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Foreign Body Aspiration in Infants: Role of Self-Feeding.
Pediatric Allergy, Immunology, and Pulmonology ( IF 0.9 ) Pub Date : 2019-06-17 , DOI: 10.1089/ped.2019.1008
Gül Özyüksel 1 , Tutku Soyer 1 , Filiz Üzümcügil 2 , Şule Yalçın 1 , Saniye Ekinci 1 , İbrahim Karnak 1 , Arbay Özden Çiftçi 1 , Feridun Cahit Tanyel 1
Affiliation  

Background: Foreign body aspiration (FBA) is a serious life-threatening condition in childhood. "Baby-led weaning (BLW)" is a popular method in which the babies are encouraged to self-feed to gain oral motor abilities. The role of BLW in FBA is controversial. A retrospective study was performed to evaluate the results of FBA in infants (<1 year of age) and its relation to the feeding method. Materials and Methods: Children who underwent bronchoscopy for FBA for the past 10 years were included. Infants (<1 year of age) were evaluated for age, gender, clinical findings, and the results of bronchoscopy. The type of feeding, including self-feeding or caregiver-assisted feeding, was noted. Results: The medical records of 826 patients who underwent bronchoscopy were evaluated. FBA was noted in 50.2% (n = 417) of cases. Only 9.07% (n = 75) of patients were <1 year of age and 67% (n = 50) of them had a foreign body according to the bronchoscopy. The mean age was 9 months (5-12 months) and 36% of them were male. When the feeding characteristics of patients were surveyed, 80% of cases aspirated when self-feeding and 14% aspirated during caregiver-assisted feeding. Conclusions: Self-feeding to promote oral motor function may cause FBA in infants. Emergent bronchoscopy is more common in infants and reveals the aspiration of foods that cannot be consumed safely in this age group.

中文翻译:

婴儿异物吸入:自我喂养的作用。

背景:异物吸入(FBA)是儿童时期严重的威胁生命的疾病。“婴儿主导的断奶(BLW)”是一种流行的方法,其中鼓励婴儿进行自我喂养以获得口腔运动能力。BLW在FBA中的作用是有争议的。进行了一项回顾性研究,以评估婴儿(<1岁)FBA的结果及其与喂养方法的关系。材料和方法:包括过去10年因FBA接受支气管镜检查的儿童。评估婴儿(<1岁)的年龄,性别,临床发现以及支气管镜检查的结果。记录了喂养的类型,包括自我喂养或照顾者辅助喂养。结果:评估了826例接受了支气管镜检查的患者的病历。在50.2%(n = 417)的病例中发现FBA。只有9 根据支气管镜检查,有7%(n = 75)的患者<1岁,其中67%(n = 50)的患者有异物。平均年龄为9个月(5-12个月),其中36%为男性。在调查患者的喂养特征时,有80%的患者在自行喂养时吸气,有14%的患者在照顾者辅助喂养时吸气。结论:自我喂养促进口腔运动功能可能会引起婴儿FBA。紧急支气管镜检查在婴儿中更为常见,显示出该年龄段无法安全食用的食物。自行喂养时有80%的病例被吸出,在照顾者辅助喂养期间有14%的病例被吸出。结论:自行喂养可促进口腔运动功能,可能会导致婴儿FBA。紧急支气管镜检查在婴儿中更为常见,显示出该年龄段无法安全食用的食物。自行喂养时有80%的病例被吸出,在照顾者辅助喂养期间有14%的病例被吸出。结论:自行喂养可促进口腔运动功能,可能会导致婴儿FBA。紧急支气管镜检查在婴儿中更为常见,显示出该年龄段无法安全食用的食物。
更新日期:2019-11-01
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