ACCURACY OF CHEST X-RAY IN THE DIAGNOSIS OF TRACHEOBRONCHIAL FOREIGN BODIES IN CHILDREN

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MANSOURIAN H.R.; SADR ARHAMI A.A.R.; SHADMAN YAZDI A.A.

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Journal: TANAFFOS Year:2008 | Volume:7 | Issue:1 Page(s): 58-62

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Title

ACCURACY OF CHEST X-RAY IN THE DIAGNOSIS OF TRACHEOBRONCHIAL FOREIGN BODIES IN CHILDREN

Author(s)

MANSOURIAN H.R. | SADR ARHAMI A.A.R. | SHADMAN YAZDI A.A. | Issue Writer Certificate

Keywords

FOREIGN BODIES

CHEST X-RAY

BRONCHOSCOPY

Abstract

Background: Tracheobronchial foreign body (TFB) aspiration is a common cause of mortality and morbidity in early childhood. The aim of this study was to evaluate the diagnostic value of CHEST X-RAY in tracheobronchial foreign body aspiration among a group of Iranian children.Materials and Methods: We evaluated 32 children who underwent BRONCHOSCOPY for suspected airway FOREIGN BODIES. We reviewed the patients' age, symptoms, duration of symptoms, prebronchoscopy posterior-anterior x-rays, type of foreign body, and anatomic location of foreign body. Sensitivity, specificity, negative predictive value (NPV), positive predictive value (PPV), and accuracy indices of CHEST X-RAY for the diagnosis of TFB aspiration were measured in this study.Results: The mean age of patients was 30 months (range 6–54 months), and 19(59.4%) were males. Among 32 patients who underwent BRONCHOSCOPY, foreign body was found and removed in 26 (81.2%) of them. FOREIGN BODIES observed were the hull of nuts in 10 (38.5%), pomegranate seeds in 6 (23%), beans in 4 (15.4%), and some food products such as meat in two (7.7%) children. CHEST X-RAY was normal in 12 patients (37.5%). The most common symptom was cough in 80% of patients; followed by wheezing in 60%, tachypnea in 40%, dyspnea in 20%, and stridor in 5%. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of expiratory chest radiography in this study were 65%, 50%, 85%, 25%, and 62.5%, respectively.Conclusion: CHEST X-RAY is not specific for diagnosis of foreign body aspiration, and a normal CHEST X-RAY does not always rule out the diagnosis of foreign body aspiration in patients with a history suggestive of foreign body aspiration and positive physical examinations.

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APA: Copy

MANSOURIAN, H.R., SADR ARHAMI, A.A.R., & SHADMAN YAZDI, A.A.. (2008). ACCURACY OF CHEST X-RAY IN THE DIAGNOSIS OF TRACHEOBRONCHIAL FOREIGN BODIES IN CHILDREN. TANAFFOS, 7(1), 58-62. SID. https://sid.ir/paper/542030/en

Vancouver: Copy

MANSOURIAN H.R., SADR ARHAMI A.A.R., SHADMAN YAZDI A.A.. ACCURACY OF CHEST X-RAY IN THE DIAGNOSIS OF TRACHEOBRONCHIAL FOREIGN BODIES IN CHILDREN. TANAFFOS[Internet]. 2008;7(1):58-62. Available from: https://sid.ir/paper/542030/en

IEEE: Copy

H.R. MANSOURIAN, A.A.R. SADR ARHAMI, and A.A. SHADMAN YAZDI, “ACCURACY OF CHEST X-RAY IN THE DIAGNOSIS OF TRACHEOBRONCHIAL FOREIGN BODIES IN CHILDREN,” TANAFFOS, vol. 7, no. 1, pp. 58–62, 2008, [Online]. Available: https://sid.ir/paper/542030/en

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