Seminars in respiratory and critical care medicine
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Tracheobronchial foreign body (FB) aspiration is a common problem in children and adults. The medical history is the single most predictive factor in the clinical suspicion of FB aspiration. The "penetration syndrome" defined by the sudden onset of choking and coughing with or without vomiting should prompt concerns for FB aspiration. ⋯ Airway control can be achieved with an endotracheal tube or a laryngeal mask airway. A delay in diagnosis increases morbidity including cough, wheeze, edema, and granulation tissue formation. Bronchoscopic evaluation and removal should be performed as soon as the diagnosis is suspected.