Evaluation of the Accuracy of CT scan with the COVID-19 Protocol in Detecting the Location of Foreign Body Aspiration
Journal of Otorhinolaryngology and Facial Plastic Surgery,
Vol. 8 No. 1 (2022),
25 January 2022
,
Page 1-7
https://doi.org/10.22037/orlfps.v8i1.41334
Abstract
Background: Ingestion of foreign body by children is one of the common problems that society and medical staff are always struggling with. Due to the fact that children put any nearby objects in their mouths during the phase of knowing the world around them, they are prone to swallowing a foreign object and getting it choked. It also happens during eating. The best method to diagnose and manage a foreign body aspiration is bronchoscopy, but this procedure has its own problems, such as the need for anesthesia.
Aim: In this study, we decided to investigate the accuracy of CT scan with the COVID-19 protocol in detecting the location of foreign body aspiration.
Methods: In this diagnostic study, all children with foreign body aspiration referred to Mofid Children Hospital from March 2018 to September 2021 were evaluated. Patients' information, including age, sex, locations of foreign body, radiographic report, bronchoscopy report, and CT scan report were checked and recorded. The diagnostic values of CT scan were compared with the diagnostic values of bronchoscopy results as a standard method.
Results: 193 children were evaluated. The mean age was 26.01 ± 21.83 months and 65.3% were boys. The sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy of this method were 95.52%, 97.96%, 98.46%, 94.12%, and 96.55%, respectively.
Conclusion: CT-scan with the COVID-19 protocol is a good method to localize the location of the foreign body.
- Foreign body; Children; Aspiration; Swallowing; CT scan.
How to Cite
References
Hitter A, Hullo E, Durand C, Righini C-A. Diagnostic value of various investigations in children with suspected foreign body aspiration. European annals of otorhinolaryngology, head and neck diseases. 2011;128(5):248-52.
Mohammad M, Saleem M, Mahseeri M, Alabdallat I, Alomari A, Qudaisat I, et al. Foreign body aspiration in children: a study of children who lived or died following aspiration. International journal of pediatric otorhinolaryngology. 2017;98:29-31.
Pediatrics AAo. Committee on Injury, Violence, and Poison Prevention. Prevention of choking among children. Pediatrics. 2010;125:601-7.
Wu X, Wu L, Chen Z, Zhou Y. Fatal choking in infants and children treated in a pediatric intensive care unit: A 7-year experience. International journal of pediatric otorhinolaryngology. 2018;110:67-9.
Chapin MM, Rochette LM, Annest JL, Haileyesus T, Conner KA, Smith GA. Nonfatal choking on food among children 14 years or younger in the United States, 2001–2009. Pediatrics. 2013;132(2):275-81.
Hanba C, Cox S, Bobian M, Svider PF, Gonik NJ, Shkoukani MA, et al. Consumer product ingestion and aspiration in children: A 15‐year review. The Laryngoscope. 2017;127(5):1202-7.
Saki N, Nikakhlagh S, Heshmati SM. 25-year review of the abundance and diversity of radiopaque airway foreign bodies in children. Indian J Otolaryngol Head Neck Surg. 2015 Sep. 67(3):261-6
Tseng HJ, Hanna TN, Shuaib W, Aized M, Khosa F, Linnau KF. Imaging foreign bodies: ingested, aspirated, and inserted. Ann Emerg Med. 2015 Dec. 66(6):570-582.e5
Chiu C-Y, Wong K-S, Lai S-H, Hsia S-H, Wu C-T. Factors predicting early diagnosis of foreign body aspiration in children. Pediatric emergency care. 2005;21(3):161-4.
Foltran F, Ballali S, Rodriguez H, van As AB, Passali D, Gulati A, et al. Inhaled foreign bodies in children: a global perspective on their epidemiological, clinical, and preventive aspects. Pediatric pulmonology. 2013;48(4):344-51.
Lea E, Nawaf H, Yoav T, Elvin S, Ze'ev Z, Amir K. Diagnostic evaluation of foreign body aspiration in children: a prospective study. Journal of pediatric surgery. 2005;40(7):1122-7.
