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Respirology 2019 Feb 25. Epub 2019 Feb 25.

Department of Respiratory Biology, University of Cambridge, Cambridge, UK.

Bronchiectasis has historically been considered to be irreversible dilatation of the airways, but with modern imaging techniques it has been proposed that 'irreversible' be dropped from the definition. The upper limit of normal for the ratio of airway to arterial development increases with age, and a developmental perspective is essential. Bronchiectasis (and persistent bacterial bronchitis, PBB) is a descriptive term and not a diagnosis, and should be the start not the end of the patient's diagnostic journey. Read More

Int J Pediatr Otorhinolaryngol 2019 Mar 7;118:170-176. Epub 2019 Jan 7.

Department of Cardiothoracic Surgery, Children's Hospital, Zhejiang University School of Medicine, China. Electronic address:

Objective: To analyze the causes of residual airway foreign bodies in children who underwent rigid bronchoscopy in order to improve the success rate of primary surgery.

Methods: Clinical data from 1130 children with airway foreign bodies, including 736 males and 394 females aged 0.42-14 years, who underwent rigid bronchoscopy in our hospital from January 2015 to May 2018 were retrospectively collected and analyzed by cluster sampling. Read More

Pediatr Emerg Care 2018 Nov 19. Epub 2018 Nov 19.

Department of Radiology, British Columbia Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada.

Objectives: Radiographic survey of the entire aerodigestive tract (nares to anus) is common practice in children presenting to the emergency department following coin ingestion. The purpose of our study was to determine the optimal protocol for radiographic survey post-coin ingestion. We hypothesized that for children presenting with a clear history of coin ingestion a frontal chest radiograph including the entire esophagus is adequate to guide treatment. Read More

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Aug;32(16):1276-1277

A 9 year-old boy suffering from cough for half a month, fever for 4 days was hospitalized. CT three-dimensional reconstruction showed that a metallic needle-like foreign body within the right main bronchial with pneumonia and atelectasis. In the next day, the boy took examination using an open-tube rigid bronchoscope under general anesthesia. Read More

Pediatr Emerg Care 2018 Aug;34(8):e139-e140

Division of Pediatric Emergency Medicine, Department of Pediatrics, University of Minnesota, Minneapolis, MN.

Stridor is a common presenting symptom in young children and is produced by turbulent flow through the upper airway or trachea. In children under 12 months of age, stridor is commonly caused by laryngomalacia, tracheomalacia, croup, airway foreign body, and/or retropharyngeal abscess. In atypical presentations of stridor, soft tissue neck radiographs can be helpful to determine the underlying etiology. Read More

Otolaryngol Clin North Am 2018 Oct 19;51(5):971-985. Epub 2018 Jul 19.

Department of Otolaryngology, Upper Airway Center, Cincinnati Children's Hospital Medical Center, University of Cincinnati, 3333 Burnet Avenue, MLC 2018, Cincinnati, OH 45229, USA; Department of Pulmonary Medicine, Upper Airway Center, Cincinnati Children's Hospital Medical Center, University of Cincinnati, 3333 Burnet Avenue, MLC 2018, Cincinnati, OH 45229, USA. Electronic address:

Nasal obstruction is one of the most common problems seen by pediatric otolaryngologists. Prompt treatment of nasal obstruction can be critical in newborns and infants because of their obligatory nasal breathing. Older children will typically have more inflammatory, infectious, or traumatic causes of nasal obstruction. Read More

Cir Pediatr 2018 Apr 20;31(2):81-84. Epub 2018 Apr 20.

Servicio de Cirugía Pediátrica. Hospital Universitario La Paz. Madrid.

Introduction: Foreign body aspiration (FBA) is a potentially life-threatening event, and is the leading cause of death in children after road traffic injuries. If suspected, a prompt exploration of the airway should be performed. We present our experience in FBA treatment in the last 10 years. Read More

Respir Med Case Rep 2018 18;24:165-169. Epub 2018 May 18.

