all implement high index of suspicion. This study shows that history seems to have a more diagnostic value than physical examination and chest radiography

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