DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20190772

Panorama of foreign body in upper digestive tract in the population of Uttarakhand

Chetan Bansal, Prerana Bharti, V. P. Singh

Abstract


Background: Foreign body aspiration is more common in children than adults because they explore the world with their hands and mouth and also have incomplete control and immature judgment. Foreign bodies in ENT are a medical emergency as their removal demands great skill due to unpredictability in the procedure and the complications associated with it.

Methods: A prospective study was conducted on 40 cases of digestive tract foreign bodies in relation to age, sex, type, site, clinical presentation, extraction and complications.  

Results: Youngest child was 5 months old. Most predisposed age group was 0-5 years (60% of cases). Cricopharynx (24 cases) was the most common site of impaction for foreign body. In the present study toys (22.5%) were most common foreign bodies followed by coins (15%) ingestion.

Conclusions: Avoid carelessness. Avoid hasty drinking, eating, talking and running with anything in the mouth. Keep the things out of reach of the children. Be particular in sleep, anesthesia, coma or delirium. Avoid putting objects into mouth.


Keywords


Foreign body, Oesophagoscopy, Direct laryngoscopy

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References


Carney AS. Scott Brown’s Otorhinolaryngology, Head and Neck Surgery. 7th ed. Hodder Arnold: Gleeson; 2012: 1184-91.

Sarkar S, Roychoudhury A, Roychoudhury BK. Foreign bodies in ENT in a teaching hospital in eastern India. Indian J Otolaryngol Head Neck Surg. 2010;62(2):118–20.

Panigrahi R, Sarangi TR, Behera SK, Biswal RN. Unusual foreign body in throat. Indian J Otolaryngol Head Neck Surg. 2007;59:384–5.

Wetmore RF, Muntz HR, Mcgill, TJ. Pediatric otolaryngology: Principles and Practice Pathways. New York, NY: Thieme Medical Publishers; 2000.

Ratcliff D, Okada PJ, Murray AD. Evaluation of pediatric lateral oropharyngeal trauma. Otolaryngol Head Neck Surg. 2003;128:783-7.

Shu MT, Leu YS. Microscopic removal of an embedded foreign body from hypopharynx: report of two cases. Ear Nose Throat J. 2001;80(12):889–90.

Weissberg D, Rafaely Y. Foreign bodies in the esophageus. Ann Thorac Surg. 2007;84:1854-7.

Chinski A, Foltran F, Gregori D, Ballali S, Passali D, Bellussi L. Foreign bodies in the oesophageus: the experience of the Buenos Aires Paediatric ORL Clinic. Int J Pediatrics. 2011;53:425-9.