SavedAdd your journal

Journals / Çocuk Dergisi / 2026 / Cilt: 25 Sayı: 3

Foreign body aspiration in children with allergic diseases: coincidence or association?

Şefika İlknur Kökçü Karadağ(Ondokuz Mayıs University, Department of Pediatric Allergy and Immunology)0000-0001-9234-633X
Elif Uğurlu(Ondokuz Mayıs University, Department of Pediatrics)0000-0001-8289-2783
Hilal Güngör(Prof. Dr. Cemil Tascıoglu City Hospital, Department of Pediatric Allergy and Immunology)0000-0002-6886-2358
Berat Dilek Demirel(ONDOKUZ MAYIS UNIVERSITY, SCHOOL OF MEDICINE, DEPARTMENT OF SURGICAL MEDICAL SCIENCES, DEPARTMENT OF PEDIATRIC SURGERY)0000-0002-9358-0045
Recep Sancak(Ondokuz Mayıs University, Department of Pediatric Allergy and Immunology)0000-0003-0711-5620
Pages
125–131
Publication Date
2025-10-31
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This situation could increase the risk of foreign body aspiration in an allergic individual.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: The aim of this study was to evaluate the reality of allergic disease risk in cases of foreign body aspiration and to assess the relationship between these two conditions.
📊
Key Findings & Data:Materials and Methods: The study included 63 patients who underwent bronchoscopy by the Pediatric Surgery Department with suspected foreign body aspiration.
💡
Conclusion & Impact:This situation could increase the risk of foreign body aspiration in an allergic individual.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Foreign body aspiration · allergic diseases · bronchoscopy

Abstract

Objective: The aim of this study was to evaluate the reality of allergic disease risk in cases of foreign body aspiration and to assess the relationship between these two conditions. Materials and Methods: The study included 63 patients who underwent bronchoscopy by the Pediatric Surgery Department with suspected foreign body aspiration. Demographic information of the patients was collected from hospital records, while data on allergic diseases were gathered through questionnaires. Results: Out of 63 patients who underwent bronchoscopy due to suspected foreign body aspiration, a foreign body was detected in 48 (76.2%) cases, while 15 (23.8%) cases had no detection. Among those with detected foreign bodies, 93.3% were aged 3 years or younger, with a male-to-female ratio of 2.8:1. The most common foreign bodies found were hazelnuts (37.5%) and peanuts (20.8%). Among the patients presenting with suspected foreign body aspiration, 65.1% had wheezing and whistling sounds in their chest, 30.2% had previously been diagnosed with allergic bronchitis and asthma by doctors, 20.6% showed symptoms of allergic rhinitis, and 6.3% had allergic conjunctivitis. Additionally, a significant relationship was observed between smoking at home and foreign body aspiration (p = 0.04). Conclusion: The findings of this study suggest a potential relationship between foreign body aspiration and allergic diseases. It is thought that allergic diseases may increase the susceptibility of the airways and mucosal edema, making it easier for foreign bodies to enter the respiratory tract. This situation could increase the risk of foreign body aspiration in an allergic individual.

🔖

Cite This Article

Karadağ, Ş. İ. K., Uğurlu, E., Güngör, H., Demirel, B. D., Sancak, R. (2025). Foreign body aspiration in children with allergic diseases: coincidence or association?. Çocuk Dergisi, Cilt: 25 Sayı: 3, 125–131. https://doi.org/10.26650/jchild.2025.1670359

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (25)

