Objective: A foreign body aspiration in the tracheobronchial tree is a dangerous medical condition in the childhood period. Although rigid bronchoscopy is a safe procedure, it may cause complications. The aim of this study was to present our bronchoscopy experience and to evaluate the efficacy of pre?operative administration of nebulized albuterol and budesonide combination for reducing intra-operative complications in foreign body aspirated cases.Methods: In this retrospective study our pediatric cases in which a foreign body was removed from tracheobronchial tree in last 8 years were analyzed. After excluding the patients who needed emergent and negative bronchoscopies, the remaining clinically stable 84 patients were compared for the effects of preoperative administration of nebulized albuterol and budesonide combination on bronchoscopy complications.Results: There were 51 boys (60.3%) and 33 girls (39.7%). There were 38 children in the non-nebulized group and 46 children in the nebulized group. We found that the combined albuterol and budesonide nebulization decrease complications such as arterial oxygen desaturation (p<0.05), and bronchospasm (p<0.05) during the bronchoscopic intervention.Conclusion: Preoperative nebulization of albuterol and budesonide combination may decrease perioperative complications of bronchoscopy.

Background: The aim of this study was to analyse patients who underwent bronchoscopy for suspected foreign body aspiration (FBA) and to evaluate the properties of computed tomography (CT) in preventing unnecessary bronchoscopy, which carries the risk of serious complications. Methods: All patients younger than 18 years of age who were evaluated for FBA at a tertiary children’s hospital between June 2014 and February 2023. Results: A total of 165 children were included in this study. In Group I (only bronchoscopy), the detection rate of FBA was 77.9%, whereas in Group II (CT ± bronchoscopy), the detection rate of FBA was 93%. Additionally, the negative diagnosis rate in Group II (7%) was significantly higher compared to Group I (22.1%). Conclusions: Low-dose chest CT is a highly effective and reliable imaging method for the diagnosis of FBA due to its rapid performance, minimal radiation exposure, and high sensitivity and specificity; therefore, it can prevent unnecessary bronchoscopies in suspicious cases and increase the positive bronchoscopy rate.