| Value of chest CT in the diagnosis and management of tracheobronchial foreign bodies. | |
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MedLine Citation:
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PMID: 21129123 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Background: The aim of the present study was to investigate the value of chest multidetector computed tomography (CT) in the evaluation of children with suspected foreign body aspiration. Methods: Chest CT was performed in 45 consecutive children with suspected foreign body aspiration, and plain chest X-ray was conducted at the same time. Multiplanar reformatted imaging was carried out after multidetector CT. Rigid bronchoscopy and removal of the foreign body was performed under general anesthesia. Results: All 42 patients (100%) with tracheobronchial foreign bodies were identified on chest CT. Three patients avoided unnecessary operations due to negative CT scans. For the patients with tracheobronchial foreign bodies, the occurrence of unilateral hyperlucent lung and post-obstructive lobar or segmental infiltrates on plain chest X-ray was 42.9% (18/42) and 4.8% (2/42), respectively. Twenty-two of the 42 patients (52.4%) had no abnormalities on plain X-ray. The difference between multidetector CT and plain X-ray results was statistically significant (P < 0.001). Surgical plans were designed and appropriate foreign body forceps were selected based on the CT scans. All foreign bodies were removed successfully, and no severe complications were observed. The location, shape, and volume of the foreign bodies found at surgery were consistent with the CT images. Conclusions: The diagnosis of foreign body aspiration of the airway in children can be accomplished by using chest multidetector CT. It is often useful in delineating the exact shape, location, volume and form of a bronchial foreign body and can help the surgeon plan for operative bronchoscopy and safe removal of the foreign body. |
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Authors:
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Weiliang Bai; Xinjia Zhou; Xin Gao; Chunbo Shao; Joseph A Califano; Patrick K Ha |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Pediatrics international : official journal of the Japan Pediatric Society Volume: 53 ISSN: 1442-200X ISO Abbreviation: Pediatr Int Publication Date: 2011 Aug |
Date Detail:
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Created Date: 2011-08-19 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100886002 Medline TA: Pediatr Int Country: Australia |
Other Details:
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Languages: eng Pagination: 515-8 Citation Subset: IM |
Copyright Information:
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© 2011 The Authors. Pediatrics International © 2011 Japan Pediatric Society. |
Affiliation:
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Department of Otolaryngology, Shengjing Hospital, China Medical University, Shenyang, China Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins Medical Institutions Johns Hopkins Head and Neck Surgery at GBMC, Greater Baltimore Medical Center, Baltimore, Maryland, USA. |
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