In this retrospective study, we reviewed the demographic and radiograp
hic findings of 155 children with bronchoscopy-proven tracheobronchial
foreign body aspiration (FBA). Two thirds of the patients were male,
and most were children between 1 and 2 years of age. An aspirated pean
ut accounted for one third of all cases. Foreign body location was dis
tributed nearly evenly to the right and left primary bronchi; tracheal
foreign body was noted in 16 patients. The most frequent symptoms of
FBA were cough (85 patients): and wheezing (60 patients). Although mos
t patients were seen within 1 day of aspiration, 30 patients had sympt
oms that lasted at least I week before diagnosis. The most common radi
ographic findings were unilateral or segmental hyperlucency (59) or at
electasis (38). The trachea was the site of the foreign body in one ha
lf of children with a normal chest radiograph and FBA.