scholarly journals Do Times until Treatment for Foreign Body Aspiration Relate to Complications?

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Walailak Tatsanakanjanakorn ◽  
Surapol Suetrong
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Main Bronchus ◽  
Delayed Diagnosis ◽  
Foreign Body Aspiration ◽  
University Hospital ◽  
Age Group ◽  
Common Site ◽  
Plant Seeds ◽  
The Right

Introduction. Foreign body aspiration is an emergency condition and may be fatal. Delayed diagnosis and treatment may be associated with complications. This study evaluated the association between time until treatment and complications due to foreign body aspiration.Methods. This study was a retrospective study conducted at Khon Kaen University Hospital, Thailand. We enrolled patients diagnosed with foreign body aspiration with evidence of foreign body detected using direct laryngobronchoscopy at any area from the larynx to the bronchus. Descriptive statistics were used to analyze the association of times of treatment with complications of foreign body aspiration.Results. During the study period, there were 43 patients that met the study criteria. The most common age group was 0–2 years. Plant seeds were the most common foreign bodies (41.9%), and the right main bronchus was the most common site (16 patients, 37.2%). There were 30 patients (69.8%) that experienced complications from foreign body aspiration. Pneumonia was the most common complication (14 patients, 32.6%). The retention time was not significantly associated with the presence of complications (pvalue: 0.366). Two patients (4.7%) died due to complete airway obstruction and prolonged hypoxia.Conclusion. Times until treatment were not significantly associated with complications from foreign body aspiration.

scholarly journals Tracheobronchial foreign body aspiration: A 13-year retrospective analysis

2014 ◽  
Vol 67 (suppl. 1) ◽  
pp. 69-74
Author(s):  
Danijela Dragicevic ◽  
Ljiljana Jovancevic ◽  
Rajko Jovic ◽  
Ljiljana Vlaski ◽  
Bojan Bozic
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Main Bronchus ◽  
Age Groups ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Radiological Findings ◽  
Tracheobronchial Foreign Body ◽  
The Moment ◽  
The Right

Introduction. Foreign body aspiration into the respiratory tract remains a diagnostic and therapeutic challenge in clinical practice, especially in young children, who are the most frequently affected age group. The aim of this study was to present the results of treating the patients with foreign body aspiration in all age groups. Material and Methods. The medical and radiological records of 64 patients with confirmed foreign body out of 146 patients with suspected foreign body aspiration were retrospectively analyzed during the period of 13 years (from 2001 to 2013). Results. A foreign body was found in 64 (44%) of the 146 patients of all age groups with suspected foreign body aspiration. The patients? age ranged between 11 months and 80 years. There were 84% children and 16% adults, and 63% of patients were male. Time between the moment of aspiration and admission to the Department ranged between 0.5 hours and 14 days, with majority of patients (70%) being admitted during the first 24 hour. History of respiratory drama was present in 92% of patients. Physical and radiological findings were positive in 66% and 47% of patients, rescpectively. Organic vegetable foreign bodies accounted for 75% of all cases, and they were most frequently found in the right main bronchus (63%). All foreign bodies were successfully extracted by rigid bronchoscopy, without serious complications and fatal outcomes. Conclusion. Bronchoscopy should be performed in any case of suspected foreign body aspiration, even if clinical and radiological findings are normal, in order to avoid serious and possible life-threatening complications. More should be done to raise awareness of this potentially preventable condition.

scholarly journals Prospective evaluation of tracheobronchial foreign bodies

2020 ◽  
Vol 6 (8) ◽  
pp. 1474
Author(s):  
Ihsan A. T. ◽  
Divya Ambooken
Keyword(s):  
Foreign Body ◽  
Young Children ◽  
Parent Education ◽  
Foreign Bodies ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Age Group ◽  
Common Site ◽  
Medical College ◽  
High Chance

<p class="abstract"><strong>Background:</strong> Foreign body aspiration is a condition that requires immediate and prompt management to avoid complications. Aim of this study was to find out proportion of tracheobronchial foreign bodies in under five age group, common sites of foreign body lodgement, types of tracheobronchial foreign bodies, and complications associated with this.</p><p class="abstract"><strong>Methods:</strong> This study was conducted in Department of ENT at Jubilee Mission Medical College and RI, Thrissur, during the period of January 2018 to June 2019 and comprises 24 cases. Rigid bronchoscopy under general anesthesia was done to remove these foreign bodies.  </p><p class="abstract"><strong>Results:</strong> Eighteen cases were in under 5 age group. Peanut was the most common foreign body aspirated followed by badam and vegetable seeds. Common site of lodgement was in bronchi with 10 cases in right bronchi and 9 cases in left bronchi. Complication seen associated with this was pneumonia in this study.</p><p class="abstract"><strong>Conclusions:</strong> Foreign body aspiration is common in young children and hence a positive history might be absent. Hence there is high chance of misdiagnosis and complications. Parent education is must and avoid giving ungrinded nuts to young children.</p>

