Fatal Foreign Body Aspirations in Children
DOI:
https://doi.org/10.17986/blm.200382495Keywords:
foreign body, aspiration, child, deathAbstract
As a very serious reason of accidental deaths in childhood, we have aimed to investigate deaths due to foreign body aspiration (FBA), since its incidence has not decreased despite advances in the techniques and instruments for its emergency treatment. We retrospectively reviewed the records of forensic cases due to FBA examined at the Diyarbakır Branch of the Council of Forensic Medicine between 1990 and 2003. Over this period this office investigated 8330 medicolegal deaths cases, 22 of which were children under 15 years of age due to FBA. Of the victims, 14 (63.6%) were male and 8 (36.4%) were females. The mean age of the victims was 2.2+0.6 years. There were 20 (90.9 %) children between 1 and 3 years, and two other cases at 2/12 and 5 years of ages. All fatal aspirations occurred at home. Food was the most commonly aspirated foreign body in 81.8% of the cases, nuts being the most common in 50%. Carina (54.5%) was the most common site of the foreign body in the respiratory tract. In conclusion, food asphyxiation remains a common problem particularly in children between 1 and 3 years of age in our region. These fatal accidents could be prevented by parent education and early recognition and management of the situation.
Key words: Foreign body, aspiration, child, death
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Oguzkaya F,Akcali Y, Kahraman C, Bilgin M, Şahin A. Tracheobronchial foreign body aspirations in chilhood: a 10-year experience. European Journal of Cardio-thoracic Surgery 1998;14:388-392. DOI: https://doi.org/10.1016/S1010-7940(98)00205-X
Lifschultz BD, Donoghue ER. Deaths due to foreign body aspiration in children: The continuing hazard of toy balloons. J. Forensic Sei. 1996;41:247-51. DOI: https://doi.org/10.1520/JFS15422J
Skoulakis CE, Doxas PG, Papadakis CE, Proimos E, Christodoulou P, Bizakis JG, Velegrakis GA, Mamoula- kis D, Helidonis ES. Bronchoscopy for foreign body removal in children. A review and analysis of 210 cases. Int, J., Pediatr, Otorhinolaryngol. 2000;53:143-8. DOI: https://doi.org/10.1016/S0165-5876(00)00324-4
Fitzpatric PC, Guarisco JL. Pediatric airway foreign bodies. La State Med. Soc., 1996;150:138-41.
Sharma HS, Sharma S. Management of laryngeal foreign bodies in children. J. Accid. Emerg. Med. 1999;16:150-3.
Lima JA, Fischer GB. Foreign body aspiration in children. Paediatr, Respir, Rev, 2002;3:303-7. DOI: https://doi.org/10.1016/S1526-0542(02)00265-8
Abdel-Rahman HA. Fatal suffocation by rubber balloons in children: mechanism and prevention. Forensic, Sei, Int. 2000;108:97-105. DOI: https://doi.org/10.1016/S0379-0738(99)00143-7
Eren S, Bald AE, Dikici B, Dobian M, Eren MS. Foreign body aspiration in children: experience of 1160 cases. Annals of Tropical Paediatrics 2003;23:31-7. DOI: https://doi.org/10.1179/000349803125002959
Tan HKK, Brown K, McGill T, Kenna MA, Lund DP, Healy GB. Airway foreign bodies (FB): a 10-year review. Int., J., Pediatr. Otorhinolaryngol. 2000;56:91-9.
Rimeli FL, Thome A Jr, Stool S, Reilly JS, Rider G, Stool D, Wilson CL. Characteristics of objects that cause choking in children. JAMA 1995;274:1763-66. DOI: https://doi.org/10.1001/jama.1995.03530220029027
Wolach B, Raz A, Weinberg J, Mikulski Y, Ben Ari J, Sa- dan N. Aspirated foreign bodies in the respiratory tract of children: eleven years experience with 127 patients. Int. J. Pediatr. Otorhinolaryngol 1994;30:1-10.
Black RE, Choi KJ, Syme WC, Johnson DG, Matlak ME. Bronchoscopie removal of aspiration foreign bodies in children. Am. J. Surg. 1984;148:778-81.
Byard RW. Accidental childhood death and the role of the pathologist. Pediatr. Dev. Pathol. 2000;3:405-18.
De Oliveira CF, de Almeida JFL, Tröster EJ, Vaz FAC. Comphcations of tracheobronchial foreign body aspiration in children. Report of 5 cases and review of the literature. Rev. Hosp. Clin. Fac. Med. S. Paulo 2002;57:108- 11.
Byard RW. Mechanisms of unexpected death in infants and young children following foreign body ingestion. J. Forensic Sei. 1996;41:438-41. DOI: https://doi.org/10.1520/JFS13931J
Shivakumar AM, Naik AS, Prashanth KB, Shetty KD, Praveen DS. Tracheobronchial foreign bodies. Indian J. Pediatr. 2003;70:793-97.
Siddiqui MA, Banjar AH, Al-Najjar SM, Al-Fattani MM, Aly MF. Frequency of tracheobronchial foreign bodies in children and adolescents. Saudi Med. J. 2000;21:368-71
Berzlanovich AM, Muhm M, Sim E, Bauer G. Foreign body asphyxiation-An Autopsy study. Am. J. Med. 1999;107:351-55.
Halvorson DJ, Merrit RM, Mann C, Porubsky ES. Management of subglottic foreign bodies. Ann. Otol. Rhinol. laryngol. 1996;105:541-44.
Mittleman RE. Fatal choking in infants and children. Am. J. Forensic Med. Pathol. 1984;5:201-10.
Mantel K, Butenandt I. Tracheobronchial foreign body aspiration in childhood. A report on 224 cases. Eur. J. Pediatr. 1986;145:211-16.
Harris CS, Baker SP, Smith GA, Harris RM. Childhood aspyhxiation by food: a national analysis and overview. J. Am. Med. Assoc. 1984;251:2231-35. DOI: https://doi.org/10.1001/jama.1984.03340410039029
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