Division of Pulmonary and Critical Care Medicine, Department of Medicine, Bronx Care Health System, 1650 Grand Concourse, Bronx, NY 10457, USA.

Central airway obstruction, a frequently encountered emergency, is usually associated with blood clots, tumors, foreign bodies or mucus plugs. Airway obstruction due to blood clots can be seen as a complication of lung malignancies, infections, bronchiectasis, arteriovenous malformations or pulmonary infarction. In patients with long standing blood clots, the thrombus gets organized and firmly adherent to the airway. Read More

Radiol Res Pract 2018 18;2018:3835810. Epub 2018 Apr 18.

Department of Radiology, Children's Mercy Hospital, 2401 Gillham Rd., Kansas City, MO 64108, USA.

Interpretation of radiolucent foreign bodies (FBs) is a common task charged to pediatric radiologists. The use of a motion compensated technique to decrease breathing motion on images would greatly decrease overall exposure to ionizing radiation and increase access to treatment yielding a great impact on clinical care. This study reports on the methodology and materials used to construct an in-house anthropomorphic phantom for investigating image quality in digital tomosynthesis protocols for volumetric imaging of the pediatric airway. Read More

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2017 Oct;31(19):1492-1495

Department of Otorhinolaryngology,Children's Hospital of Anhui Province.

To explore the clinical value of MDCT and post-processing in children with suspected foreign body in trachea.Two hundred patients with suspected tracheal foreign body were treated with 64-slice spiral CT (MDCT) and simulated endoscopic imaging,then compared with seen in bronchoscopy; Compare the results of MDCT and post-processing with the coincidence of intraoperative findings.One hundred and eighty-four cases of positive children were examined by MDCT postprocessing technique and bronchoscopy,179 cases were obstructed by exogenous foreign body,5 cases were phlegm thrombosis (endogenous foreign body) obstruction; 16 cases of children with no foreign body diagnosed by MDCT post-processing technique were also examined by bronchoscopy. Read More

Am J Otolaryngol 2018 Jul - Aug;39(4):464-466. Epub 2018 Apr 18.

Boston University School of Medicine, Department of Otolaryngology - Head and Neck Surgery, Boston, MA 02118, United States. Electronic address:

Objective: Upper aero-digestive tract foreign body management can be complicated and life threatening in both adult and pediatric populations. The variation seen with foreign bodies including shape, material, and duration of ingestion can impact clinical decision making and management. The objective of this report is to demonstrate a complicated case of upper airway obstruction by a plastic fork. Read More

J Otolaryngol Head Neck Surg 2018 Apr 10;47(1):26. Epub 2018 Apr 10.

Pediatric Otolaryngology, Divisions of Otolaryngology Head & Neck Surgery and Pediatric Surgery, Department of Surgery, The Stollery Children's Hospital & University of Alberta Hospitals, 2C3.57 Walter MacKenzie Centre, Edmonton, Alberta, T6G 2R7, Canada.

Distally impacted chronic tracheobronchial sharp foreign bodies in children are a management challenge that presents with clinical subtlety and extreme variability. The use of image guided techniques, imaginative instrumentation, tracheotomy, thoracotomy, and even extracorporeal membrane oxygneation have been reported. Endoscopy is made difficult by the distal location, inflammatory reaction with granulation tissue formation, and bleeding obscuring the foreign body. Read More

J Neurointerv Surg 2018 Jul 7;10(7):e18. Epub 2018 Apr 7.

Department of Radiology, University of Michigan Health System, Ann Arbor, Michigan, USA.

Carotid blowout syndrome (CBS) is a known devastating complication of head and neck surgery. The risk of developing CBS increases in the setting of radiation therapy, wound breakdown, or tumor recurrence. Traditionally, the treatment of choice for CBS is surgical ligation of the bleeding artery; however, recently, endovascular occlusion has become a more common option. Read More

Heart Lung Circ 2018 Aug 8;27(8):e89-e92. Epub 2017 Oct 8.

Interventional Pulmonology Section, Pulmonary Critical Care and Sleep Division, Department of Medicine, Westchester Medical Center, Valhalla, NY, USA.

