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Indian Pediatr 2022 Jun;59(6):505

Department of Anesthesiology, Affiliated hospital of Southwest Medical University, Luzhou, China.

Respirol Case Rep 2022 Jun 24;10(6):e0982. Epub 2022 May 24.

Department of Cardio-Thoracic and Vascular Anesthesiology Manmohan Cardio-Thoracic Vascular and Transplant Centre Kathmandu Nepal.

Airway foreign bodies are common in children, and usually present as emergencies. However, they may sometimes present late, due to a number of reasons. Chronic lodgement of foreign bodies in trachea is rarer than that in bronchial tree. Read More

Ear Nose Throat J 2022 May 24:1455613221104428. Epub 2022 May 24.

Division of Otolaryngology - Head and Neck Surgery, 2202Cooper University Health Care, Camden, NJ, USA.

Chronic airway foreign bodies represent a rare and challenging entity faced by otolaryngologists. Herein, we describe the case of an adult woman found to have a 17 cm-long internalized tracheostomy stay suture retained 2 years after decannulation. Thorough evaluation and contingency planning allowed for safe and successful removal of this novel airway foreign body. Read More

Heart Surg Forum 2022 Mar 24;25(2):E253-E255. Epub 2022 Mar 24.

Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University.

We report a case of a tracheal foreign body caused by a sewing needle. After about four months, the patient showed delayed dry cough and hemoptysis. The sewing needle that pierced the tracheal wall damaged the aorta, and we performed endovascular stenting to prevent arterial bleeding and removed it under a bronchoscope. Read More

Br J Hosp Med (Lond) 2022 03 24;83(3). Epub 2022 Mar 24.

Department of Otorhinolaryngology-Head & Neck Surgery, West China Hospital, Sichuan University, Chengdu, China.

Pediatr Pulmonol 2022 06 8;57(6):1555-1556. Epub 2022 Apr 8.

Pediatric Pulmonology Unit, Dana-Dwek Children's Hospital, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

An 8-year-old boy recently sustained a cerebellar arteriovenous malformation rupture, and subsequently suffered from severe neurological injury and became ventilator-dependent through a tracheostomy. During a routine clinic visit, the parents reported that a loose baby tooth had fallen out and disappeared 7 days earlier. The physical examination was unremarkable, but a chest X-ray demonstrated a foreign body in the left lung and secondary atelectasis. Read More

Medicina (Kaunas) 2022 Mar 7;58(3). Epub 2022 Mar 7.

Departamento de Urgencias, Hospital General de Zona No. 89 IMSS, Guadalajara 44190, Jalisco, Mexico.

The presence of a foreign body in the airway is a potentially life-threatening clinical condition that requires urgent medical attention. We present a case of a 12-year-old boy who presented in the emergency room with a history of an episode of choking after aspiration of a foreign body, followed by severe respiratory distress and subcutaneous emphysema. Chest radiography revealed hyperinflation data, pneumothorax, and subcutaneous emphysema data. Read More

J Bras Pneumol 2022 03 14;48(1):e20210387. Epub 2022 Mar 14.

. Serviço de Endoscopia, Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.

Anasthesiol Intensivmed Notfallmed Schmerzther 2022 Feb 16;57(2):142-149. Epub 2022 Feb 16.

Button battery ingestions in children increased in recent years and may lead to life-threatening complications, especially if the battery is impacted in the esophagus. The pH close to the negative pole of the battery can rise in a very alkalotic range (pH > 10) leading to severe tissue damage. Therefore, in this case series report, the clinical courses of four children with button battery ingestion leading to tracheoesophageal fistulas are presented. Read More

Int Arch Otorhinolaryngol 2022 Jan 19;26(1):e005-e009. Epub 2021 Feb 19.

Department of Otorhinolaryngology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

 Airway foreign bodies are emergencies involving multidisciplinary departments like Pediatrics, Aneasthesiology and Otorhinolaryngology. It is always a challenge to diagnose and manage patients who present late to our emergencies.  In the present study, we aim to analyze the various challenges faced during the management of tracheobronchial foreign bodies with delayed presentation. Read More

Int J Pediatr Otorhinolaryngol 2022 Feb 7;153:111040. Epub 2022 Jan 7.