  1. Tan HK, Brown K, McGill T et al. Airway foreign bodies (FB): a 10-year review Int J Pediatr Otorhinolaryngol. 2000;56(2):91-9. doi: 10.1016/s0165-5876(00)00391-8. PMID: 11115682. google scholar
  2. Black RE, Choi KJ, Syme WC, et al. Bronchoscopic removal of aspirated foreign bodies in children. Am J Surg. 1984 Nov;148(5):778-81. google scholar
  3. Foltran F, Ballali S, Passali FM,et al. Foreign bodies in the airways: a meta-analysis of published papers Int J Pediatr Otorhinolaryngol. 2012 May 14;76 Suppl 1:S12-9. doi: 10.1016/j.ijporl.2012.02.004. Epub 2012 Feb 12. PMID: 22333317. Rodrıguez H, Passali GC, Gregori D et al.Management of foreign bodies in the airway and esophagus. Int J Pediatr Otorhinolaryngol. 2012 May 14;76 Suppl 1:S84-91. doi: 10.1016/j.ijporl.2012.02.010. Epub 2012 Feb 24. PMID: 22365376. google scholar
  4. Sultan TA, Van AB. Review of tracheobronchial foreign body aspiration in the South African pediatric age group. Thorac Dis. 2016;8:3787-3796. google scholar
  5. Wallis C, Alexopoulou E, Antön-Pacheco JL, et al. ERS statement on tracheomalacia and bronchomalacia in children. Eur Respir J. 2019;54:1900382. Published 2019 Sep 28. doi:10.1183/13993003.00382-2019 google scholar
  6. Lin RY, Williams KD. Hypersensitivity to molds in New York City in adults who have asthma. Allergy Asthma Proc. 2003;24:13-18. google scholar
  7. Kamran A, Jennings RW. Tracheomalacia and Tracheobronchomalacia in Pediatrics: An Overview of Evaluation, Medical Management, and Surgical Treatment. Front Pediatr. 2019;7:512. Published 2019 Dec 12. doi:10.3389/ fped.2019.00512 google scholar
  8. Rosenstreich DL, Eggleston P, Kattan M et al. Role of cockroach allergy and exposure to cockroach allergen in causing morbidity among inner-city children with asthma N Engl J Med. 1997;336(19):1356-1363. google scholar
  9. Feng CH, Miller MD, Simon RA. The united allergic airway: connections between allergic rhinitis, asthma, and chronic sinusitis Am J Rhinol Allergy. 2012 May-Jun;26(3):187-90. doi: 10.2500/ajra.2012.26.3762. PMID: 22643942; PMCID: PMC3906509. google scholar
  10. Cingi C, Muluk NB, Cobanoglu B, Çatli T, Dikici O. Nasobronchial interaction. World J Clin Cases. 2015;3(6):499-503. doi: 10.12998/wjcc.v3.i6.499. PMID: 26090369; PMCID: PMC4468895. google scholar
  11. Bajaj D, Sachdeva A, Deepak D. Foreign body aspiration. J Thorac Dis. 2021;13(8):5159-5175. doi:10.21037/jtd.2020.03.94 google scholar
  12. Bousquet J, Khaltaev N, Cruz AA, et al. Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 update (in collaboration with the World Health Organization, GA(2)LEN and AllerGen). Allergy. 2008 Apr;63 Suppl 86:8-160. google scholar
  13. Greiner AN, Hellings PW, Rotiroti G, Scadding GK. Allergic rhinitis. Lancet. 2011;378(9809):2112-2122. google scholar
  14. Fidkowski CW, Zheng H, Firth PG. The anesthetic considerations of tracheobronchial foreign bodies in children: a literature review of 12,979 cases Anesth Analg. 2010;111(4):1016-1025. google scholar
  15. Safari M, Manesh MR. Demographic and Clinical Findings in Children Undergoing Bronchoscopy for Foreign Body Aspiration Ochsner J. 2016 Summer;16(2):120-4. PMID: 27303219; PMCID: PMC4896653. google scholar
  16. Karadag SIK, Sariaydin B, Sariaydin A, Sancak R. Evolving Trends in Pediatric Allergic Diseases: A Cross-Sectional Study Over 20 Years in the Central Black Sea Region of Turkey. Pediatr Allergy Immunol Pulmonol. 2024;37(3):74-80. doi:10.1089/ped.2024.0021 google scholar
  17. Fidkowski CW, Zheng H, Firth PG. The anesthetic considerations of tracheobronchial foreign bodies in children: a literature review of 12,979 cases Anesth Analg. 2010 Oct;111(4):1016-25. doi: 10.1213/ANE.0b013e3181ef3e9c. Epub 2010 Aug 27. PMID: 20802055. google scholar
  18. Ding G, Wu B, Vinturache A, Cai C, Lu M, Gu H. Tracheobronchial foreign body aspiration in children: A retrospective single-center cross-sectional study Medicine (Baltimore). 2020;99(22):e20480. doi: 10.1097/MD.0000000000020480. PMID: 32481458. google scholar
  19. Paksu S, Paksu MS, Kilic M, Guner SN, Baysal K, Sancak R, Ozturk F. Foreign body aspiration in childhood: evaluation of diagnostic parameters Pediatr Emerg Care. 2012 Mar;28(3):259-64. doi: 10.1097/PEC.0b013e3182494eb6. PMID: 22344214. cough in a 10-year-old child with asthma, Journal of Asthma, 58:2, 276-280, DOI: 10.1080/02770903.2019.1684515 google scholar
  20. Ewa Łoś-Rycharska, Zuzanna Wasielewska, Katarzyna Nadolska & Aneta Krogulska (2021) A foreign body in the mediastinum as a cause of chronic cough in a 10-year-old child with asthma, Journal of Asthma, 58:2, 276-280, DOI: 10.1080/02770903.2019.1684515 google scholar
  21. Torsello M, Sicuranza L, Meucci D, Salvati A, Tropiano ML, Santarsiero S, Calabrese C, D'Onghia A, Trozzi M. Foreign body aspiration in children: our pediatric tertiary care experience Pediatr Surg Int. 2024 Mar 29;40(1):93. doi: 10.1007/s00383-024-05679-z. PMID: 38551664. google scholar
  22. Scadding GK, Kariyawasam HH, Scadding G et al. BSACI guideline for the diagnosis and management of allergic and non-allergic rhinitis (Revised Edition 2017; First edition 2007). Clin Exp Allergy 2017;47:856-889. doi:10.1111/ cea.12953 google scholar
  23. Licari A, Castagnoli R, Denicolö CF, et al. The nose and the lung: United airway disease? Front Pediatr. 2017;5:44. doi:10.3389/fped.2017.00044 google scholar
  24. Burke H, Leonardi-Bee J, Hashim A et al. Prenatal and passive smoke exposure and incidence of asthma and wheezing: systematic review and meta-analysis Pediatrics. 2012;129(4):735-744. doi:10.1542/peds.2011-2196 google scholar
  25. Platts-Mills TA, Vervloet D, Thomas WR, et al. Indoor allergens and asthma: report of the Third International Workshop. J Allergy Clin Immunol. 1997;100(6 Pt 1):S2-24. doi:10.1016/s0091-6749(97)70292-6 google scholar