TY - JOUR
T1 - From rigid to flexible bronchoscopy
T2 - a tertiary center experience in removal of inhaled foreign bodies in children
AU - Golan-Tripto, Inbal
AU - Mezan, Dina Weinstein
AU - Tsaregorodtsev, Sergey
AU - Stiler-Timor, Liran
AU - Dizitzer, Yotam
AU - Goldbart, Aviv
AU - Aviram, Micha
N1 - Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature.
PY - 2021/5/1
Y1 - 2021/5/1
N2 - Rigid bronchoscopy is the procedure of choice for removal of inhaled foreign bodies. In this retrospective study, we assessed the safety and efficacy of flexible bronchoscopy use in the removal of inhaled foreign bodies in children. One hundred eighty-two patients (median age of 24 months, 58% males) underwent an interventional bronchoscopy for the removal of inhaled foreign body between 2009 and 2019, 40 (22%) by flexible, and 142 (78%) by rigid bronchoscopy. 88.73% of rigid and 95% of flexible bronchoscopies were successful in foreign bodies removal (p value = 0.24). Complication rate was higher among rigid bronchoscopy (9.2% vs. 0%, p = 0.047). From 2017 onwards, following the implementation of flexible bronchoscopy for foreign bodies removal, 64 procedures were performed, 33 (51.6%) flexible, and 31 (48.4%) rigid. Procedure length was shorter via flexible bronchoscopy (42 vs 58 min, p = 0.016). Length of hospital stay was similar. Conclusion: In our hands, flexible bronchoscopy is an efficient and safe method for removal of inhaled foreign bodies in children, with shorter procedure time and minimal complication rate. Flexible bronchoscopy could be considered as the procedure of choice for removal of inhaled foreign bodies in children, by an experienced multidisciplinary team.What is Known:• Rigid bronchoscopy is currently the gold standard for removal of inhaled foreign bodies in children.• Rigid bronchoscopy has a relatively high complication rate compared to flexible bronchoscopy.What is New:• Flexible bronchoscopy is a short, safe, and efficient procedure to remove inhaled foreign bodies in children, compared to rigid bronchoscopy.• Flexible bronchoscopy could be proposed as the procedure of choice for removal of inhaled foreign bodies in children, if an experienced operator is available.
AB - Rigid bronchoscopy is the procedure of choice for removal of inhaled foreign bodies. In this retrospective study, we assessed the safety and efficacy of flexible bronchoscopy use in the removal of inhaled foreign bodies in children. One hundred eighty-two patients (median age of 24 months, 58% males) underwent an interventional bronchoscopy for the removal of inhaled foreign body between 2009 and 2019, 40 (22%) by flexible, and 142 (78%) by rigid bronchoscopy. 88.73% of rigid and 95% of flexible bronchoscopies were successful in foreign bodies removal (p value = 0.24). Complication rate was higher among rigid bronchoscopy (9.2% vs. 0%, p = 0.047). From 2017 onwards, following the implementation of flexible bronchoscopy for foreign bodies removal, 64 procedures were performed, 33 (51.6%) flexible, and 31 (48.4%) rigid. Procedure length was shorter via flexible bronchoscopy (42 vs 58 min, p = 0.016). Length of hospital stay was similar. Conclusion: In our hands, flexible bronchoscopy is an efficient and safe method for removal of inhaled foreign bodies in children, with shorter procedure time and minimal complication rate. Flexible bronchoscopy could be considered as the procedure of choice for removal of inhaled foreign bodies in children, by an experienced multidisciplinary team.What is Known:• Rigid bronchoscopy is currently the gold standard for removal of inhaled foreign bodies in children.• Rigid bronchoscopy has a relatively high complication rate compared to flexible bronchoscopy.What is New:• Flexible bronchoscopy is a short, safe, and efficient procedure to remove inhaled foreign bodies in children, compared to rigid bronchoscopy.• Flexible bronchoscopy could be proposed as the procedure of choice for removal of inhaled foreign bodies in children, if an experienced operator is available.
KW - Children
KW - Flexible bronchoscopy
KW - Inhaled foreign body
KW - Rigid bronchoscopy
UR - http://www.scopus.com/inward/record.url?scp=85098545356&partnerID=8YFLogxK
U2 - 10.1007/s00431-020-03914-y
DO - 10.1007/s00431-020-03914-y
M3 - Article
C2 - 33389071
AN - SCOPUS:85098545356
SN - 0340-6199
VL - 180
SP - 1443
EP - 1450
JO - European Journal of Pediatrics
JF - European Journal of Pediatrics
IS - 5
ER -