CLINICAL AND PARACLINICAL CHARACTERISTICS AND RESULTS FROM TREATMENT OF FOREIGN BODIES INGESTION

2016 ◽  
pp. 63-69
Author(s):  
Hoang Cuong Vo ◽  
Thanh Dang ◽  
Phuong Nam Tran ◽  
Thanh Thai Le
Keyword(s):  
Foreign Body ◽  
Clinical Characteristics ◽  
Foreign Bodies ◽  
University Hospital ◽  
Age Group ◽  
Central Hospital ◽  
Results Of Treatment ◽  
Rigid Esophagoscopy ◽  
Flexible Esophagoscopy ◽  
Esophageal Foreign Bodies

Background: Foreign bodies ingestion is a emergency in otology, knowledge of people about foreign bodies ingestion is not enough. Objective: To study the clinical characteristics, paraclinical characteristics and results of treatment from foreign bodies ingestion in Hue Central Hospital and Hue University Hospital. Methods and patiens: A cross descriptive and prospective study over the period from 6/2014 to 5/2016, total are 137 patients come to be diagnosised and treatmented. Results: the average age is 35 years old. Gender: male (51.8%) and women (48.2%). Adults (84.7%) having more than children (15.3%). Age group from 16-30 years is highest (32.8%). There are 95.7% of organic foreign bodies, 4.3% are inorganic foreign bodies. There are 90.5% of patients on diagnosis and treatment in stages less inflammation, arthritis 8.0% in the period and 1.5% in the period complications. Foreign body in the throat problems (73.7%), esophageal foreign bodies (26.3%). Pick up directly foreign bodies 54%, indirectly by the mirror 11.7% and endoscopy 8%, rigid esophagoscopy is 17.5%, flexible esophagoscopy is 7.3%, cervicotomy is 1.5%. Conclusion: Practing direction with in the oropharynx foreign body, using the larynx mirror or endoscopy with in the laryngopharynx for the esophagus foreign bodies, rigid esophagoscopy is better. Key words: Foreign bodies ingestion

scholarly journals Foreign Body Aspiration in Northern Ghana: A Review of Pediatric Patients

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Theophilus Adjeso ◽  
Michael Chanalu Damah ◽  
James Patrick Murphy ◽  
Theophilus Teddy Kojo Anyomih
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Foreign Body Aspiration ◽  
Northern Ghana ◽  
Emergency Tracheostomy ◽  
Body Location ◽  
The Right ◽  
High Index Of Suspicion ◽  
Tamale Teaching Hospital ◽  
Nose And Throat

Background. Foreign body (FB) aspiration requires a high index of suspicion for diagnosis and prompt management to avoid morbidity and mortality. This retrospective study was conducted to review pediatric foreign body aspiration at the Ear, Nose and Throat (ENT) Unit of the Tamale Teaching Hospital (TTH). Materials and Methods. The theater records of children managed for foreign body aspiration from January 2010 to December 2016 at the ENT Unit of TTH were retrieved and data summarized with respect to age, gender, indications for bronchoscopy, nature of foreign body, location of foreign body, and outcome of the bronchoscopy procedure. Results. A total of 33 children were managed within the five-year study period and comprised 16 (48.5%) males and 17 (51.5%) females. The commonly aspirated FBs were groundnuts (13, 39.4%) and metallic objects (7, 21.1%). The peak incidence occurred in children aged ≤ 3 years. The foreign bodies (FBs) were commonly localized to the right (24.2%) and left (24.2%) main bronchi, respectively. One patient had emergency tracheostomy for failed bronchoscopy. Conclusion. Groundnuts were the most commonly aspirated foreign body with most of the FBs localized in the bronchi.

scholarly journals Unusual Bronchial Foreign Bodies with Localized Bronchiectasis in Five Children

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Xi-Ling Wu ◽  
Lei Wu ◽  
Zhi-Min Chen
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Causal Relationship ◽  
Foreign Bodies ◽  
Foreign Body Aspiration ◽  
University Hospital ◽  
Body Retention ◽  
Age Range

