A bronchoscopy is a procedure that allows to examine the inside of the lungs, including the bronchi, which are the main pathways into the lungs. Bronchoscopy maybe either flexible or rigid. Flexible bronchoscope are used for diagnostic purpose and rigid bronchoscope are used for foreign body removal.
Foreign body aspiration is the cause of death for several children each year. Tracheobronchial inhalation of foreign bodies may result in acute respiratory distress, atelectasis, chronic pulmonary infections, or death.
Foreign body aspiration can be a life-threatening emergency. An aspirated solid or semisolid object may lodge in the larynx or trachea. If the object is large enough to cause nearly complete obstruction of the airway, asphyxia may rapidly cause death. Lesser degrees of obstruction or passage of the obstructive object beyond the carina can result in less severe signs and symptoms.
Chronic debilitating symptoms with recurrent infections might occur with delayed extraction, or the patient may remain asymptomatic. The actual aspiration event can usually be identified, although it is often not immediately appreciated. A doubtful case can be diagnosed with a CT scan virtual bronchoscopy.
Rigid bronchoscopy is the traditional method of diagnosis and management of foreign body (FB) aspiration in children. Peanut is one of the common foreign body aspiration in children in India.