Abstract
Background: Tracheo- bronchial foreign bodies have always posed a challenge to the ENT surgeon as they present with varied symptomatology ranging from a simple cough and fever to more grave respiratory distress. It requires a strong suspicion, early diagnosis and timely intervention to reduce the overall morbidity and mortality. This study was undertaken to highlight our experiences in handling cases of tracheo- bronchial foreign bodies (FB) at our setup.
Methods: The study involves 50 cases in age group of 1 to8yrs that underwent Rigid Bronchoscopy for suspected tracheo-bronchial FB over a period of one year (Oct. 2017-18) in the ENT Dept. of RMC, Loni.
Results: Most commonly affected were children between 1 to 8 years and mean age is 2.41 years. Chronic cough and wheeze & Respiratory Distress were the commonest presenting symptoms.
Conclusions: A good clinical acumen, team work, early diagnosis and timely intervention are all needed to reduce the overall mortality and morbidity associated with tracheo- bronchial foreign bodies.
Keywords: Foreign body, Bronchoscopy, Respiratory distress.
References
- Kaur K, Sonkhya N, Bapna AS. Foreign bodies in the tracheobronchial tree: a prospective study of 50 cases. Indian J Otolaryngol Head Neck Surg. 2002;54(2):30-4.
- Darrow DH, Holinger LD. Foreign bodies of the larynx, trachea and bronchi. In: Bluestone CD, Stool SE, Apler CM, Arjmand EM, Casselbrant ML, Dohar JE et al (eds). Paediatric otolaryngology, 4th WB Saunders Company, Philadelphia; 2002:1543-1557.
- Naragund AI, Mudhol RS, Harugop AS, Patil PH, Hajare PS, Metgudmath VV. Tracheo-bronchial foreign body aspiration in children: a one year descriptive study. Indian J Otolaryngol Head Neck Surg. 2014;66(Suppl 1):180-5.
- Haddadi S, Marzban S, Nemati S, Ranjbar Kiakelayeh S, Parvizi A, Heidarzadeh A. Tracheobronchial Foreign-Bodies in Children; A 7 Year Retrospective Study. Iran J Otorhinolaryngol. 2015;27(82):377-85.
- Jaswal A, Jana U, Maiti PK. Tracheo-bronchial foreign bodies: a retrospective study and review of literature. Indian J Otolaryngol Head Neck Surg. 2014;66(Suppl 1):156-60.
- Karakoç F, Karadağ B, Akbenlioğlu C, et al. Foreign body aspiration: what is the outcome? Pediatr Pulmonol. 2002;34(1):30-36.
- Sersar SI, Rizk WH, Bilal M, et al. Inhaled foreign bodies: presentation, management and value of history and plain chest radiography in delayed presentation. Otolaryngol Head Neck Surg. 2006;134(1):92-99.
- Srivastava G. Airway foreign bodies in children. Clin Pediatr Emerg Med. 2010;11(2):67-72.
- Assefa D, Amin N, Stringel G, Dozor AJ. Use of decubitus radiographs in the diagnosis of foreign body aspiration in young children. PediatrEmerg Care. 2007;23(3):154-157.
- Rudman DT, Elmaraghy CA, Shiels WE, Wiet GJ. The role of airway fluoroscopy in the evaluation of stridor in children. Arch Otolaryngol Head Neck Surg. 2003;129(3):305-309.
- Hui H, Na L, Zhijun C, et al. Therapeutic experience from 1428 patients with pediatric tracheobronchial foreign body [published correction appears in J Pediatr Surg. 2009;44(3):662.
- Ramírez-Figueroa JL, Gochicoa-Rangel LG, Ramírez-San Juan DH, Vargas MH. Foreign body removal by flexible fiberoptic bronchoscopy in infants and children. Pediatr Pulmonol. 2005;40(5):392-397.
- Soysal O, Kuzucu A, Ulutas H. Tracheobronchial foreign body aspiration: a continuing challenge. Otolaryngol Head Neck Surg. 2006;135(2):223-226.
- Behera G, Tripathy N, Maru YK, et al. Role of virtual bronchoscopy in children with a vegetable foreign body in the tracheobronchial tree. J Laryngol Otol. 2014 Dec. 128(12):1078-83.
- Abdollahi Fakhim SH, Badbarin D, GoljananTabrizi A. Studying delay causes in the diagnosis of patients with airway foreign body aspiration. J Iran University Med Sci. 2008;15(59):119-24.
- Barretto RL, Holinger LD. Foreign bodies of the airway and oesophagus. In: Cummings CW, Fredrickson JM, Harker LA, Krause CJ, Schuller DE (eds). Otolaryngology head and neck surgery, 4th edn. Mosby: Philadelphia; 2005:4343-4353.
- Weissberg D, Schwartz L. Foreign bodies in the tracheobronchial tree. Chest. 1987;91:730-3.
- Zaytoun GM, Rouadi PW, Baki Endoscopic management of foreign bodies in the tracheobronchial tree: predictive factors for complications. Otolaryngol Head Neck Surg. 2000;123:311-6.
- McGuirt WF, Holmes KD, Feehs R, Browne JD. Tracheobronchial foreign bodies. Laryngoscope. 1988;98:615-8.
- Mallick MS, Khan AR, Al-Bassam A. Late presentation of tracheobronchial foreign bodyaspiration in children. J Trop Pediatr. 2005;51(3):145-8.
- Jose A, Cataneo M, Cataneo DC, Ruiz Jr RL. Management of tracheobronchial foreign body in children. Pediatr Surg Int. 2008;24(2):151-6.
- Vijaykumar T, Kalyanappagol NH, Kulkarni LH. Management of tracheobronchial foreign body aspirations in pediatric age group: a 10-yearsretrospective analysis. Indian J Anaesth. 2007;51(1):20-3.
Corresponding Author
Dr Farha Manzoor Maloo