Incidence and management of foreign bodies in aerodigestive tract in a tertiary level
Abstract
Introduction: Foreign body (FB) ingestion and aspiration is a life-threatening condition which is quite common in children. It is important to diagnose foreign body aspiration early as delay in its recognition and treatment results in high morbidity and mortality. The objective of the present prospective study was to study foreign bodies in aerodigestive tract on the basis of history, examination, and investigation, their incidence, type of foreign body, site of lodgment, common symptoms with which presented, and the nature of the problem in dealing with these patients during the management.
Materials and Methods: A total of 86 cases of FB in aerodigestive tract admitted in ENT ward of Bundelkhand Medical and Hospital were included in the study. The symptoms, site and radiographic findings were recorded for each patient. Various procedures were used for removal of various FB at different locations. Majority of these procedures were performed under anesthesia.
Results: Of all admitted foreign body cases (86 cases), incidence was more for males (63 cases) than for females (23 cases). Likewise, it was encountered more commonly in the age group of 1-10 years. FB were removed smoothly and successfully in all cases. Overall outcome was excellentwith minimum morbidity and no mortality. According to the site of involvement, hospital stay was varied.
Conclusion: In this study, it is evident that FB in aerodigestive tract is a common clinical problem in otorhinolaryngological practice. Although, some presents with serious and life-threatening emergencieswhilemany does not have an immediate problem of airway. Higher incidence of foreign body in children can be prevented by educating the parents about keeping the articleaway from reach of children and observing the activity of the child.
Downloads
References
Esclamado RM, Richardson MA. Laryngotracheal foreign bodies in children. A comparison with bronchial foreign bodies. Am J Dis Child. 1987;141(3):259-62. DOI: https://doi.org/10.1001/archpedi.1987.04460030037019
Hilliard T, Sim R, Saunders M, Hewer SL, Henderson J. Delayed diagnosis of foreign body aspiration in children. Emerg Med J. 2003;20(1):100-1. DOI: http://dx.doi.org/10.1136/emj.20.1.100
Cohen SR, Herbert WI, Lewis GB Jr, Geller KA. Foreign bodies in the airway. Five-year retrospective study with special reference to management. Ann Otol Rhinol Laryngol. 1980;89(5 Pt 1):437-42. DOI: https://doi.org/10.1177%2F000348948008900513
Al-Sarraf N, Jamal-Eddine H, Khaja F, Ayed AK. Headscarf pin tracheobronchial aspiration: a distinct clinical entity. Interact Cardiovascul Thor Surg. 2009; 9 (2): 187–190.DOI: https://doi.org/10.1510/icvts.2009.207548
Boyd M, Chatterjee A, Chiles C, Chin R Jr. Tracheobronchial foreign body aspiration in adults. South Med J. 2009;102(2):171-4. DOI: https://doi.org/10.1097/SMJ.0b013e318193c9c8.
Gupta P, Jain AK. Foreign bodies in upper aero-digestive tract: a clinical study. Int J Res Med Sci 2014; 2 (3): 886-91. DOI: https://doi.org/10.5455/2320-6012.ijrms20140823
Kpémissi E, DiparidéAgbèrè AR, Ndakéna K, Késsié K. [Foreign bodies of the esophagus: etiologic and therapeutic aspects. Experience at the CHU of Lomé (Togo)]. Sante. 1997;7(5):338-40.
Gautam V, Phillips J, Bowmer H, Reichl M. Foreign body in the throat. J AccidEmerg Med. 1994;11(2):113-5. DOI: http://dx.doi.org/10.1136/emj.11.2.113
Diop EM, Tall A, Diouf R, Ndiaye IC. [Laryngeal foreign bodies: management in children in Senegal]. Arch Pediatr. 2000;7(1):10-5. DOI: https://doi.org/10.1016/S0929-693X(00)88911-3
Devaraja K, Nayak DR, Bhandarkar AM, Sharma PV. Usual suspects: the foreign bodies of the aerodigestive tract. BMJ Case Rep. 2018;2018. pii: bcr-2018-224979. DOI: http://dx.doi.org/10.1136/bcr-2018-224979.
Bekele A. Aerodigestive foreign bodies in adult ethiopian patients: a prospective study at tikuranbessa hospital, ethiopia. Int J Otolaryngol. 2014; 2014: 293603. DOI: https://doi.org/10.1155/2014/293603. Epub 2014 Apr 15.
Han S, Kayhan B, Dural K, Kocer B, Sakinci U. A new and safe technique for removing cervical esophageal foreign body. Turk J Gastroenterol 2009; 16:108-110.
Fennira H, Ben Slimene D, Bourguiba M, Mahouachi R, Drira I, Chtourou A, et al. [Tracheobronchial foreign bodies. Diagnostic and therapeutic aspects in children]. Tunis Med. 2004;82 (9): 817-26.
Donato L, Weiss L, Bing J, Schwarz E. [Tracheobronchial foreign bodies]. Arch Pediatr. 2000; 7 (1): 56S-61S. DOI: https://doi.org/10.1016/S0929-693X(00)88821-1
Messner AH. Pitfalls in the diagnosis of aerodigestive tract foreign bodies. Clin Pediatr (Phila). 1998; 37(6):359-65. DOI: https://doi.org/10.1177%2F000992289803700605.
Lam HC, Woo JK, van Hasselt CA. Management of ingested foreign bodies: a retrospective review of 5240 patients. J Laryngol Otol. 2001;115(12):954-7. DOI: https://doi.org/10.1258/0022215011909756.
