ANALYSIS OF TRACHEOBRONCHIAL FOREIGN BODIES WITH RESPECT TO SEX, AGE, TYPE AND PRESENTATION

Authors

  • Muhammad Asif
  • Shahid Ali Shah
  • Farida Khan
  • Rehman Ghani

Abstract

Background: Foreign body inhalation is one of the life threatening emergencies. It may happen atany age, however, most of these accidents occur in children especially below the age of five.Methods : This prospective study was done at Department of Otolaryngology, Head and NeckSurgery, Ayub Teaching Hospital, Abbottabad, from 1 January 2003 to 30 June 2005. A total ofEighty one patients, referred from the casualty and Paediatric unit with suspicion oftracheobronchial foreign body were included in the study. Results: Eighty one were studied. Fifty(61.7%) were male and thirty one (38.3%) were female. Sixty three (77.8%) were below fiveyears, thirteen (16%) were between five and fifteen years and five (6.2% ) were above fifteenyears. Sixty seven patients (82.7% ), presented mainly with chocking, while fifty nine patients(72.8%) had stridor and forty five patients (55.6%) had cough at initial presentation. Seventy two(88.9%) patients had decreased air entry and forty two (51.9%) had wheeze on auscultation,whereas cyanosis was noticed in five (6.2%) patients. Peanut was the commonest foreign bdy,retrieved in forty five patients (55.6%). Other foreign bodies were whistle (18.5%), maize seed(13.6%), bean seed (6.2 %), nuts (2.5%), sewing needle with thread, dice and denture (1.2%)each. Conclusions: Foreign body inhalation is more common in male patients, mostly below fiveyears of age. Chocking is the commonest symptom and decreased air entry on auscultation is thetypical examination finding. Peanut has been found to be the commonest type of foreign body.Key words: Tracheobronchial, Foreign body, Peanut.

References

Mu L, He P, Sun D. Inhalations of foreign bodies in Chinese

children: a review of 400 cases. Laryngoscope. 1991; 101:

-60.

Steen KH, Zimmermann T. Tracheobronchial aspiration of

foreign bodies in children: a study of 94 cases. Laryngoscope

; 100(5):525-30.

Ghani R, Akhtar S, Gillani SMA, Nabi G. Management of

Tracheobronchial foreign bodies in children. J Ayub Med

Coll 1998;10(2): 30-3.

Swanson KL, Prakash UB, Midthun DE, Edell ES, Utz JP,

McDougall JC et al.. Flexible bronchoscopic management of

airway foreign bodies in children. Chest . 2002;121(5): 1695-

Tariq P. Foreign body aspiration in children - a persistent

problem. J Pak Med Assoc 1999; 49 (2):33-6.

Yeh LC, Li HY, Huang TS. Foreign bodies in

tracheobronchial tree in children: a review of cases over a

twenty- year period. Changgeng Yi Xue Za Zhi. 1998;21(1):

-9.

Zerella JT, Dimler M, McGill LC, Pippus KJ. Foreign body

aspiration in children: value of radiography and

complications of bronchoscopy. J Pediatr Surg. 1998;

(11):1651-4

Black RE, Johnson DG, Matlak ME. Bronchoscopic removal

of aspirated foreign bodies in children. J Padiatr Surg 1994;

(5):682-4.

Burton EM, Brick WG, Hall JD, Riggs W, Houston CS.

Tracheobronchial foreign body aspiration in children. South

Med J 1996;89(2):195-8.

Rashid D, Ahmad B, Muhammad S, Hydri AS, Anwar K.

Foreign Body: Tracheobronchial tree. Pak Armed Forces

Med J 1999; 49(2): 114-6.

Farooqi T, Hussain M, Pasha HK, Bokhari K, Hassan S.

Foreign body aspiration in children: An experience at Nishtar

Hospital Multan. Pakistan J Paed Surg. 1999; 1-2:16-24.

Khan NU, Nabi IU, Yousaf S, Akhtar SM. Foreign bodies in

the Larynx and Tracheobronchial tree. .Pak Armed Forces

Med J. 2000; 50(2): 68-70.

Schmidt H, Manegold BC. Foreign body aspiration in

children. Surge Endosc. 2000;14(7):644-8.

Published

2007-03-01

Most read articles by the same author(s)

<< < 1 2 3 > >>