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Flexible bronchoscopy as a valuable tool in the evaluation of persistent wheezing in children

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dc.contributor.authorKARADAĞ, BÜLENT TANER
dc.contributor.authorsCakir, Erkan; Ersu, Refika Hamutcu; Uyan, Zeynep Seda; Oktem, Sedat; Karadag, Bulent; Yapar, Okan; Pamukcu, Ozge; Karakoc, Fazilet; Dagli, Elif
dc.date.accessioned2022-03-12T17:36:16Z
dc.date.available2022-03-12T17:36:16Z
dc.date.issued2009
dc.description.abstractBackground: Persistent wheezing is a common problem in early childhood and leads to a diagnostic dilemma, excessive investigations, drug administration and additional cost. Objective: To determine the efficacy and the safety of FOB in children with persistent wheezing despite bronchodilator and inhaled steroid therapy. Methods: Patients with persistent wheezing that lasted at least 6 weeks and did not respond to bronchodilator and inhaled steroid therapy and to whom flexible bronchoscopy was performed were included to the study. Results: Between 1997 and 2009; 113 patients were enrolled to the study. Sixty-three percent of the children were male. Median age was 14 months at presentation and median duration of symptoms was 5 months. Bronchoscopy revealed pathological findings in 48% of the patients. Thirty-eight patients had malacia disorders, 14 had foreign body aspiration and two had external compression of airways which were later diagnosed as vascular ring. Major and minor complications were not seen in 92% of the patients while transient hypoxia was seen in 6%, stridor in 1% and tachycardia in 1% of the patients. Conclusion: Flexible bronchoscopy provided rapid and definitive diagnosis for our patients with persistent wheezing without any major complications. This study is one of the largest studies concerning persistent wheezing. Early bronchoscopic evaluation can reduce cost by providing rapid and accurate diagnosis and preventing unnecessary investigations and drug administration. Flexible bronchoscopy is a safe procedure and should be considered in the evaluation of children with persistent wheezing. (C) 2009 Elsevier Ireland Ltd. All rights reserved.
dc.identifier.doi10.1016/j.ijporl.2009.08.016
dc.identifier.issn0165-5876
dc.identifier.pubmed19733921
dc.identifier.urihttps://hdl.handle.net/11424/229258
dc.identifier.wosWOS:000272855900011
dc.language.isoeng
dc.publisherELSEVIER IRELAND LTD
dc.relation.ispartofINTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectWheezing
dc.subjectChild
dc.subjectTracheomalacia
dc.subjectForeign body
dc.subjectVascular ring
dc.subjectFOREIGN-BODY ASPIRATION
dc.subjectRESPIRATORY SYMPTOMS
dc.subjectBRONCHOMALACIA
dc.subjectTRACHEOMALACIA
dc.subjectDIAGNOSIS
dc.subjectDISEASE
dc.titleFlexible bronchoscopy as a valuable tool in the evaluation of persistent wheezing in children
dc.typearticle
dspace.entity.typePublication
local.avesis.id52e5ae63-59bd-4b18-a29e-5bf886a6cbc5
local.import.packageSS17
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages3
oaire.citation.endPage1668
oaire.citation.issue12
oaire.citation.startPage1666
oaire.citation.titleINTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY
oaire.citation.volume73
relation.isAuthorOfPublication218b489d-97ab-49dd-9db6-0c2a732f1999
relation.isAuthorOfPublication.latestForDiscovery218b489d-97ab-49dd-9db6-0c2a732f1999

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