Iron Pill Aspiration (IPA) is a challenging medical condition that requires prompt management to prevent detrimental outcomes. One of the most serious complications of IPA is airway inflammation which commonly leads to severe obstruction. Airway complications may require surgical intervention including the resection of the affected lung. Read More

Respirol Case Rep 2018 04 15;6(3):e00301. Epub 2018 Feb 15.

Department of Biomedical and Dental Sciences and Morphofunctional Imaging Azienda Ospedaliera Universitaria Policlinico G. Martino Messina Italy.

A laryngeal foreign body (FB) is a significant, life-threatening event in the paediatric population. Incomplete airways obstruction by a thin, laminar, radiolucent FB lodged in the glottis or supraglottis is a rare occurrence that may present with non-specific symptoms, absence of chest findings, and normal radiographic investigations, resulting in misdiagnosis, delay in diagnosis, or prolonged recovery. We report two cases of 10-month-old male infants, each with a thin radiolucent FB lodged between the vocal folds that was detected with low-dose multidetector computed tomography (MDCT) and thin-slice reconstruction. Read More

J Bronchology Interv Pulmonol 2018 Jul;25(3):228-230

John and Doris Norton Thoracic Institute, Phoenix, AZ.

Anasthesiol Intensivmed Notfallmed Schmerzther 2018 Jan 10;53(1):48-60. Epub 2018 Jan 10.

Both ingestion and aspiration of foreign bodies are common events in children. If a child had something in his mouth and thereafter respiratory or swallowing complaints occur, both aspiration and ingestion are possible causes. Both events can be immediately life threatening or, if a direct threat is absent, cause significant long-term impairments for the children. Read More

J Radiol Case Rep 2017 Jun 30;11(6):1-5. Epub 2017 Jun 30.

Department of Radiology, Geisinger Medical Center, Danville, USA.

The epiglottis plays an important role in preventing food of different consistencies from entering the airway during swallowing. Calcification of epiglottis can, potentially, alter and limit its movement causing aspiration amongst other swallowing problems. Isolated calcification of the epiglottis and its clinical presentation remains a poorly understood entity for radiologists as well as clinicians. Read More

Singapore Med J 2018 07 3;59(7):356-359. Epub 2018 Jan 3.

Department of Diagnostic Imaging, National University Hospital, Singapore.

Introduction: Ossification of the cricoid ridge mimicking impacted upper aerodigestive tract fish bone has been described in several case reports. We performed this study to determine the prevalence of such ossification in an adult population from Singapore and to identify specific imaging features that may aid in differentiating patients with cricoid ridge ossification from those with an upper aerodigestive tract impacted fish bone.

Methods: We retrospectively evaluated 442 lateral neck radiographs of patients aged 16 years and above that were taken at the adult emergency department at National University Hospital, Singapore, during the four-month period between 1 September 2014 and 31 December 2014. Read More

Indian Pediatr 2017 Nov;54(11):963-965

Departments of Pediatrics and *Radiology, University College of Medical Sciences (University of Delhi) and GTB Hospital, Dilshad Garden, Delhi, India. Correspondence to: Dr Dheeraj Shah, Professor, Department of Pediatrics, University College of Medical Sciences and GTB Hospital, Dilshad Garden, Delhi 110 095, India.

Background: Foreign bodies in the airway can be a diagnostic and therapeutic challenge.

Case Characteristics: 30-month-old girl with complaints of noisy and fast breathing following fall over a pile of sand. Sand was suctioned out by direct bronchoscopy. Read More

J Prosthodont 2018 Jul 16;27(6):492-495. Epub 2017 Nov 16.

West China School of Stomatology, Sichuan University, Chengdu, China.