Airway foreign bodies in children, Mohammadtaghi Niknejad◉ on 09 Oct 2022
Kalender WA. CT: the unexpected evolution of an imaging modality. European Radiology Supplements. 2005;15(4):d21-d4.
Gordic S, Morsbach F, Schmidt B, Allmendinger T, Flohr T, Husarik D, et al. Ultralow-dose chest computed tomography for pulmonary nodule detection: first performance evaluation of single energy scanning with spectral shaping. Investigative radiology. 2014;49(7):465-73.
Campbell EA, Wilbert CD. Foreign body imaging. StatPearls [Internet]: StatPearls Publishing; 2022.
Gou Z-h, Peng Y, Yang K. Sonographic and CT imaging features of intestinal perforation from a pill and packing: A case report. Medicine. 2018;97(16).
Caliskan E, Aliyev S, Habibi HA, Bayramoglu Z, Yilmaz R, Adaletli I. Utility of lung radiodensity ratios in diagnosis of radiolucent foreign body aspiration in children: a practical approach. Clinical Imaging. 2019;54:178-82
Mossa-Basha M, Meltzer CC, Kim DC, Tuite MJ, Kolli KP, Tan BS. Radiology department preparedness for COVID-19: radiology scientific expert review panel. Radiology. 2020;296(2):E106-E12.
Rubin GD, Ryerson CJ, Haramati LB, Sverzellati N, Kanne JP, Raoof S, et al. The role of chest imaging in patient management during the COVID-19 pandemic: a multinational consensus statement from the Fleischner Society. Radiology. 2020;296(1):172-80.
Yang W, Yan F. Patients with RT-PCR-confirmed COVID-19 and normal chest CT. Radiology. 2020;295(2):E3-E.
Ciftci A.O., Bingöl-Koloǧlu M., Şenocak M.E., Tanyel F.C., Büyükpamukçu N. Bronchoscopy for evaluation of foreign body aspiration in children. J. Pediatr. Surg. 2003;38:1170–1176
Shamsi A, Valizadeh L, Rahkar Farshi M, Asghari Jafarabadi M. Frequency of predisposing factors for the entry of foreign bodies into the ear, ingestion and aspiration in children under five years in Tabriz, 2019. Journal of Hayat. 2021;27(2).
Brkic F, Umihanic S, Altumbabic H, Ramas A, Salkic A, Umihanic S, et al. Death as a consequence of foreign body aspiration in children. Medical Archives. 2018;72(3):220.
D’Souza JN, Valika TS, Bhushan B, Ida JB. Age based evaluation of nut aspiration risk. Journal of Otolaryngology-Head & Neck Surgery. 2020;49(1):1-4.
Higuchi O, Adachi Y, Adachi YS, Taneichi H, Ichimaru T, Kawasaki K. Mothers’ knowledge about foreign body aspiration in young children. International journal of pediatric otorhinolaryngology. 2013;77(1):41-4.
Salih AM, Alfaki M, Alam-Elhuda DM. Airway foreign bodies: A critical review for a common pediatric emergency. World journal of emergency medicine. 2016;7(1):5.
Aras M, Miloglu O, Barutcugil C, Kantarci M, Ozcan E, Harorli A. Comparison of the sensitivity for detecting foreign bodies among conventional plain radiography, computed tomography and ultrasonography. Dentomaxillofacial Radiology. 2010;39(2):72-8.
Gibbons AT, Berazaluce AMC, Hanke RE, McNinch NL, Person A, Mehlman T, et al. Avoiding unnecessary bronchoscopy in children with suspected foreign body aspiration using computed tomography. Journal of Pediatric Surgery. 2020;55(1):176-81.
Pitiot V, Grall M, Ploin D, Truy E, Khalfallah SA. The use of CT-scan in foreign body aspiration in children: a 6 years' experience. International journal of pediatric otorhinolaryngology. 2017;102:169-73
Gordon L, Nowik P, Mobini Kesheh S, Lidegran M, Diaz S. Diagnosis of foreign body aspiration with ultralow-dose CT using a tin filter: a comparison study. Emergency Radiology. 2020;27(4):399-404.
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