An Audit of Foreign Bodies Tracheobronchial Tree at a Tertiary Care Hospital. | [Journal of Medical Science • 2018]

Author(s):

1. Muhammad Hafeez: Department of Otorhinolarayngology Khyber Teaching Hospital, Peshawar, Pakistan

2. Israr UdDin: Department of Otorhinolarayngology Khyber Teaching Hospital, Peshawar, Pakistan

3. Arif Raza Khan: Department of Otorhinolarayngology Khyber Teaching Hospital, Peshawar, Pakistan

4. Asad Ullah Arif: Department of Otorhinolarayngology Khyber Teaching Hospital, Peshawar, Pakistan

5. Fazl Ur Rehman: Department of Otorhinolarayngology Khyber Teaching Hospital, Peshawar, Pakistan

Abstract:

Objective: To evaluate the presentation and types of foreign bodies in tracheobronchial tree and difcfiulties encountered in their removal at a Tertiary Care Hospital. Material and methods: This retrospective, descriptive study was carried out at the department of ENT and Head & Neck surgery Khyber Teaching Hospital Peshawar-Pakistan from July 2015 to June 2017. A total of 142 confirmed or suspected cases of foreign body tracheobronchial tree were included in the study from OPD, accident & emergency department (A&E) and referred from pediatric department. Detailed history and clinical examination was performed, X-Ray chest and base line investigation were done in all cases. Rigid bronchoscopy was done under general anesthesia in all cases, and different types of foreign bodies were removed. Difficulties encountered during bronchoscopy were bleeding, slip of foreign body and difficult to remove foreign body. Results: Out of 142 cases 94 (66.2%) were males and 48 (33.8%) were female in the age range of 01 year to 10 years. The duration between inhalation and hospital arrival was 12 hours to 2 weeks. In 90 (63.3%) cases vegetative foreign bodies were retrieved followed by plastic 30 (21.12%) and metallic 20 (14%). In 4 cases removal was difficult due to bleeding and oedema and were refered to thoracic department after tracheotomy. Conclusion: Early diagnosis and proper management along with awareness regarding pediatric home care is stressed upon to reduce morbidity and mortality

Page(s): 297-300

DOI: DOI not available

Published: Journal: Journal of Medical Science, Volume: 26, Issue: 4, Year: 2018

Keywords:

Keywords are not available for this article.

References:

[1] KimIA,ShapiroN,BhattachryyaN, 2015.The national cost burden of bronchial foreign body aspiration in children,Laryngoscope 125 12 -14

[2] SahinA,MeterogluF,ErenS,CelikY, .Inhalation of foreign bodies in children: experience of 22 years, -

[3] 2013.,J Trauma Acute Care Surg 74 65 -68

[4] JiaqiangS,JinqwuS,YanmingH,SinghH,ParakhA, 2014.Tracheobronchial foreign body aspiration in children,ClinPediatr (Phila) 53 415 -16

[5] ZhijunC,FugaoZ,NiankaiZ,JinjingC, 2008.Therapeutic experience from 1428 patients with pediatric tracheobronchial forign body,J PediatrSurg 43 7 -8

[6] MortellaroVE,IqbalC,FuR, 2013.Predictiors of radiolucent foreign body aspiration,J PediatrSurg 48 18 -20

[7] HidakaH,ObaraT,KurosowaS,YangC,HuaR,XuK, 2015.the role of 3D computed tomography (CT) imaging in the diagnosis of foreign body aspiration in children,Eur Rev Med PharmacolSci 19 265 -67

[8] J PediatrSurg, 2006., 41 18 -20

[9] KadmonG,SternY,Bron-HarlevE,nahumE,BattatE,SchonfeldT., 2008.Computerized scoring system for the diagnosis of foregn body aspiration in children,Ann otolRhinolLaryngol 117 839 -43

[10] AssefaD,AminN,StringelG,DozorAJ, 2007.Use of Decubitus radilographs in the diagnosis of foreign body aspiration in young children,PediatrEmerg Care Mar 23 154 -57

[11] TokarB,OzkanR,IlhanH, 2004.Tracheobronchial foreign bodies in childred: importance of accurate history and plain chest radiograpy in delayed presentation,ClinRadiol 59 609 -65

[12] SurkaA,ChinR, 2006.bronchoscopic myths and legends: airway foreign bodies,ClinPulma Med 3 209 -11

[13] TangLF,XuYC,WangYS,WangCF,ZhuGH,BaoXE,J Pediatr, 2009.Airway foreign Body Removal by flexible bronchoscopy: experience with 1027 children during 200-208, 5 191 -95

[14] SelankiSL,BansalS,KhareA,Jain, 2011.A. heimlich's maneuver assisted bronchoscopic removal of airway foreign body,Anesth Essays Res 5 201 -03

[15] ZhijunC,FugaoZ,NiankaiZ,JingjingC., 2008.therapeutic experience from 1420 patients with pediatric tracheobronchial foreign body,J PediatrSurg 43 718 -21

[16] KhyaniIAM, 2007.Foreign Bodies in acrodigestive tract,Experience at civil Hospital Karachi. PakJ Otolaryngol 23 9 -11

[17] AhmedS,AhmedI,KhyaniM,BalochMA, 2007.Foreign bodies in Bronchas,Experience at Tertiary Care Hospital of Balochistan. Pak J Otolarygol 23 68 -70

[18] DoodyDP, 2004.Surgery of the trachea and Bronchi,In: Grillo HC 707 -18

[19] Shiva KumarAM,PrashanthKB,ShettyKD,ParveenDS, 2003.Tracheobrochial foreign bodies,Indicn J Pediatr 70 793 -797

[20] KaurK,SanKhyaN,BapnaAS, 2002.Foreign \bodies in the tracheobronchial tree: A prospective study of fifty cases,Indian J Otolaryngol Head Neck surg 54 30 -34

[21] 2014.An audit of morbidity and mortality associated with foreign body aspiration in children from a tertiary level hospital in Northerm india Afr, 11 287 -92

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