Back to Journals » Therapeutics and Clinical Risk Management » Volume 11

Tracheobronchial foreign bodies in children – a retrospective study of 2,000 cases in Northwestern China

Authors Liang J, Hu J, Chang H, Gao Y, Luo H, Wang Z, Zheng G, Chen F, Wang T, Yang Y, Kou X, Xu M, li X, xu M

Received 14 April 2015

Accepted for publication 24 June 2015

Published 28 August 2015 Volume 2015:11 Pages 1291—1295


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 4

Editor who approved publication: Professor Deyun Wang

Jianmin Liang,1 Juan Hu,1 Huimin Chang,2 Ying Gao,1 Huanan Luo,1 Zhenghui Wang,1 Guoxi Zheng,1 Fang Chen,1 Ting Wang,1 Yeye Yang,1 Xiaohui Kou,1 Min Xu1

1Department of Otolaryngology-Head and Neck Surgery, The Second Hospital, Xi’an Jiaotong University, 2Department of Otolaryngology-Head and Neck Surgery, Affiliated Hospital of Xi’an Medical University, Xi’an, People’s Republic of China

Abstract: The aim of this study is to report our experience in the diagnosis and treatment of tracheobronchial foreign bodies (TFBs). We retrospectively reviewed medical records of 2,000 TFB patients (1,260 males and 740 females) who were treated between January 2010 and December 2013. Chest radiography and computed tomography were performed to diagnose TFBs. The location and type of foreign bodies (FBs), anesthesia methods, and treatment outcomes and complications were analyzed. Overall, 72.5% of our patients with TFB were aged between 1 years and 3 years. Plant-based FBs are the most common FB type, accounting for 91.5%. Almost 52.1% of the FBs were encountered in the right bronchus. The coincidence rate for computed tomography-based three-dimensional reconstruction was significantly greater than that for chest X-ray examination (98.7% vs 82.0%, P<0.01). Under general anesthesia, the FBs were removed by rigid bronchoscopy. Neither anesthesia complication nor intraoperative hypoxemia occurred. There were seven deaths from acute obstructive asphyxia and eight from residual FB-induced chronic asphyxia and respiration-circulation failure. In conclusion, early diagnosis and prompt treatment of TFBs with rigid bronchoscopy under general anesthesia is effective in reducing complications and mortality in affected children.

Keywords: respiratory tract foreign body, children, diagnosis, treatment

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]


Other articles by this author:

Psychological intervention improves life quality of patients with laryngeal cancer

Li XL, Li JJ, Shi YX, Wang T, Zhang AL, Shao N, Wang ZH

Patient Preference and Adherence 2017, 11:1723-1727

Published Date: 5 October 2017

Delivery of sodium morrhuate to hemangioma endothelial cells using immunoliposomes conjugated with anti-VEGFR2/KDR antibody

Li XL, Ren XY, Liang JM, Ma WJ, Wang ZH, Yang ZQ

International Journal of Nanomedicine 2017, 12:6963-6972

Published Date: 19 September 2017

Management of traumatic tympanic membrane perforation: a comparative study

Gao TX, Li XL, Hu J, Ma WJ, Li JJ, Shao N, Wang ZH

Therapeutics and Clinical Risk Management 2017, 13:927-931

Published Date: 24 July 2017

Readers of this article also read:

Perioperative management of hemophilia patients receiving total hip and knee arthroplasty: a complication report of two cases

Tateiwa T, Takahashi Y, Ishida T, Kubo K, Masaoka T, Shishido T, Sano K, Yamamoto K

Therapeutics and Clinical Risk Management 2015, 11:1383-1389

Published Date: 15 September 2015

National consumption of opioid and nonopioid analgesics in Croatia: 2007–2013

Krnic D, Anic-Matic A, Dosenovic S, Draganic P, Zezelic S, Puljak L

Therapeutics and Clinical Risk Management 2015, 11:1305-1314

Published Date: 28 August 2015

Green synthesis of water-soluble nontoxic polymeric nanocomposites containing silver nanoparticles

Prozorova GF, Pozdnyakov AS, Kuznetsova NP, Korzhova SA, Emel’yanov AI, Ermakova TG, Fadeeva TV, Sosedova LM

International Journal of Nanomedicine 2014, 9:1883-1889

Published Date: 16 April 2014

Methacrylic-based nanogels for the pH-sensitive delivery of 5-Fluorouracil in the colon

Ashwanikumar N, Kumar NA, Nair SA, Kumar GS

International Journal of Nanomedicine 2012, 7:5769-5779

Published Date: 15 November 2012

Cross-linked acrylic hydrogel for the controlled delivery of hydrophobic drugs in cancer therapy

Deepa G, Thulasidasan AK, Anto RJ, Pillai JJ, Kumar GS

International Journal of Nanomedicine 2012, 7:4077-4088

Published Date: 27 July 2012

Crystallization after intravitreal ganciclovir injection

Pitipol Choopong, Nattaporn Tesavibul, Nattawut Rodanant

Clinical Ophthalmology 2010, 4:709-711

Published Date: 14 July 2010