Aim: Foreign body aspirations are frequently seen in children and can sometimes lead even to death. In this study the clinical spectrum and results of airway foreign body aspiration were investigated.Methods: Thirty-two patients with the diagnosis of foreign body aspiration between August 2000 - July 2002 were retrospectively evaluated.Results: Fifty-nine percent of the patients were male and 41 % were female, and 84 % of the patients were under the age of 3 years. The education level of the mothers were above high school in 38 % of the patients. Most common symptoms on admission were cough, cyanosis, dsypnea, wheezing, vomiting and fever respectively. Most common foreign bodies were dried fruits (63 %) and other foods (25 %). The location of the foreign bodies in the right and left main bronchi, trachea, larynx, and both bronchi were 48, 33, 5, 9, 5 percent, respectively. Sixty-six percent of the patients were admitted within the first 24 hours following the aspiration and 34 % of the patients were admitted after the first 24 hours. There was significant differences in fever, and dyspnea symptoms, and radiographic findings between the early and late admitted patients (p<0.05).Conclusion: Foreign body aspiration in children is a preventable accident with a high risk of mortality and morbidity which is frequently seen in our country. With improvement in education the incidence and mortality of foreign body aspiration will decrease.