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The most common cause of accidental death at home among children under 6 years of age is foreign body aspiration (FBA). A high index of clinical suspicion, combined with the medical history, physical signs and radiology is more conclusive than any one of these in isolation. The greater the availability of expertise and endoscopic equipment the more likely there is to be a favorable outcome without significant morbidity and mortality. In order to limit the risk of complications, early diagnosis is vital and this is why fiberoptic bronchoscopy is so valuable in diagnosing suspected inhalation when there is no clinical or radiological confirmation. Rigid bronchoscopy is the only procedure that allows diagnosis and removal of the foreign body (FB). Kiyan et al. found the clinical history and symptoms to have highest sensitivity compared to physical examination and radiology. They found the radiology to have the highest positive predictive value while physical examination had the highest negative predictive value and the clinical history the lowest. Radiological signs related to foreign body inhalation are usually due to obstruction of the valve which may be any of the following: bypass, check, ball and stop valve obstruction.

revista portuguesa de pneumologia

The Egyptian technique revisited (Sersar-Mansoura technique). How to remove some inhaled foreign bodies through rigid bronchoscopy without using a forceps