Obstructive foreign bodies are uncommon causes of bronchiectasis in children, the causal relationship between foreign body aspiration and bronchiectasis remains unclear. We conducted a review of children who were diagnosed with bronchiectasis due to foreign body retention in a university hospital between 2014 and 2019. Five patents were studied (four boys, one girl; age range: 15 months to 13 years old). Computed tomography showed localized cylindrical bronchiectasis in all five patients. After removal of the foreign body by bronchoscopy, the prognoses were good. Patients with localized cylindrical bronchiectasis should be examined to exclude foreign body. As long as foreign body aspiration is diagnosed early and appropriately removed, the possibility of a lobectomy or even mortality is greatly reduced.

A Cross-Sectional Study of Clinical Profile and Outcome in Children with Foreign Body Aspiration at a Tertiary Care Centre in Telangana

2021 ◽  
Vol 8 (26) ◽  
pp. 2306-2310
Author(s):  
Sreelatha Martha ◽  
Nirmala Cherukuri ◽  
Usharani Thota ◽  
Prasanna Kumar Korvani ◽  
Keerti Neelgiri ◽  
...  
Keyword(s):  
Foreign Body ◽  
Clinical Features ◽  
Foreign Bodies ◽  
Main Bronchus ◽  
Tertiary Care ◽  
Foreign Body Aspiration ◽  
Clinical Profile ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Mortality And Morbidity

BACKGROUND Foreign body aspiration (FBA) in children is one of the major causes of death in developing countries, the diagnosis of which can be missed due to varied presentation. It is one of the causes of choking among children which, if not recognized early may lead to fatal consequences. Early recognition and prompt intervention may reduce the mortality and morbidity. In this study, we wanted to assess the clinical profile of children with foreign body aspiration/ingestion, determine the nature and location of foreign body and also determine the outcome among children with foreign body aspiration at a tertiary care centre. METHODS This cross-sectional study was taken up to analyse the clinical profile, to study the types, location and the outcome of children with foreign body aspiration. All children in the age group of 2 months to 12 years admitted to Niloufer hospital, Hyderabad from January 2018 to December 2019 with either history of FBA or clinical features suggestive of FBA even in the absence of history were included in the study. Age, sex, clinical features (C/F), duration of illness were noted. A chest X-ray was done in all cases, whereas a computed tomography (CT) scan was done in children where clinical features & chest X-rays were inconclusive. All children fulfilling the inclusion criteria were subjected to bronchoscopy under general anaesthesia by ENT surgeons. The findings like type and location of the foreign bodies were noted. Statistical analysis was done by statistical package for social sciences (SPSS) software version 10.0. RESULTS Of 108 children studied, 60 % of cases were males and 40 % were females. 55 % of cases were below the age of 3 years. Common symptoms were rapid breathing (68 %) and cough (38.8 %). Nuts & seeds were the common foreign bodies seen in 47.30 %, out of which groundnuts were the most common. Organic foreign bodies accounted for 58.11 % while inorganic was 41.89 %. The common site of lodgement of foreign body was right main bronchus (35.59 %), followed by left main bronchus (27.11 %) and sub-glottis (8.47 %). CONCLUSIONS Foreign body aspiration is difficult to diagnose in children and a delay in diagnosis can lead to mortality and morbidity. Early intervention by bronchoscopy goes a long way in improving survival. Clinical suspicion is the key to the diagnosis. KEYWORDS Foreign Body, Bronchoscopy, Children

scholarly journals Scarf pin-related hijab syndrome: A new name for an unusual type of foreign body aspiration

2017 ◽  
Vol 45 (6) ◽  
pp. 2078-2084 ◽  
Author(s):  
Aram Baram ◽  
Fahmi H. Kakamad ◽  
Delan Ahmed Bakir
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Main Bronchus ◽  
Distinct Group ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Management Algorithm ◽  
History Of ◽  
Unusual Type

Background Foreign body aspiration refers to the inhalation of an object into the respiratory system and is a serious and potentially fatal event. A distinct group of patients has recently been recognized among Muslim nations. These patients include women who wear headscarves and place the safety pin in their mouth prior to securing the veils, leading to accidental foreign body aspiration. The aim of this study was to analyze the main presentation, diagnosis, treatment, and outcome of patients with scarf pin aspiration. Methods This prospective study involved patients with a history of scarf pin aspiration admitted to a single center during an 18-month period. Their main presentation, diagnosis, treatment, and outcome were analyzed. Results In total, 27 patients were included. The needle was extracted by flexible bronchoscopy in 12 (44.4%) patients, rigid bronchoscopy in 13 (48.1%), and thoracotomy in 2 (74%). One patient died during rigid bronchoscopy. All remaining 26 patients were satisfied with the postsurgical outcome at a mean follow-up of 1 week. Conclusions Scarf pin aspiration differs from other types of foreign body aspiration considering the specific population affected, and its management algorithm may thus differ from that of other foreign bodies. The left main bronchus is the most common site of pin impaction. Rigid bronchoscopy is the most commonly performed procedure for successful retrieval.

