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Foreign body aspiration and language spoken at home: 10-year review

Published online by Cambridge University Press:  03 May 2011

S Choroomi  and
J Curotta
S Choroomi*
Affiliation:
Department of Ear, Nose and Throat Surgery, The Children's Hospital at Westmead, New South Wales, Australia
J Curotta
Affiliation:
Department of Ear, Nose and Throat Surgery, The Children's Hospital at Westmead, New South Wales, Australia
*
Address for correspondence: Dr S Choroomi, ENT Surgery Department, The Children's Hospital at Westmead, Locked Bag 4001, Westmead 2145 NSW, Australia Fax: +61 2 9519 9926 E-mail: s_choroomi@hotmail.com
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Abstract

Objective:

To review foreign body aspiration cases encountered over a 10-year period in a tertiary paediatric hospital, and to assess correlation between foreign body type and language spoken at home.

Study design and method:

Retrospective chart review of all children undergoing direct laryngobronchoscopy for foreign body aspiration over a 10-year period. Age, sex, foreign body type, complications, hospital stay and home language were analysed.

Results:

At direct laryngobronchoscopy, 132 children had foreign body aspiration (male:female ratio 1.31:1; mean age 32 months (2.67 years)). Mean hospital stay was 2.0 days. Foreign bodies most commonly comprised food matter (53/132; 40.1 per cent), followed by non-food matter (44/132; 33.33 per cent), a negative endoscopy (11/132; 8.33 per cent) and unknown composition (24/132; 18.2 per cent). Most parents spoke English (92/132, 69.7 per cent; vs non-English-speaking 40/132, 30.3 per cent), but non-English-speaking patients had disproportionately more food foreign bodies, and significantly more nut aspirations (p = 0.0065). Results constitute level 2b evidence.

Conclusion:

Patients from non-English speaking backgrounds had a significantly higher incidence of food (particularly nut) aspiration. Awareness-raising and public education is needed in relevant communities to prevent certain foods, particularly nuts, being given to children too young to chew and swallow them adequately.

Keywords

Foreign BodiesPaediatricsTracheaBronchiLanguageCulture
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 7 , July 2011 , pp. 719 - 723
Copyright
Copyright © JLO (1984) Limited 2011

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References

1Tan, H, Brown, K, McGill, T, Kenna, M, Lund, D, Healy, G. Airway foreign bodies (FB): a 10-year review. Int J Pediatr Otorhinolaryngol 2000;56:91–9CrossRefGoogle ScholarPubMed
2Aydogan, L, Tuncer, U, Soylu, L, Kiroglu, M, Ozsahinoglu, C. Rigid bronchoscopy for the suspicion of foreign body in the airway. Int J Pediatr Otorhinolaryngol 2006;70:823–8CrossRefGoogle ScholarPubMed
3Kadmon, G, Stern, Y, Bron-Harlev, E, Nahum, E, Battat, E, Schonfeld, T. Computerized scoring system for the diagnosis of foreign body aspiration in children. Ann Otol Rhinol Laryngol 2008 Nov;117(11):839–43CrossRefGoogle ScholarPubMed
4Bent, J. Pediatric laryngotracheal obstruction: current perspectives on stridor. Laryngoscope 2006;116:1059–70CrossRefGoogle ScholarPubMed
5Karakoc, F, Cakir, E, Ersu, R, Uyan, Z, Colak, B, Karadag, B et al. Late diagnosis of foreign body aspiration in children with chronic respiratory symptoms. Int J Pediatr Otorhinolaryngol 2007;71:241–6CrossRefGoogle ScholarPubMed
6Mathiasen, R, Cruz, R. Asymptomatic near-total airway obstruction by a cylindrical tracheal foreign body. Laryngoscope 2005;115:274–7CrossRefGoogle ScholarPubMed
7Kiyan, G, Gocmen, B, Tugtepe, H, Karakoc, F, Dagli, E, Dagli, T. Foreign body aspiration in children: the value of diagnostic criteria. Int J Pediatr Otorhinolaryngol 2009;73:963–7CrossRefGoogle ScholarPubMed
8Chung, M, Jeong, H, Ahn, K, Park, S, Cho, J, Son, Y et al. Pulmonary recovery after rigid bronchoscopic retrieval of airway foreign body. Laryngoscope 2007;117:303–7CrossRefGoogle ScholarPubMed
9Uziel, Y, Adler, A, Aharonowitz, G, Franco, S, Fainmessesr, P, Wolach, B. Unintentional childhood poisoning in the Sharon area in Israel: a prospective 5-year study. Pediatr Emerg Care 2005;21:248–51CrossRefGoogle Scholar
10Indudharan, R, Ram, S, Didek, D. Tracheobronchial foreign bodies in relation to feeding practices in young children. J Accid Emerg Med 1997;14:341–3CrossRefGoogle ScholarPubMed