Department of Otolaryngology, Robert Debre Hospital, Assistance Publique Hôpitaux de Paris (APHP) and Faculty of Medecine, University of Paris, Paris, France.

Objectives: The management of foreign body aspirations (FBA) is dreaded by pediatric physicians due to the high risk of respiratory distress and a potential fatal outcome, favored by a lack of experience of young specialists. Furthermore, there has been an increasing requirement for low-cost simulation. The aim was to describe the step-by-step manufacturing process and to validate a low-cost, easily home-made training model of pediatric tracheo-bronchial tree (pTBT) for simulation-based training in order to teach young physicians to practice foreign body (FBA) extractions. Read More

Monaldi Arch Chest Dis 2021 Dec 3;92(3). Epub 2021 Dec 3.

Department of Cardiothoracic Medicine, St George's University Hospital NHS Trust, London.

The COVID-19 pandemic has resulted in a significant increase in the number of tracheostomised patients in hospitals requiring ventilatory support. These patients require highly specialist care, but overwhelmed hospital systems with stretched human resources potentially leave these patients cared for by undertrained healthcare professionals. We describe a rare complication where a routine COVID-19 swab done incorrectly via a tracheostomy tube, resulted in a snapped-off swab in the trachea. Read More

Can Vet J 2021 12;62(12):1289-1291

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Purdue University, West Lafayette, Indiana 47907, USA.

A 2-month-old intact female Rottweiler was presented for investigation of coughing and respiratory distress 9 d after an exploratory laparotomy for intestinal foreign body removal. Tracheal stenosis was suspected by radiography and confirmed with computed tomography (CT) and tracheoscopy. After 1 wk of medical management, clinical signs had resolved and the severity of the tracheal narrowing was markedly improved, as confirmed by radiography and tracheoscopy. Read More

Asian J Surg 2022 Jan 17;45(1):653-655. Epub 2021 Nov 17.

Key Laboratory of Birth Defects and Related Diseases of Women and Children of MOE, Department of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610041, China. Electronic address:

Front Pediatr 2021 1;9:765373. Epub 2021 Nov 1.

Department of Otolaryngology Head and Neck Surgery, Shengjing Hospital of China Medical University, Shenyang, China.

Esophageal and tracheal foreign body ingestion trigger common pediatric emergencies. In this case report, we describe a pediatric patient with simultaneous tracheal and esophageal obstruction caused by foreign bodies. A child aged 2 years and 1 month swallowed a pair of metallic magnetic beads at the same time; one bead entered the trachea and the other bead entered the esophagus. Read More

ANZ J Surg 2021 10;91(10):2224

Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia.

J Healthc Eng 2021 29;2021:3694664. Epub 2021 Sep 29.

Department of Image, Anhui Provincial Children's Hospital, Children's Hospital of Fudan University in Anhui, Hefei 230051, China.

The objective is to study the application of spiral CT in the diagnosis of the trachea in children. In this study, the effect of 64-slice multislice spiral CT in diagnosing infant bronchial bridge was studied based on an artificial neural network. From June 2020 to December 2020, 100 cases of children with the trachea in the outpatient department of our hospital were selected as the research object. Read More

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021 09;35(9):836-838

J Int Med Res 2021 Sep;49(9):3000605211047779

Department of Respirology, Children's Hospital of Hebei Province, Shijiazhuang City, Hebei Province, China.

To date, only one case of pediatric type II negative pressure pulmonary edema (NPPE) caused by removal of an endobronchial foreign body has been documented. We report another case of type II NPPE that developed after extraction of inhaled peanuts. A 21-month-old boy who presented with wheezing and intermittent cough for 1 month after eating peanuts was admitted to our department. Read More

Indian J Otolaryngol Head Neck Surg 2021 Sep 12:1-7. Epub 2021 Sep 12.

Department of ENT, Choithram Hospital and Research Center, Flat No 902, Block A3, Avasa Housing, opp Phalbag, AB Road, Indore, MP 452012 India.

