Abstract:

Objectives: Flexible fiberoptic bronchoscopy (FB) is one of the methods used for the diagnosis of childhood respiratory diseases. This diagnostic method allows the examination of the nose, pharynx, larynx and tracheobronchial tree. In this study, we aimed to present our five-year FB experience and to draw attention to the diagnostic benefit of FB in childhood. Materials and Methods: We retrospectively evaluated the indications and results of 316 FB procedures performed in our center between March 1, 2014 and March 1, 2019. Patients’ age, gender, chronic diseases, indication of FB, route of administration, size of bronchoscopy used, microbiological and cytological examination results of bronchoalveolar lavage liquid, pathological bronchoscopic findings, diagnosis and complications during bronchoscopy were examined. Results: In the five-year period, a total of 300 patients underwent 316 FB procedures. One hundred and seventy of 316 FB patients that were evaluated (53.7%) were boys. The median age of the patients was 48 months. The most common indications for bronchoscopy were atelectasis (n=68, 21.5%), chronic cough (n=53, 16.8%) and stridor (n=42, 13.3%). Diagnostic findings were obtained during bronchoscopy in 235 (74.4%) patients. Fifteen (4.7%) patients developed minor complications and 10 (3.4%) of these patients had short-term hypoxemia during the procedure. Conclusion: FB in childhood is a method that can be performed with many indications in patients with respiratory symptoms. Adequate preparation prior to the procedure and careful monitoring of the patient by a trained team during the procedure are crucial for the safe completion of the procedure.

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