Laryngotracheal foreign bodies in children. A comparison with bronchial foreign bodies.

Published

Journal Article

Twenty cases of laryngotracheal foreign bodies were reviewed over an 11-year period to determine features that differentiate these from bronchial foreign bodies. A history of choking or aspiration was obtained in 18 patients (90%). The most common presenting symptoms were stridor, wheezing, sternal retractions, and cough. The chest roentgenogram was most often normal (58% [11/19]). Posteroanterior and lateral neck roentgenograms suggested the diagnosis in 92% (12/13) of the patients. The correct diagnosis was made within the first 24 hours of presentation in 11 patients (55%); 19 patients (95%) were correctly diagnosed within one week. The incidence of major complications was 45% (9/20); however, in patients with a delay in diagnosis of over 24 hours the complication rate was 67% (6/9). For this reason, in children with a diagnosis of croup or reactive airway disease who respond poorly or whose condition deteriorates despite appropriate medical therapy, early endoscopy should be considered.

Full Text

Duke Authors

Cited Authors

  • Esclamado, RM; Richardson, MA

Published Date

  • March 1, 1987

Published In

Volume / Issue

  • 141 / 3

Start / End Page

  • 259 - 262

PubMed ID

  • 3812406

Pubmed Central ID

  • 3812406

Electronic International Standard Serial Number (EISSN)

  • 2374-3018

International Standard Serial Number (ISSN)

  • 0002-922X

Digital Object Identifier (DOI)

  • 10.1001/archpedi.1987.04460030037019

Language

  • eng