Bittencourt PF, Camargos PA, Scheinmann P, de Blic J. Foreign body aspiration: clinical, radiological findings and factors associated with its late removal. Int J PediatrOtorhinolaryngol. 2006;70(5):879-84. Epub 2005 Nov 8. DOI: https://doi.org/10.1016/j.ijporl.2005.09.024
Roda J, Nobre S, Pires J, Estêvão MH, Félix M. Foreign bodies in the airway: a quarter of a century's experience. Rev Port Pneumol. 2008;14(6):787-802.
Mantel K, Butenandt I. Tracheobronchial foreign body aspiration in childhood. A report on 224 cases. Eur J Pediatr. 1986;145(3):211-6.
Chiu CY, Wong KS, Lai SH, Hsia SH, Wu CT. Factors predicting early diagnosis of foreign body aspiration in children. PediatrEmerg Care. 2005;21(3): 161-4. DOI: 10.1097/01.pec.0000161470.19841.50.
Hughes CA, Baroody FM, Marsh BR. Pediatric tracheobronchial foreign bodies: historical review from the Johns Hopkins Hospital. Ann OtolRhinolLaryngol. 1996;105(7):555-61.DOI: https://doi.org/10.1177%2F000348949610500712.
Banerjee A, Rao KS, Khanna SK, Narayanan PS, Gupta BK, Sekar JC, et al. Laryngo-tracheobronchial foreign bodies in children. J Laryngol Otol. 1988;102: 1029-32.
Rothmann BF, Boeckman CR. Foreign bodies in the larynx and tracheobronchial tree in children. A review of 225 cases. Ann OtolRhinolLaryngol. 1980; 89 (5 Pt 1): 434-6. DOI: https://doi.org/10.1177%2F000348948008900512.
Stevens C, Ardagh M, Abbott GD. Aerodigestive tract foreign bodies in children: one year's experience at Christchurch Hospital emergency department. N Z Med J. 1996;109(1024):232-3.
Arana A, Hauser B, Hachimi-Idrissi S, Vandenplas Y. Management of ingested foreign bodies in childhood and review of the literature. Eur J Pediatr. 2001;160 (8): 468-72.
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– 673.
Li ZS, Sun ZX, Zou DW, Xu GM, Wu RP, Liao Z. Endoscopic management of foreign bodies in the upper-GI tract: experience with 1088 cases in China. GastrointestEndosc. 2006;64(4): 485-92. Epub 2006 Aug 22. DOI: https://doi.org/10.1016/j.gie.2006.01.059.
Little DC, Shah SR, St Peter SD, Calkins CM, Morrow SE, Murphy JP, et al. Esophageal foreign bodies in the pediatric population: our first 500 cases. J Pediatr Surg. 2006; 41(5): 914-8. DOI: https://doi.org/10.1016/j.jpedsurg.2006.01.022.
Higo R, Matsumoto Y, Ichimura K, Kaga K. Foreign bodies in the aerodigestive tract in pediatric patients. Auris Nasus Larynx. 2003;30(4):397-401. DOI: https://doi.org/10.1016/S0385-8146(03)00087-7
Khan MA, Hameed A, Choudhry AJ. Management of foreign bodies in the esophagus. J Coll Physicians Surg Pak. 2004;14(4):218-20. DOI: https://doi.org/04.2004/jcpsp.218220.
Uba AF, Sowande AO, Amusa YB, Ogundoyin OO, Chinda JY, Adeyemo AO, et al. Management of oesophageal foreign bodies in children. East Afr Med J. 2002;79(6):334-8.
Díaz GA, Valledor L, Seda F. Foreign bodies from the upper-aerodigestive tract of children in Puerto Rico. BolAsoc Med P R. 2000;92(9-12):124-9.
Asmatullah, Inayatullah, Rasool. Endoscopic removal of tracheobronchial foreign bodies at a peripheral hospital. JPMI 2004;8:447-452.
Ellen M Friedman. Tracheobronchial foreign bodies. OtolarygolClin Nor Am. 2000; 3: 179-85.
Cataneo AJ, Reibscheid SM, Ruiz Júnior RL, Ferrari GF. Foreign body in the tracheobronchial tree. Clin Pediatr (Phila). 1997;36(12):701-6. DOI: https://doi.org/10.1177%2F000992289703601206.
Lemberg PS, Darrow DH, Holinger LD. Aerodiges-tive tract foreign bodies in the older child and adolescent. Ann OtolRhinolLaryngol. 1996;105(4):267-71. DOI: https://doi.org/10.1177%2F000348949610500404.
Hachimi-Idrissi S, Corne L, Vandenplas Y. Management of ingested foreign bodies in childhood: our experience and review of the literature. Eur J Emerg Med. 1998;5(3):319-23.
Hsu WC, Sheen TS, Lin CD, Tan CT, Yeh TH, Lee SY. Clinical experiences of removing foreign bodies in the airway and oesophagus with a rigid endoscope: a series of 3217 cases from 1970 to 1996. Otolaryngol Head Neck Surg.2009;122(3):450–454.DOI: https://doi.org/10.1067/mhn.2000.98321
Endican S, Garap JP, Dubey SP. Ear, nose and throat foreign bodies in Melanesian children: an analysis of 1037 cases. Int J Pediatr Otorhinolaryngol. 2006;70(9):1539-45. Epub 2006 May 16. DOI: 10.1016/j.ijporl.2006.03.018.
Nwaorgu OG, Onakoya PA, Sogebi OA, Kokong DD, Dosumu OO. Esophageal impacted dentures. J Natl Med Assoc. 2004;96(10):1350-3.
Athanassiadi K, Gerazounis M, Metaxas E, Kalantzi N. Management of esophageal foreign bodies: a retrospective review of 400 cases. Eur J Cardiothorac Surg. 2002;21(4):653-6. DOI: https://doi.org/10.1016/S1010-7940(02)00032-5.
OAI - Open Archives Initiative