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

2019 ◽  
Vol 5 (2) ◽  
pp. 416
Author(s):  
Chetan Bansal ◽  
Prerana Bharti ◽  
V. P. Singh
Keyword(s):  
Foreign Body ◽  
Digestive Tract ◽  
Foreign Bodies ◽  
Clinical Presentation ◽  
Medical Emergency ◽  
Age Group ◽  
Common Site ◽  
Sex Type ◽  
Type Site ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> 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.</p><p class="abstract"><strong>Methods:</strong> 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.  </p><p class="abstract"><strong>Results: </strong>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.</p><p class="abstract"><strong>Conclusions:</strong> 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.</p>

scholarly journals Frequency of Foreign Body Bronchus in Patients with Pneumothorax

2021 ◽  
Vol 15 (7) ◽  
pp. 1798-1800
Author(s):  
Najam-ud- Din ◽  
Basher Ahmed ◽  
Abdul Manan Khan
Keyword(s):  
Body Mass Index ◽  
Foreign Body ◽  
Body Mass ◽  
Main Bronchus ◽  
Major Complication ◽  
Foreign Body Aspiration ◽  
Time Interval ◽  
Cross Sectional ◽  
Foreign Body Bronchus ◽  
The Right

Aim: To determine the frequency of airways foreign body bronchus in children pneumothorax. Study Design: Cross-sectional/descriptive study Place and Duration of Study: Department of Thoracic Surgery, Sandeman Provincial Hospital Quetta from 1st January 2020 to 31st December 2020. Methodology: Forty five patients of both genders and aged between 1 to 15 years were enrolled. Patients details demographics age, gender, residence and body mass index were recorded after taking informed consent. Chest computed tomography and X-ray to bronchus were performed to examine the nature and site of foreign body. Bronchoscopy was performed and outcomes were analyzed. Results: There were 30 (66.67%) males and 15 (33.33%) females. Majority of patients 27 (60%) were ages <6 years. Mean body mass index was 12.08±6.33 kg/m2. Mean time interval between foreign body aspiration and admitted to hospital was 4.08±2.08days. Foreign body bronchus was found in 14 (31.11%) patients. The right main bronchus was the most common site in 9 (64.28%) followed by left bronchus in 5(35.71%).Most common foreign body retrieved was seeds found in 9 (64.28%), piece of plastic in 3 (21.43%), peanut in 1 (7.14%) and nuts in 1 (7.14%) patients respectively. Bronchoscopy performed in 14 patients and none of patients had developed any complication. Conclusion: Foreign body bronchus was found in 31.11% patients presented with pneumothorax and most common foreign body aspiration was seeds. Bronchoscopy was safe and effective with no major complication. Keywords: Children, Foreign body aspiration, Bronchus, Pneumonia

scholarly journals Emergency left pneumonectomy for foreign body aspiration: a case report

2019 ◽  
Vol 2019 (9) ◽  
Author(s):  
Yoko Amano ◽  
Yusuke Takanashi ◽  
Hiroshi Neyatani
Keyword(s):  
Foreign Body ◽  
Main Bronchus ◽  
Large Diameter ◽  
Delayed Diagnosis ◽  
Foreign Body Aspiration ◽  
Left Main Bronchus ◽  
Left Main ◽  
Surgical Interventions ◽  
Major Factors ◽  
Left Pneumonectomy

Abstract Bronchoscopic extraction is the most common treatment of foreign body aspiration. However, surgical interventions are required in cases wherein bronchoscopic extraction is difficult, with the most frequent surgical strategy being bronchotomy or lobectomy. Herein, we report a case of foreign body aspiration wherein left pneumonectomy was inevitable because of a molar incarcerated in the left main bronchus. The large diameter of the foreign body and delayed diagnosis that causes granulomatous hyperplasia are considered to be major factors of requiring high invasive surgery.

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