Skip to main content

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

Publication ,  Journal Article
Esclamado, RM; Richardson, MA
Published in: Am J Dis Child
March 1987

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.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Am J Dis Child

DOI

ISSN

0002-922X

Publication Date

March 1987

Volume

141

Issue

3

Start / End Page

259 / 262

Location

United States

Related Subject Headings

  • Trachea
  • Retrospective Studies
  • Pneumonia, Aspiration
  • Male
  • Larynx
  • Infant
  • Humans
  • Foreign Bodies
  • Female
  • Child, Preschool
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Esclamado, R. M., & Richardson, M. A. (1987). Laryngotracheal foreign bodies in children. A comparison with bronchial foreign bodies. Am J Dis Child, 141(3), 259–262. https://doi.org/10.1001/archpedi.1987.04460030037019
Esclamado, R. M., and M. A. Richardson. “Laryngotracheal foreign bodies in children. A comparison with bronchial foreign bodies.Am J Dis Child 141, no. 3 (March 1987): 259–62. https://doi.org/10.1001/archpedi.1987.04460030037019.
Esclamado RM, Richardson MA. Laryngotracheal foreign bodies in children. A comparison with bronchial foreign bodies. Am J Dis Child. 1987 Mar;141(3):259–62.
Esclamado, R. M., and M. A. Richardson. “Laryngotracheal foreign bodies in children. A comparison with bronchial foreign bodies.Am J Dis Child, vol. 141, no. 3, Mar. 1987, pp. 259–62. Pubmed, doi:10.1001/archpedi.1987.04460030037019.
Esclamado RM, Richardson MA. Laryngotracheal foreign bodies in children. A comparison with bronchial foreign bodies. Am J Dis Child. 1987 Mar;141(3):259–262.

Published In

Am J Dis Child

DOI

ISSN

0002-922X

Publication Date

March 1987

Volume

141

Issue

3

Start / End Page

259 / 262

Location

United States

Related Subject Headings

  • Trachea
  • Retrospective Studies
  • Pneumonia, Aspiration
  • Male
  • Larynx
  • Infant
  • Humans
  • Foreign Bodies
  • Female
  • Child, Preschool