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Tracheobronchial foreign bodies in children – diagnostic and therapeutic aspects
Liliana Anghelina, Elena Ioniţă, Florin Anghelina, Ligia Stanescu and Georgeta Corniţescu
ABSTRACT
Objective. The paper aimed to study of diagnostics and therapeutics of tracheobronchial foreign body suspicions in children. Materials and method. The retrospective study was performed on 106 cases with suspicion of tracheobronchial foreign body (TBFB) admitted and treated in the E.N.T Clinic of Craiova County Hospital between 2006 and 2010. Results. Out of 77 cases (72%) confirmed trough bronchoscopy, 68% were males, most frequently aged between 1-3 years (63.63%). The penetration syndrome was present in 88.31%. The most frequent symptom was coughing, in 96.10 percent (74 cases), followed by dyspnea with 81.81 % and cyanosis in 58.44 %. Within the study lot, the most frequently encountered radiological sign was: emphysema (27%), followed by atelectasis – (18%). The organic foreign bodies prevailed within the study lot (83.11%) followed by an-organic foreign bodies (16.89%). Conclusions. The evolution and prognosis of inhaling a tracheobronchial foreign body, depends on the precocity of diagnosis and therapeutic intervention.
Key words: foreign body, traheobronchial