{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:33:41Z","timestamp":1787772821215,"version":"build-2784847793"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>The aim is to study the demographics and management of unusual airway foreign bodies (UAFBs) in children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A retrospective observational study (2000\u20132020) of children with UAFBs, who underwent bronchoscopic removal. The demographics, types of foreign bodies, clinical and radiological features, management, and outcomes were collated and analyzed. Common foreign bodies, such as nuts, seeds, and vegetable aspirations, were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among 531 children who had bronchoscopic retrieval of airway foreign bodies, 74 (59 males\/15 females) had unusual foreign bodies. These included pen caps, whistles, plastic objects, pins, coal piece, stones, clay, pencil, gold ornament, and glass bangle. Thirty-one children presented within 1 day of aspiration, 37 within 1 month and 6 till 6 months. Thirty-nine were below 5 years, and the rest were between 5 and 15 years. Cough, respiratory distress, fever, choking, and noisy breathing were common presentations. Others are stridor, whistling, cyanosis, loss, and change of voice. Chest X-ray showed ipsilateral hyperinflation (23), haziness (21), radio-opaque foreign body (17) and was normal in 14. The left main bronchus, followed by the right main bronchus and trachea, were the sites of impaction. Four children required additional procedures (tracheotomy and thoracotomy). There was one mortality in the study cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Aspiration of unusual foreign bodies is not uncommon in children. Most aspirations are witnessed and predominant in boys. The left bronchus is the common site of impaction, and X-ray clinches the diagnosis. Presentation is delayed, and bronchoscopic retrieval, though challenging, has favorable outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jiaps.jiaps_76_24","type":"journal-article","created":{"date-parts":[[2024,8,28]],"date-time":"2024-08-28T08:37:32Z","timestamp":1724834252000},"page":"536-540","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Unusual Airway Foreign Bodies in Children: Demographics and Management"],"prefix":"10.4103","volume":"29","author":[{"given":"Sumona","family":"Bose","sequence":"first","affiliation":[{"name":"Department of Paediatric Surgery, All India Institute of Medical Sciences, Kalyani, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Attibele Mahadevaiah","family":"Shubha","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, St. Johns Medical College and Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,8,23]]},"reference":[{"key":"R1-20240909","first-page":"6","article-title":"Foreign-body aspiration:A guide to early detection, optimal therapy","volume":"2","author":"Seth","year":"2007","journal-title":"Allergy"},{"key":"R3-20240909","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1177\/000348949610500712","article-title":"Pediatric tracheobronchial foreign bodies:Historical review from the Johns Hopkins hospital","volume":"105","author":"Hughes","year":"1996","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"R4-20240909","first-page":"1357","article-title":"Tracheobronchial foreign bodies:Presentation and management in children and adults","volume":"115","author":"Baharloo","year":"1999","journal-title":"Chest"},{"key":"R5-20240909","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1183\/09031936.94.07030510","article-title":"Non-asphyxiating tracheobronchial foreign bodies in adults","volume":"7","author":"Lan","year":"1994","journal-title":"Eur Respir J"},{"key":"R6-20240909","doi-asserted-by":"crossref","first-page":"47","DOI":"10.18689\/mjol-1000109","article-title":"An unusual airway foreign body \u2013A cockroach in the trachea","volume":"3","author":"Liu","year":"2018","journal-title":"Madridge J Otorhinolaryngol"},{"key":"R7-20240909","first-page":"51","article-title":"An unusual foreign body aspiration in a child:A case report","volume":"4","author":"Goyal","year":"2019","journal-title":"Int J Sci Healthc Res"},{"key":"R8-20240909","doi-asserted-by":"crossref","first-page":"49","DOI":"10.5005\/jp-journals-10003-1313","article-title":"Uncommon and dangerous foreign body in an infant's Larynx:An interesting presentation","volume":"11","author":"Sharma","year":"2019","journal-title":"Int J Otorhinolaryngol Clin"},{"key":"R9-20240909","doi-asserted-by":"crossref","first-page":"238","DOI":"10.3329\/bjms.v12i2.14981","article-title":"Unusual airway foreign body in an 11-year-old boy","volume":"12","author":"Mohamad","year":"2013","journal-title":"Bangladesh J Med Sci"},{"key":"R10-20240909","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/j.ejenta.2013.11.002","article-title":"Long standing tracheal FB in children:a case report","volume":"15","author":"Banjar","year":"2014","journal-title":"Egypt J Ear Nose Throat Allied Sci"},{"key":"R12-20240909","doi-asserted-by":"crossref","first-page":"604","DOI":"10.7326\/0003-4819-112-8-604","article-title":"Tracheobronchial foreign bodies in adults","volume":"112","author":"Limper","year":"1990","journal-title":"Ann Intern Med"},{"key":"R13-20240909","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/S0929-693X(00)88911-3","article-title":"Laryngeal foreign bodies:Management in children in Senegal","volume":"7","author":"Diop","year":"2000","journal-title":"Arch Pediatr"},{"key":"R14-20240909","doi-asserted-by":"crossref","first-page":"778","DOI":"10.1016\/0002-9610(84)90436-7","article-title":"Bronchoscopic removal of aspirated foreign bodies in children","volume":"148","author":"Black","year":"1984","journal-title":"Am J Surg"},{"key":"R15-20240909","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1016\/j.ijporl.2007.01.018","article-title":"Scarf pins sharp metallic tracheobronchial foreign bodies:Presentation and management","volume":"71","author":"Ragab","year":"2007","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"R16-20240909","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1177\/000348948008900512","article-title":"Foreign bodies in the larynx and tracheobronchial tree in children. 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