Accidental aspiration or ingestion can occur in dental treatment, as most procedures are performed with the patient in a supine position or semi-recumbent position. Aspiration of foreign bodies commonly causes acute symptoms such as violent coughing, choking, and dyspnea; however, if foreign bodies are stuck distally to the lower lobe bronchi or the bronchus intermedius, acute presentation can be rare. This clinical report documents a 68-year-old male patient who accidentally aspirated an all-zirconia crown during the try-in procedure. Read More

Zhongguo Dang Dai Er Ke Za Zhi 2017 Nov;19(11):1174-1179

Department of Pediatrics, Guizhou People's Hospital, Guiyang 550002, China.

Objective: To investigate the significance of flexible bronchoscopy in children with respiratory diseases.

Methods: A retrospective analysis was performed for the clinical data of 80 children who were hospitalized due to respiratory diseases (including severe pneumonia, Mycoplasma pneumoniae pneumonia with atelectasis/lung consolidation/local emphysema, protracted pneumonia, coughing and wheezing of unknown cause, chronic cough of unknown cause, and laryngeal stridor) and who underwent flexible bronchoscopy/alveolar lavage.

Results: Bronchoscopy found that all the 80 children had endobronchial inflammation, among whom 28 children had severe airway obstruction by secretion. Read More

Dan Med J 2017 Nov;64(11)

Introduction: Foreign body aspiration (FBA) of the bronchial tree may be a life-threatening condition in children. This retrospective study explores the anamnestic, clinical and objective findings in patients with FBA to the lungs and evaluates the frequency and outcome of the condition in patients in the age group of highest risk.

Method: Medical files from patients below 18 years of age who had a foreign body removed from the lungs in our hospital were extracted using the procedure code for removal of foreign bodies in the lower airways ("Danish Patient Register") in the period 1990-2013. Read More

Int J Pediatr Otorhinolaryngol 2017 Nov 25;102:7-9. Epub 2017 Aug 25.

Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Harvard Medical School, 300 Longwood Ave, Boston, MA 02115, United States.

Foreign body aspiration is a potentially life threatening problem. The successful removal of airway foreign bodies is dependent on positively identifying the object and developing a solution to its extraction prior to attempts at retrieval. Thus, pre-operative radiographic evaluation is essential in the diagnosis and management of foreign body aspiration. Read More

Int J Pediatr Otorhinolaryngol 2017 Nov 19;102:169-173. Epub 2017 Sep 19.

Hôpital Femme Mère Enfant - Hospices Civils De Lyon, Oto-Rhino-Laryngology and Cervico Facial Surgery, Lyon, Rhone, France; Claude Bernard Lyon1 University, Lyon, Rhone, France.

Introduction: A foreign body aspiration is a risky situation, common in pediatric emergency. The "gold standard" to rule out a foreign body or proceed to its extraction, is rigid bronchoscopy (RB) under general anesthesia. However, RB is an intrusive exam with possible complications. Read More

BMJ Case Rep 2017 Sep 21;2017. Epub 2017 Sep 21.

Department of Respiratory Medicine, Royal Preston Hospital, Preston, UK.

Tracheobronchial foreign body (TFB) aspiration is a common occurrence in children compared with adults. Long-standing cases of TFB aspiration during childhood presenting in an adult have rarely been reported. We report the unique case of an endobronchial Playmobil traffic cone that went undetected for 40 years and presented as a suspected bronchogenic carcinoma. Read More

Laryngoscope 2018 02 16;128(2):490-495. Epub 2017 Aug 16.

Division of Otolaryngology-Head and Neck Surgery, University of Utah School of Medicine, Salt Lake City, Utah, U.S.A.

Objectives: To evaluate outcomes of foreign body aspiration (FBA) and to investigate surgeon and hospital volume as risk factors for a complicated course.

Study Design: Retrospective case series.

Methods: Children with FBA in a multihospital network were identified from January 2005 to September 2015. Read More

BMJ Case Rep 2017 Aug 3;2017. Epub 2017 Aug 3.

Division of Anaesthesiology, Pain and Perioperative Medicine, Children's National Health System, Washington, District of Columbia, USA.

Cureus 2017 Jun 12;9(6):e1342. Epub 2017 Jun 12.

Neurosurgery, Ohio Health.

