DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20203206

Clinical profile of tracheo-bronchial foreign body inhalation at tertiary care center

Vivek Samor, Vijay Kumar, Deep Chand, Gaurav Gupta, Mamta ., Manish Agrawal

Abstract


Background: Inhalation of foreign bodies can be life threatening and are common in paediatric age group with peak incidence in the age group of 1-3 years. The objectives were to study the clinical profile of foreign body (FB) inhalation and to study the complications of tracheo-bronchial foreign body and rigid bronchoscopy.

Methods: A cross-sectional hospital based diagnostic study conducted for 1 year, done on 50 patients with FB inhalation, included consecutively in study after obtaining informed consent. Patients were assessed and interviewed for socio demographic details and examined using chest X-ray PA view, routine investigations and pre-anaesthetic evaluation. After all investigations a diagnostic bronchoscopy under general anaesthesia was performed to extract the foreign body. Data were analyzed through tables and diagrams and appropriate test of significance by Epi Info software.  

Results: Total 50 FB inhalation cases (up to 10 years) in which 40% presented within 5 days to 2 weeks after inhalation. 92% were presents with cough and on chest examination 88% found to had decreased air entry, 72% presents with decreased movement and dull percussion on affected side. 70% of patients had abnormal chest X-ray finding. Foreign body found were groundnut (44%) followed by supari (32%) mostly in right main bronchus. We observed 10% patients with pneumonia, 4% had granuloma and 2% had bronchospasm.

Conclusions: Prevention is best, but early recognition remains a critical factor in the treatment of FB inhalation in children. 


Keywords


Foreign bodies, Tracheo-bronchial, Rigid bronchoscopy

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