Korean Journal of Bronchoesophagology (대한기관식도과학회지)

The Korean Bronchoesophagological Society (대한기관식도과학회)
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Clinical Analysis for 120 Cases with Pediatric Airway Foreign Bodies

유소아 기도 이물의 임상 양상과 환기형 기관지 내시경술의 결과 : 서울대 병원의 경험 120례

  • Cha, Won-Jae (Department of Otorhinolaryngology, Seoul National University College of Medicine) ;
  • Choi, Hyo-Geun (Department of Otorhinolaryngology, Seoul National University College of Medicine) ;
  • Moon, Sung-Joong (Department of Otorhinolaryngology, Seoul National University College of Medicine) ;
  • Hah, J.-Hun (Department of Otorhinolaryngology, Seoul National University College of Medicine) ;
  • Sung, Myung-Whun (Department of Otorhinolaryngology, Seoul National University College of Medicine) ;
  • Kim, Kwang-Hyun (Department of Otorhinolaryngology, Seoul National University College of Medicine)
  • 차원재 (서울대학교 의과대학 이비인후과학교실) ;
  • 최효근 (서울대학교 의과대학 이비인후과학교실) ;
  • 문성중 (서울대학교 의과대학 이비인후과학교실) ;
  • 하정훈 (서울대학교 의과대학 이비인후과학교실) ;
  • 성명훈 (서울대학교 의과대학 이비인후과학교실) ;
  • 김광현 (서울대학교 의과대학 이비인후과학교실)
  • Published : 2006.12.26
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Abstract

Backgroud and Objectives: Inhalation of foreign bodies in respiratory tract can be fatal to infants and child. After ventilating bronchoscopy technique was widelyused, most of the pediatric airway foreign bodies could be managed effectively. In this study, we aimed to analyze clinicalfeatures and outcomes of ventilating bronchoscopic removal of pediatric airway foreign bodies. Materials and Methods: One hundred twenty cases of ventilating bronchoscopy for pediatric airway foreign bodies at Seoul National University Hospital for the past 15 years were analyzed retrospectively. Results: In 120 cases, sex ratio (male: female) was 2.2:1 and mean age was 27.0 months. Most frequent type of airway foreign was peanut (60.2%). One hundred thirteen patients, in whom a foreign body was confirmed in the airway, were successfully managed by ventilating bronchoscopy. Delayed diagnosis and management made a significantly long postoperative hospital stay. Conclusion: Great care must be given when feeding young children, especially younger than 36 months, with nuts. Early intervention with ventilating bronchoscopy following a clinical suspicion is critical to successful treatment.

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