Principles of penetrating head trauma management were established by Harvey Cushing in relation to the management of penetrating brain injuries of World War One. Cushing radically debrided the scalp and skull and aggressively irrigated wound tracks to remove foreign bodies. He would then obtain water-tight closure. Read More

BMJ Case Rep 2017 Jun 15;2017. Epub 2017 Jun 15.

Emergency Department, St Vincent's University Hospital, Dublin, Ireland.

A 23-year-old woman presented to the emergency department (ED) with a sensation of a 'fish bone' stuck in her throat after eating cod. On physical examination, while she reported an uncomfortable sensation in her throat, no airway compromise was evident. Clinical examination, including ear, nose and throat (ENT) and oropharyngeal assessment, was unremarkable. Read More

Niger J Surg 2017 Jan-Jun;23(1):67-70

Department of Surgery, Obafemi Awolowo University, Ile-Ife, Nigeria.

It is unusual but not uncommon for foreign bodies to be missed at bronchoscopy. This case report highlights the importance of the clinical history in the diagnosis of aspirated foreign bodies and the usefulness of chest imaging modalities. A 6-year-old boy presented with recurrent breathlessness and cough of 2 months. Read More

Int J Pediatr Otorhinolaryngol 2017 Jun 30;97:109-112. Epub 2017 Mar 30.

Department of Otorhinolaryngology-Head and Neck Surgery, University of Maryland School of Medicine, Baltimore, MD, United States. Electronic address:

Objectives: The role of airway fluoroscopy in the diagnosis of laryngotracheal anomalies in infants is controversial. We aimed to (i) compare airway fluoroscopic characteristics with endoscopic findings in infants presenting for evaluation of upper airway obstruction and (ii) assess the as low as is reasonably achievable (ALARA) status for airway fluoroscopy as an initial diagnostic test in suspected laryngotracheal anomalies.

Materials And Methods: We performed a retrospective review of children who underwent fluoroscopy and endoscopic evaluation of the airway in the operating room for suspected laryngotracheal anatomic abnormalities. Read More

Ann Thorac Cardiovasc Surg 2017 Aug 28;23(4):200-202. Epub 2017 Apr 28.

Department of General Thoracic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Kagoshima, Japan.

A 56-year-old male who had received transcatheter coil deposition 10 years ago for an arteriovenous malformation (AVM) was admitted to our hospital because of persistent hemosputum. Chest radiograph and bronchoscopy revealed straightened coil bundles in his air way. Recently, less invasive transcatheter intervention has been performed more frequently for treatment of AVM than surgical resection. Read More

Pediatr Pulmonol 2017 10 25;52(10):E58-E60. Epub 2017 Apr 25.

Department of Pediatric Cardiology, Intensive Care Medicine, Pulmonology, Allergology, Klinikum Stuttgart, Olgahospital Stuttgart, Stuttgart, Germany.

A 7 week old infant was admitted with respiratory failure. Chest X-ray showed an atelectatic right upper lobe, herniation of right middle and lower lobe into the left thorax, and compression-atelectasis of the left lung. Thoracic CT showed complete occlusion of the right superior bronchus with a radiopaque foreign material. Read More

BMC Pulm Med 2017 04 13;17(1):61. Epub 2017 Apr 13.

Clinical Epidemiology, Sidra Medical and Research Center, Doha, Qatar.

Background: Foreign Body Aspiration (FBA) is a serious problem in children and delays in diagnosis and management can be devastating. The history is often vague, with subtle physical and chest radiograph abnormalities. This study aims to determine the indications for bronchoscopy in children with suspected FBA and evaluate the key clinical and statistically significant predictors of FBA, based on the patients' historical, physical and radiological findings at presentation. Read More

J Bronchology Interv Pulmonol 2017 Apr;24(2):163-165

*Department of Medicine, St Vincent Hospital, Worcester †Department of Pulmonary and Critical Care, Lahey Hospital and Medical Center, Burlington, MA.

