Neftaly Inhaled Foreign Bodies in Children

• Definition: Inhalation (aspiration) of an object into the airway (trachea or bronchial tree), commonly seen in children under 5.
• Peak Age: 1 to 3 years (due to exploration, immature chewing, and lack of molars).

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⚠️ Common Foreign Bodies

• Peanuts, seeds, popcorn, coins, small toys, beads, pen caps.

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???? Signs & Symptoms

• Acute episode: Sudden choking, coughing, gagging.
• Later signs:
  • Persistent cough
  • Wheezing (often unilateral)
  • Stridor
  • Decreased breath sounds
  • Recurrent pneumonia or localized lung collapse

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???? Diagnosis

• Clinical history is key (witnessed choking episode).
• Imaging:
  • Chest X-ray (may show air trapping, hyperinflation, or atelectasis)
  • Lateral decubitus or inspiratory/expiratory films
  • CT scan or bronchoscopy (definitive)

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????️ Management

• Emergency response:
  • If child is choking and unable to breathe:
    • Back blows & chest thrusts (infants)
    • Heimlich maneuver (older children)
• Bronchoscopy (rigid preferred in children): Diagnostic and therapeutic
• Antibiotics: If secondary infection is present
• Observation post-removal for complications (e.g., edema, infection)

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????‍⚕️ Prevention Tips

• Avoid giving small har

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