Title: Study of Foreign Bodies in Aerodigestive Tract in Tertiary Care Hospital

Authors: Nemiwal A, Sharma M, Hada M.S.

 DOI: https://dx.doi.org/10.18535/jmscr/v9i12.34

Abstract

Background: A foreign body is an endogenous or exogenous substance incompatible with the anatomy of the part of body where it is found. In small children the habit of eating while playing can cause the inhalation of foreign body. Accidental ingestion or aspiration tends to be twice as common in boys1. Highest incidence is in 1-3 years old (25% less than 1 year) and one of the third leading cause of death worldwide in that age group.2

Material and Methods: The material is chiefly those patients with foreign body in aerodigestive tract attending ENT OPD/IPD in SMS hospital. Total 60 cases attending opd during June 201 to December 2019 were reviewed. Hematological and radiological investigations conducted on 60 patients. Foreign bodies retrived from aerodigestive tract under general aneasthesia.

Result: Most common age group was 0-10 year, in which <4 years age group most affected. Male to female ratio was 2.3:1.  Most common site of foreign body impaction was right main bronchus in airway and cricopharynx in digestive tract. Vegetative foreign bodies more common in airway whereas non vegetative foreign bodies more common in digestive tract.

Conclusion: Meticulous history and through examination are the key factor for the management. All the impacted foreign bodies should be removed via endoscopy, no foreign body should be left alone that it will come out spontaneously.

Keywords: Foreign bodies, Aerodigestive tract, radiology, endoscopy.

References

  1. George and R. Andrew, “Update on foreign bodies in the esophagus: diagnosis and management”, Current Gastroenterology Reports, vol. 15, article 317, 2013
  2. Lauren D Holinger, Sheri A. Poznanovic. Cummings Otorhinolaryngology and Head and Neck surgery, 5th edition, Philadelphia, Elsevier Mosby, 3:2935-2943
  3. Al-Sarraf, H. Jamal-Eddine, F. Khaja, and A. K. Ayed, “Headscarf pin tracheobronchial aspiration: a distinct clinical entity,”Interactive Cardiovascular and Thoracic Surgery, vol. 9, no. 2, pp. 187–190, 2009
  4. Bhat KV, Hegde JS, NagalotimathUS, Patil GC. Evaluation of computed tomography virtual bronchoscopy in paediatric tracheobronchial foreign body aspiration J LaryngolOtol2010; 124: 875–9
  5. Debabrata Das, Tanmoy Maitra, Ashis Kumar Ghosh, JayantaSaha. Management of Aerodigestive Tract Foreign Bodies In A Rural Based Tertiary Care Hospital: An Experience of Two Years. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS). e-ISSN: 2279-0853, p-ISsN: 2279-0861. Volume 16, Issue 10 Ver. X (Oct. 2017), pp 01-07
  6. Kiran RavindranathBongale. Foreign Bodies in Aerodigestive Tract. DOI: 10.21276/sjams.2017.5.3.84

Corresponding Author

Nemiwal A

Senior Resident, Department of ENT, SMS Medical College, Jaipur, India