While patients have been known to aspirate pills, they virtually never persist long enough to lead to complications. A spectrum of events, however, may arise especially from iron pill aspiration. If not identified and removed early, cytotoxic damage from local free-radical generation may result in airway damage. Read More

Emerg Radiol 2017 Aug 14;24(4):369-376. Epub 2017 Mar 14.

Pediatric Radiology Section, University of California San Francisco Benioff Children's Hospital, 1975 4th St C1758, San Francisco, CA, 94158, USA.

Purpose: Computed tomography (CT) use in emergency departments represents a significant contribution to pediatric patients' exposure to ionizing radiation. Here, we evaluate whether ultralow-dose chest CT can be diagnostically adequate for other diagnoses and whether model-based iterative reconstruction (MBIR) can improve diagnostic adequacy compared to adaptive statistical iterative reconstruction (ASIR) at ultralow doses.

Methods: Twenty children underwent chest CTs: 10 standard-dose reconstructed with ASIR and 10 ultralow-dose reconstructed with ASIR and MBIR. Read More

J Emerg Med 2017 Aug 21;53(2):195-201. Epub 2017 Feb 21.

Department of Emergency Medicine, The University of Texas Southwestern Medical Center, Dallas, Texas.

Background: Asthma is a common diagnosis or preexisting condition, and many patients with acute asthma exacerbation may present to the emergency department with wheezing and respiratory distress. However, many conditions may mimic this presentation.

Objectives: This review provides an overview of common asthma mimics and an approach to evaluation and management. Read More

J Emerg Med 2017 05 27;52(5):e201-e202. Epub 2017 Jan 27.

Department of Emergency Medicine, University of Wisconsin Hospital and Clinics, Madison, Wisconsin.

Insights Imaging 2017 Feb 13;8(1):141-153. Epub 2016 Dec 13.

Department of Imaging Sciences, University of Rochester Medical Center, 601 Elmwood Ave, Box 648, Rochester, NY, 14642, USA.

Anomalies of the bronchus can be both congenital and acquired. Several different congenital aberrations of the bronchial anatomy are commonly encountered including tracheal bronchus, accessory cardiac bronchus, and bronchial agenesis/aplasia/hypoplasia. In addition, Williams-Campbell syndrome and cystic fibrosis are two other congenital conditions that result in bronchial pathology. Read More

Kulak Burun Bogaz Ihtis Derg 2016 Sep-Oct;26(5):268-75

Department of Otolaryngology, Jawaharlal Institute of Postgraduate Medical Education and Research, 605006 Pondicherry, India.

Objectives: This study aims to investigate clinical and radiological findings to make early diagnosis of foreign body (FB) aspiration in children.

Patients And Methods: This prospective study was conducted on 45 children younger than 12 years with a clinical diagnosis of FB aspiration undergone rigid bronchoscopy between September 2010 and May 2014. The results of 37 children (22 males, 15 females; mean age 2. Read More

Clin Respir J 2018 Feb 23;12(2):738-745. Epub 2016 Nov 23.

Department of Otolaryngology, Institute of Health Sciences, Gyeongsang National University, Jinju, South Korea.

Background And Aims: Tracheobronchial foreign body aspiration is a life-threatening emergency. Using a rigid bronchoscope with optical forceps is the most effective method for foreign body removal. However, occasionally for some infants these instruments could not be used, as they may be too large for their small airways. Read More

J Oral Maxillofac Surg 2016 Nov 25;74(11):2329.e1-2329.e5. Epub 2016 Jun 25.

Professor and Department Head, Department of Pathology, Faculty of Medicine, Inonu University, Malatya, Turkey.

Osteoma is a benign, mesenchymal, slow-growing, osteogenic tumor commonly occurring in the craniofacial bones and is characterized by the proliferation of compact or cancellous bone. Solitary osteomas can be classified as peripheral (parosteal, periosteal, or exophytic) when arising from the periosteum or central (endosteal) when arising from soft tissue. Peripheral osteoma occurs most frequently in the paranasal sinuses. Read More

Pediatr Surg Int 2017 Jan 13;33(1):59-64. Epub 2016 Oct 13.

