DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20181054

A clinical study on paediatric aero digestive foreign body in emergency department

Selvam D. K., Nirmal Kumar J., Anjan Kumar S., Nagarajan P. S.

Abstract


Background: Foreign body ingestion and aspiration is a common clinical condition among the paediatric population. The management of the aero digestive foreign body requires clinical acumen, coupled with the radiological diagnosis and the necessary infrastructure for their management, it demands skill and expertise for removal of a foreign body.

Methods: A retrospective study was carried in the department of Otorhinolaryngology, between December 2016- May 2017, at Institute of Child Health and Hospital for Children, Madras Medical College. 68 cases were analysis of the nature of the foreign body was done. All the patients reported to the emergency department and the ENT surgeon opinion sought with aim of maintaining airway. Clinical assessment, with history, radiographs were obtained to ascertain level and nature of the foreign body and prompt removal by oesophagoscopy/bronchoscopy/direct laryngoscopy under general anaesthesia.  

Results: The study of 68 children who reported with history /suspicion of foreign body ingestion/aspiration. There were 32 boys and 36 females, 37 cases of foreign body ingestion and 31 cases of foreign body aspiration. The most common foreign body in digestive tract was coin in 26 cases and peanut in the airway.

Conclusions: Foreign bodies in aero digestive tract in paediatric age group, is a common problem encountered by the otorhinolaryngologist. Careful assessment, clinical evaluation, radiological investigations with effective management in emergency department prompt removal of the foreign body in the aero digestive tract will lead to reduced mortality and morbidity.


Keywords


Paediatric, Foreign body, Aero digestive tract, Clinical study

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References


Ngo A, Ng KC, Sim TP. Oorhinolaryngeal foreign bodies in children presenting to the emergency department. Singapore Med J. 2005;46(40):172-8.

Merchant SN, Kirtane MV, Shah KL, Karnik PP. Foreign bodies in the bronchi (a 10 year review of 132 cases). J Postgrad Med. 1984;30:219.

Hariga I, Khamassi K, Zribi S, Amor MB, Gamra OB, Mbarek C, Khedim AE. Management of Foreign Bodies in the Aerodigestive Tract. Indian J Otolaryngol Head Neck Surg. 2014;(66):220-4.

Hsu WC, Sheen TS, Lin CD, Tan CT, Yeh TH, Lee SY. Clinical experiences of removing foreign bodies in the airway and oesophagus with rigid endoscope:a series of 3217 cases from 1970 to1996. Otolaryngol Head Neck Surg. 2000;122:450-4.

Higo R, Matsumoto T, Ichimura K, Kaga K.Foreign bodies in the aerodigestive tract in Pediatric patients. Auris Nasus Larynx. 2003;30:397-401.

Hussain G, Iqbal M, Khan SA, Iqbal M, Zaman J. An Experience Of 42 Cases Of Bronchoscopy At Saudi Group Of Teaching Hospitals, Swat. J Ayub Med Coll Abbottabad. 2006;18(3):59-62.

Hughes CA, Baroody FM, Marsh BR. Paediatrictracheo –bronchial foreign bodies:historic review from the John Hopkins Hospital. Ann Otol Rhino Laryngol. 1996;105:555-61.

Li ZS, Sun ZX, Zou DW, Xu GM, Wu RP, Liao Z. Endoscopic management of the foreign bodies in the upper GI Tract:experience with 1088 cases in China. Gastrointest Endosc. 2006;64:485-92.

Little JS, Shah SR, St Peter SD, Calkins CM, Morrow SE, Murphy JP, et al. Oesophageal foreign bodies in the pediatric population: our first 500 cases. J Pediatr Surg. 2006;41:914-8.

Fenneria H, Ben Slimene D, Bourguiba M et al. Corpus e’strangers trache’o-bronchiques de l’enfant. Aspects diagnostiqueset ther’apeutiques. Tun Med. 2004;82:817-26.

Ozguner IF, Buyukyavuz BI, Savas C, Yavuz MS, Okutan H. Clinical experience of removing aerodigestive tract foreign bodies with rigid endoscopy in children. Pediatr Emerg care. 2004;20:671-3.