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Foreign-Body Aspiration

Am J Dis Child. 1988;142(5):485-486. doi:10.1001/archpedi.1988.02150050023019.
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Sir.—Foreign bodies in the upper aerodigestive tracts of children are a common problem frequently marked by stridor, wheezing, and respiratory distress. The specialties of pediatrics and otolaryngology have done a creditable job educating both the general public and other physicians about the most commonly aspirated foreign materials, including nuts, hot dogs, grapes, and hard candy. In addition, legislation has specified minimum dimensions for components of toys intended for children under 3 years of age, a further mechanism of providing protection for children.1

Unfortunately, however, one ubiquitous material has been completely ignored with regard to its potential as a foreign body: the plastic sales tag holder (Fig 1). Recent experience with a 13-month-old child has demonstrated the ability of this radiopaque object to lodge in the subglottis in the anteroposterior direction (Fig 2) and


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