Analyses of diagnosis and treatment of foreign body aspiration in children with tracheobronchial variations
10.3760/cma.j.issn.1673-0860.2019.10.010
- VernacularTitle: 合并气管畸形的儿童气管支气管异物诊疗分析
- Author:
Weiwei WANG
1
;
Huijuan CHENG
2
;
Meng LI
3
;
Zhihua YIN
1
;
Zhanwei SUN
1
;
Shichao LI
1
;
Tianyi WU
1
;
Guangke WANG
1
Author Information
1. Department of Otorhinolaryngology and Head and Neck Surgery, Henan Province People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou 450003, China
2. Department of Otorhinolaryngology and Head and Neck Surgery, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
3. Department of Otorhinolaryngology, Children's Hospital Affilicated to Zhengzhou University, Zhengzhou 450053, China
- Publication Type:Journal Article
- Keywords:
Respiratory system abnormalities;
Foreign body;
Bronchoscopy;
Child
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2019;54(10):760-763
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the key issues in the diagnosis and treatment of foreign body aspiration in children with tracheobronchial variations.
Methods:A retrospective study was performed for 11 pediatric patients who were treated in Department of Otorhinolaryngology and Head and Neck Surgery, Henan Province People′s Hospital after a diagnosis of foreign body aspiration with tracheobronchial variations between January 2015 and December 2017. There were 7 males and 4 females among the 11 cases of foreign body aspiration with tracheobronchial variations, ranging between 9 months and 11 years of age.
Results:Among 11 cases, the types of variationswere tracheal bronchus in 9 cases, bridging bronchus in 1 case and simple tracheal stenosis in 1 case. All of the pediatric patients were under general anesthesia, and the foreign bodies were removed by bronchoscopy successfully with no significant complications.
Conclusions:The possibility of tracheobronchial variations should be considered in children with recurrent wheezing and poor efficacy of regular treatment before foreign body aspiration. Removal of foreign body via rigid bronchoscope under general anesthesia is a safe and effective treatment. These children are needed to combine the situation oftracheobronchial variations and the location of foreign bodies to guide the operation, and strengthened the perioperative treatment.
