- Original article
- Open Access
Complications and follow-up of foreign body inhalation
Egyptian Journal of Bronchology volume 10, pages 232–237 (2016)
Foreign body inhalation (FBI) is a dramatic incident with a number of complications.
The aim of this study was to follow-up the patients after removal of the foreign body and to record the related complications.
Patients and methods
This prospective follow-up study included 59 patients who presented to the Bronchology Unit of Chest Department at Ain Shams University Hospital, Cairo, Egypt, for their follow-up after successful removal of FBI. The follow-up consisted of three sections: clinical, radiological, and/or interventional.
Fifty-nine patients were included in the study, with a median age of 3±7.30 years. A total of 39 (66.1%) patients were followed up for 1 month, whereas 20 (33.9%) were followed up for more than 1 month. As regards the radiological follow-up, 37 (62.71%) patients showed complete radiological resolution of previous abnormalities within the duration of less than or equal to 1 month, and 10 (16.95%) patients needed more than 1 month to reach complete resolution; the difference was highly statistically significant (P <0.001). Only 16 patients needed rebronchoscopic evaluation; six patients refused to undergo rebronchoscopic evaluation, whereas seven needed it once, one needed it twice, and two needed it thrice. All patients who needed bronchoscope follow-up once performed within less than 1 month recording highly statistically significant different (P <0.001). The most common complication was bleeding in 37 cases, followed by granulation tissue in 28 and purulent secretion in 24 cases. All patients received systemic steroids at the beginning of the procedure; meanwhile, local injection of steroids through the bronchoscope channel was performed in some selected patients. As regards the use of antibiotics, it was given either locally or systemic empirically until cultures were available.
Although follow-up of patients with FBI is not an easy job, it is an essential step to complete the management and ensure no residual complications.
Martin EW, Stephen PP, Francisco T, Timothy D, Zab M. Foreign body aspiration. Medscape 6 June 2012; article no. 29.
Baharloo F, Veyckemans F, Francis C, Biettlot MP. Rodenstein DO Tracheobronchial foreign bodies, presentation and management in children and adults. Chest 1999; 115:7–62.
Limper AH, Parakash UB. Tracheobronchial foreign bodies in adults. Ann Intern Med 1990; 112:604–609.
Lan RS, Lee CH, Chiang YC, Wang WJ. Use of fiberoptic bronchoscopy to remove tracheobronchial foreign bodies in adults. Am Rev Respir Dis 1994; 140:1734–1737.
Chen CH, Lai CL, Tsai TT, Lee YC. Perng RP Foreign body aspiration into the lower airway in Chinese adults. Chest 1997; 112:129–133.
Sirmali M, Turut H, Kisacik E, Findik G, Kaya S, Tastepe I. The relationship between time of admission and complications in pediatric tracheobronchial foreign body aspiration. Acta Chir Belg 2005; 105:631–634.
Foltran F, Ballali S, Passali FM, Kern E, Morra B, Passali GC, et al. Foreign body in the airways: a meta-analysis of published papers. Int J Pediatr Otorhinolarygol 2012; 76:S12–S19.
Madkour A, Al Halfawy A, Sharkawy S, Zakzouk Z. Survey of adult flexible bronchoscopy practice in Cairo. J Bronchol 2008; 15:27–32.
Du Rand IA, Blaikley J, Booton R, Chaudhuri N, Gupta V, Khalid S, et al. British Thoracic Society guidelines for diagnostic bronchoscopy. Thorax 2013; 68:i1–i44.
Gurpinar A, Kilic N, Dogruyol H. Foreign body aspiration in children. Turk Respir J 2003; 4:131–134.
Foltran F, Ballali S, Rodriguez H, Sebastian van As AB, Passali D, Gulati A. Gregori D Inhaled foreign bodies in children: a global perspective on their epidemiological, clinical, and preventive aspects. Pediatr Pulmonol 2013; 48:344–351.
Srinivasan Rajasekaran, Krishnamoorthy Bala Chandran, Subramanian Anbalagan, Paramasivan Satish Kumar, Venkata Jagannathan Vikram. Management of tracheobronchial foreign bodies in children – a retrospective study of series of 50 cases. Otolarygology 2013; 3:2250–2259.
Hugo R, Giselle C, Dario G, Simonetta B, Solidea B, et al. Foreign bodies in the airway in children: experience in Argentina. Prensa Med Argent; 2015; 101:2.
Saki N, Nikakhlagh S, Rahim F, Abshirini H. Foreign body aspirations in infancy: a 20-year experience. Int J Med Sci 2009; 6:322–328.
Korraa E, Madkour A, Wagieh K, Nafae A. Bronchoscopic foreign body extraction in a pulmonary medicine department: a retrospective review of Egyptian experience. J Bronchol Interv Pulmonol 2010; 17:39–44.
Saquib Mallick M, Rauf Khan A, Al-Bassam A. Late presentation of tracheobronchial foreign body aspiration in children. J Trop Pediatr 2005; 51:145–148.
Karakoc F, Cakir E, Ersu R, Uyan ZS, Colak B, et al. Late diagnosis of foreign body aspiration in children with chronic respiratory symptoms. Int J Pediatr Otorhinolaryngol 2007; 71:241–246.
Sehgal IS, Dhooria S, Ram B, Singh N, Aggarwal AN, Gupta D, et al. Foreign body inhalation in the adult population: experience of 25,998 bronchoscopies and systematic review of the literature. Respir Care 2015; 60:1438–1448.
Fidkowski CW, Zheng H, Firth PG. The anesthetic considerations of tracheobronchial foreign bodies in children: a literature review of 12,979 cases. Anesth Analg 2010; 111:1016–1025.
Maddali MM, Mathew M, Juhi C, Mohammed JA, Shyam SG. Outcome after rigid bronchoscopy in children with suspected or confirmed foreign body aspiration: a retrospective study. J Cardiothorac Vasc Anesth 2011; 25:1005–1008.
Hasdiraz L, Oguzkaya F, Biglin M, Bicer C. Complications of bronchoscopy for foreign body removal: experience in 1035 cases. Ann Saudi Med 2006; 26:283–287.
This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
Rights and permissions
This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
About this article
Cite this article
Osman, N.M., Korraa, E.E. & Abd Elfattah, N.M. Complications and follow-up of foreign body inhalation. Egypt J Bronchol 10, 232–237 (2016). https://doi.org/10.4103/1687-8426.193631
- foreign body inhalation