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102: Foreign Body Aspiration
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Published:May 2023
Darren Fiore, MD, FAAP, Brian C. Gin, MD, PhD, FAAP, "Foreign Body Aspiration", Caring for the Hospitalized Child: A Handbook of Inpatient Pediatrics, American Academy of Pediatrics Section on Hospital Medicine, Jeffrey C. Gershel, MD, FAAP, Daniel A. Rauch, MD, FAAP, SFHM
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Foreign body aspiration (FBA) is potentially life-threatening, as it can lead to complete or partial airway obstruction. Although 80% of cases involve children younger than 3 years, it can occur at any age. Round foods, such as grapes, peanuts, hot dogs, and popcorn, are the most commonly aspirated. Other possibilities include small toy parts, latex balloons, marbles, coins, pen caps, paper clips, pins, and jewelry.
Certain retained foreign bodies are of particular concern because of their ongoing effects on airway tissues. For example, peanuts are irritating to the airway and can cause granulation tissue, whereas vegetable matter (corn kernels) can...