Department of Surgery, Mayo Clinic Arizona, 5777 E Mayo Blvd, Phoenix, AZ, 85054, USA.

Background: Airway foreign bodies (FB) are a common medical emergency within the pediatric population. While deaths are not uncommon, the in-hospital mortality rates and correlation with anatomic location of the airway foreign body have not been previously reported.

Methods: The KID database was reviewed for 2003, 2006, 2009, and 2012 for pediatric patients with a discharge diagnosis of airway foreign body using ICD-9 codes (933. Read More

Int J Pediatr Otorhinolaryngol 2016 Nov 26;90:49-53. Epub 2016 Aug 26.

Starship Children's Hospital, Auckland, New Zealand; Otolaryngology Department, Naharia West Galilee Medical Centre, Naharia, Israel. Electronic address:

Objective: Aspirated foreign bodies in children present a potentially life-threatening condition and can be challenging to diagnose. This study aims to elucidate the characteristics and outcome of children with long-standing aspirated foreign bodies.

Methods: Retrospective case series of all cases of confirmed long-standing aspirated foreign bodies (LSAFB) between January 2003 to December 2015 in a single paediatric tertiary-level institution, defined as more than two weeks from choking episode or beginning of symptoms. Read More

Pneumologia 2016 Oct-Dec;65(4):194-6

Tracheobronchial foreign body aspiration represents a life-threatening condition especially in young children. It carries a great amount of mortality and morbidity through the possibility of obstructing the airway and thus resulting in acute respiratory failure. The diagnostic challenges are brought by the great variability of clinical presentation which sometimes only consists of subtle symptoms. Read More

Ann Otol Rhinol Laryngol 2016 Dec 7;125(12):1030-1033. Epub 2016 Sep 7.

Department of Surgery, Division of Pediatric Surgery, University of Iowa Healthcare, Iowa City, Iowa, USA.

Introduction: Foreign body ingestion is a common pediatric problem that can have a delayed presentation, as presented herein.

Case Report: We present the case of a 15-year-old female who developed bronchial compression and an acquired tracheoesophageal fistula secondary to a longstanding esophageal foreign body.

Discussion: There are several challenges in diagnosis and management of this unusual situation. Read More

BMJ Case Rep 2016 Sep 7;2016. Epub 2016 Sep 7.

Department of Pediatric Emergency Medicine, Tokyo Toritsu Shoni Sogo Iryo Center, Fuchu, Tokyo, Japan.

A previously healthy 1-year-old boy suddenly began choking and coughing after ingesting a coin. The child's mother attempted to extract the coin by inserting her fingers in his mouth and sweeping the oral cavity. The mother felt the object momentarily with her fingertips but was unable to retrieve it, and brought her son to a local hospital for assistance. Read More

Ulus Travma Acil Cerrahi Derg 2016 Jul;22(4):402-4

Department of Otolaryngology-Head and Neck Surgery, Erciyes University Faculty of Medicine, Kayseri-Turkey.

Pharyngeal foreign bodies are commonly encountered in otolaryngological practice. However, in certain instances, particularly in cases of penetrating injuries, major vascular damage leads to severe morbidity and mortality. Management of these cases includes airway protection, bleeding control, imaging of major vascular injury, and prophylactic antibiotics. Read More

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2016 Sep;30(17):1388-1393

Department of Otorhinolaryngology-Head and Neck Surgery,the First Affliated Hospital of Fujian Medical University,Fujian Provincial Institute of Otorhinolaryngology,Fuzhou,350005,China.

To analyze the clinical characteristics of patients with severe deep neck abscess,etiology,imaging,appropriate treatment selection in those patients,to improve the judgement and understanding of the disease.Thirty cases of severe deep neck abscess treated from March 2010 to June 2015 were retrospectively reviewed,including the clinical characteristics,diagnosis and treatment strategy.The sore throat,odynophagia,dysphagia,fever and difficulty breathing were the most common symptoms of severe deep neck abscess. Read More