Study of Foreign Body Aspirations
Study of Foreign Body Aspirations
Keywords:
Foreign body aspiration, Bronchoscopy, radiological methodsAbstract
Assistance Professoer, B. J. Medical College, Ahmedabad, ****Assistance Professor, Govt.Medical College, Bhavnagar
Abstracts: Objective: Foreign body aspirations comprise the majority of accidental deaths in childhood. Diagnostic delay may cause an increase in mortality and morbidity in cases without acute respiratory failure Methods: In our Hospital, bronchoscopy was performed on 105 patients with the diagnosis of foreign body aspirations.Of these cases, 65.77% were male and 34.29% female. Their ages ranged from 2 months to 13 years. Diagnosis was made on history, physical examination, radiological methods and bronchoscopy. Results: Foreign bodies were localized in the right main bronchus in 59 (56.19%) patients followed by left main bronchus in 191 (18.8%), trachea in 173 (17.1%), vocal cord in 75(7.4%) and both bronchus in 28 (26.67%). Foreign body was not found during bronchoscopy in 4 cases (3.81 %). The majority of the foreign bodies were ground nut. Foreign bodies were removed with bronchoscopy in all cases Conclusion: Rigid bronchoscopy is very effective procedure for inhaled foreign body removal with fewer complications. Proper use of diagnostic techniques provides a high degree of success, and the treatment modality to be used depending on the type of the foreign body is mostly satisfactory.
References
2. Zaupa P, Saxena AK, Barounig A, Höllwarth ME. Management strategies in foreign-body aspiration. Indian J Pediatr. 2009Feb;76(2):157-61
3. Dunn GR, Wardrop P, Lo S, Cowan DL. Management of suspected foreign body aspiration in children. Clin Otolaryngol Allied Sci. 2004Jun;29(3):286
4. Osman EZ, Webb CJ, Clarke RW. Management of suspected foreign body aspiration in children. Clin Otolaryngol Allied Sci. 2003Jun;28(3):276
5. Dunn GR, Wardrop P, Lo S, Cowan DL. Management of suspected foreign body aspiration in children. Clin Otolaryngol Allied Sci. 2002;27(5):384-6
6. Brkić F, Delibegović-Dedić S, Hajdarović D. Bronchoscopic removal of foreign bodies from children in Bosnia and Herzegovina: experience with 230 patients. Int J Pediatr Otorhinolaryngol. 2001Sep28;60(3):193-6
7. Oğuz F, Citak A, Unüvar E, Sidal M. Airway foreign bodies in childhood. Int J Pediatr Otorhinolaryngol. 2000Jan30;52(1):11-6
8. Sirmali M, Türüt H, Kisacik E, Findik G, Kaya S, Taştepe I. The relationship between time of admittance and complications in paediatric tracheobronchial foreign body aspiration. Acta Chir Belg. 2005;105(6):631-4
9. Oliveira CF, Almeida JF, Troster EJ, Vaz FA. Complications of tracheobronchial foreign body aspiration in children: report of 5 cases and review of the literature. Rev Hosp Clin Fac Med Sao Paulo. 2002;57(3):108-11
10. Sersar SI, Rizk WH, Bilal M, El Diasty MM, Eltantawy TA, Abdelhakam BB, Elgamal AM, Bieh AA. Inhaled foreign bodies: presentation, management and value of history and plain chest radiography in delayed presentation. Otolaryngol Head Neck Surg. 2006Jan;134(1):92-9
11. Tariq SM, George J, Srinivasan S. Inhaled foreign bodies in adolescents and adults. Monaldi Arch Chest Dis. 2005Dec;63(4):193-8
12. Dikensoy O, Usalan C, Filiz A. Foreign body aspiration: clinical utility of flexible bronchoscopy. Postgrad Med J. 2002Jul;78(921):399-403
13. Doğru D, Nik-Ain A, Kiper N, Göçmen A, Ozçelik U, Yalçin E, Aslan AT. Bronchiectasis: the consequence of late diagnosis in chronic respiratory symptoms. J Trop Pediatr.2005Dec;51(6):362-5
14. Pinzoni F, Boniotti C, Molinaro SM, Baraldi A, Berlucchi M. Inhaled foreign bodies in pediatric patients: review of personal experience. Int J Pediatr Otorhinolaryngol. 2007Dec;71(12):1897-903
15. Baharloo F, Veyckemans F, Francis C, Biettlot MP, Rodenstein DO. Tracheobronchial foreign bodies: presentation and management in children and adults. Chest. 1999;115(5):1357-62
16. Swanson K, Prakash U. Airway foreign bodies in adults. J Bronchol. 2003;10:107-111
17. Oguzkaya F, Akcali Y, Kahraman C, Bilgin M, Sahin A. Tracheobronchial foreign body aspirations in childhood: a 10-year experience. Eur J Cardiothorac Surg. 1998;14(4):388-392
18. Dikensoy O, Usalan C, Filiz A. Foreign body aspiration: clinical utility of flexible bronchoscopy. Postgrad Med J. 2002;78:399-403
19. Chiu CY, Wong KS, Lai SH, Hsia SH, Wu CT. Factors predicting early diagnosis of foreign body aspiration in children. Pediatr Emerg Care. 2005;21:161-4
20. Tan HK, Brown K, McGill T, Kenna MA, Lund DP, Healy GB. Airway foreign bodies (FB): a 10-year review. Int J Pediatr Otorhinolaryngol. 2000;56:91-9
21. Erikçi V, Karaçay S, Arikan A. Foreign body aspiration: a four-years experience. Ulus Travma Acil Cerrahi Derg. 2003;9(1):45-9
