<p class="abstract"><strong>Background:</strong> Aero-digestive foreign bodies are prevalent in our part of the country. Apart from the usual foreign body we encountered some unique foreign bodies, the diagnosis and management of which, is difficult due to varied and overlapping clinical presentation. Rare foreign bodies in the aero-digestive tract pose challenges in diagnosis and treatment.</p><p class="abstract"><strong>Methods:</strong> This was a retrospective observational study on thirty patients with aerodigestive foreign bodies who visited our hospital from July 2015 to October 2017.  </p><p class="abstract"><strong>Results:</strong> Maximum number of cases was seen in age group of 0-5 years. The male to female ratio was 2:1. Among various types of foreign bodies, majority were metallic (43.3%). The most common site was cricopharynx (53.3%) followed by bronchus (26.6%) and esophageal (16.6%). The most common procedure done was hypopharyngoscopy (53.3%).</p><p class="abstract"><strong>Conclusions:</strong> Aerodigestive tract foreign bodies are one of the emergencies that have considerable mortality and morbidity. High degree of skill and suspicion are required by surgeon for the management of foreign body.</p>

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Introduction:The inhalation/ingestion of a foreign body (FB) in the aerodigestive tract is a serious health problem that causes significant morbidity and mortality. Present study was conducted to study demographics, various types of foreign body, incidence and predisposing factors of foreign body in the aerodigestive tract. As well as clinical and radiological profile, role of different radiological investigations and potential complications of foreign bodies in aerodigestive tract were studied. The commonest foreign bodies found in our study were coins and betel nut in the food passage and airways respectively. The reason for high incidence of these foreign bodies in our study is due to the fact that these commodities are widely used in this area. Endoscopic removal of foreign bodies in the aerodigestive tract using rigid scopes under general anesthesia has been reported to be a gold standard procedure. Laryngeal foreign bodies are much more common in study population. A thorny foreign body found in the desert area locally called bhurant and botanically called cenchrus biflorus belonging to family poaceae, is only foreign body found in larynx, laryngopharynx and pyriform fossa. Betel Nut was commonest type of tracheobronchial foreign body in this study. This is because of habit of chewing betel nut by majority of the local persons. Close cooperation between anaesthesiologist and otolaryngologist is of particular importance.