A potentially life-threatening emergency in ENT practice is the aspiration of tracheobronchial foreign body. This commonly affects young children and requires early extraction. Successful removal provides immediate relief. Read More

Pulmonology 2021 Nov-Dec;27(6):590-591. Epub 2021 Sep 12.

Pulmonology Department, Hospital Clinico Universitario de Valladolid, Valladolid, Spain.

Cureus 2021 Jul 13;13(7):e16375. Epub 2021 Jul 13.

Respiratory Medicine, National Hospital Organization Okayama Medical Center, Okayama, JPN.

We herein report an extremely rare case of acute respiratory failure due to pica of the high-molecular-weight polymers in a diaper (HMWPD). An 81-year-old woman was admitted to our hospital because of dyspnea. Several hours earlier, the facility staff saw her tearing the diaper and eating it. Read More

West Afr J Med 2021 Jul;38(7):684-688

Department of Surgery, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Osun State, Nigeria.

Background: Foreign body aspiration is an important cause of morbidity and potential mortality in children. The diagnosis of foreign body aspiration may be difficult in children as they are unable to give a history and the condition mimics a host of other childhood illnesses. In this study, we present our experience with foreign body aspiration in children. Read More

Ann Emerg Med 2021 08;78(2):307-317

Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD.

Forensic Sci Med Pathol 2021 12 29;17(4):738-741. Epub 2021 Jul 29.

Forensic Science SA, Adelaide, South Australia, Australia.

A 35-year-old man with schizophrenia died from an overdose of propranolol (blood level = 60 mg/L). Post mortem CT scanning showed marked distension of the esophagus by granular material with a bolus of similar material within the stomach. At autopsy 62 g of lime green pharmacobezoar was present within the esophagus with an additional 130gm mass of similar material within the stomach, both of which contained propranolol. Read More

J Healthc Eng 2021 7;2021:5678994. Epub 2021 Jul 7.

Department of Pediatrics, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610072, Sichuan, China.

In order to provide theoretical support for clinical diagnosis, the diagnostic value of the optimized fuzzy C-means (FCM) algorithm combined with coronal magnetic resonance imaging (MRI) scan was investigated in the diagnosis of tracheal foreign bodies in children. The anisotropic filtering was applied to optimize the traditional FCM algorithm, so as to construct a new MRI image segmentation algorithm, namely, AFFCM algorithm. Then, the traditional FCM algorithm, the FCM algorithm based on the kernel function (KFCM), and the FCM algorithm based on the spatial neighborhood information (RFCM) were introduced for comparison with the AFFCM. Read More

BMC Emerg Med 2021 07 21;21(1):85. Epub 2021 Jul 21.

Department of Otorhinolaryngology, Shenzhen Children's Hospital, 7019 Yitian Road, Futian District, Shenzhen, 518038, Guangdong, China.

Objective: To explore the role of a first-aid fast track channel in rescuing children with airway foreign bodies and to analyse and summarize the experience and lessons of the first-aid fast track channel in rescuing airway foreign bodies from patients in critical condition.

Methods: We retrospectively reviewed the medical records of children with airway foreign bodies rescued by first-aid fast track channels admitted to our hospital from January 2017 to December 2020. The corresponding clinical features, treatments, and prognoses were summarized. Read More

Medicine (Baltimore) 2021 Jul;100(28):e26626

Department of Otolaryngology, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.

Abstract: This study aimed to determine the predictors for intraoperative heart failure (HF) in children undergoing foreign-body removal. The clinical data of all children with tracheobronchial foreign-body aspiration admitted to the First, Second, and Fourth Affiliated Hospitals of Harbin Medical University between January 1996 and September 2018 were analyzed. The variables with significant difference in univariate analysis were involved into the multivariate Logistic model to determine the predictors for intraoperative tachycardia. Read More

BMJ Case Rep 2021 Jul 6;14(7). Epub 2021 Jul 6.

Department of Respiratory Medicine, National Center for Global Health and Medicine, Shinjuku-ku, Japan.

Pediatr Pulmonol 2021 08 25;56(8):2789-2790. Epub 2021 Jun 25.

Department of Pediatrics, Chongqing University Three Gorges Hospital, Chongqing, China.