Risk factors for difficult removal of tracheobronchial foreign bodies in children by rigid bronchoscopy

作者全名："Ding, Ling; Su, Xiujing; Yang, Dazhi; Yao, Hongbing; Xiao, Ling"

作者地址："[Ding, Ling; Su, Xiujing; Yang, Dazhi; Yao, Hongbing; Xiao, Ling] Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders, Dept Otolaryngol Head & Neck Surg, Minist Educ,Key Lab Child Dev & Disorders,Children, Chongqing, Peoples R China; [Xiao, Ling] 20 Jinyu Rd, Chongqing, Peoples R China"

通信作者："Xiao, L (通讯作者)，20 Jinyu Rd, Chongqing, Peoples R China."

来源：INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000982211500001

JCR分区：Q3

影响因子：1.2

年份：2023

卷号：168

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：Tracheobronchial; Foreign body; Aspiration; Children; Rigid bronchoscopy; Difficult removal

摘要："Objective: To characterize the risk factors for difficult removal of tracheobronchial foreign body (FB) by rigid bronchoscopy in children.Methods: We retrospectively analyzed clinical data of 1026 pediatric patients (age: 0-18 years) diagnosed with tracheobronchial FB between September 2018 and August 2021. All patients underwent rigid bronchoscopy as the first intervention at our hospital.Results: Children aged 1-3 years accounted for 83.7% cases in our cohort. The most common symptoms were cough and wheeze. FBs were more frequently found in the right bronchus, and trachea FBs accounted for only 8.19% cases. The success rate of rigid bronchoscopy in a single attempt was 97.27%. 12.18% of the cases were defined as difficult removal of FB. On univariate analysis, age, CT findings (pneumonia), type of FB, diameter of FB, FB location, granulation tissue formation, and the seniority of the surgeon were identified as risk factors for difficult removal of tracheobronchial FBs. On multivariate analysis, age >= 3 years, FB diameter >= 10 mm, FBs located in left bronchus, multiple FBs, granulation tissue, and the seniority of surgeon (<3 years, >= 5 years) were independent risk factors for difficult removal.Conclusions: Age, FB diameter, location of FB, granulation tissue formation, and the seniority of the surgeon were risk factors for difficult removal of FBs by rigid bronchoscopy."

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