Incidence of Foreign Bodies in Aerodigestive Tract in Vindhya Region: Our Experience

Abstract

Foreign bodies in aerodigestive tract are frequent occurrence and may lead to life threatening situation due to obstruction caused in respiratory passages. To present foreign body ingestion cases observed in a 5-year period at the S.S. Medical College and G.M. Hospital, Rewa (MP). The present study is a retrospective analysis including 108 patients of foreign bodies of aerodigestive tract of Vindhya region who presented to the S.S. Medical College and G.M. Hospital, Rewa from January 2008 to August 2012. About 92 patients of total 108 patients had evidence of foreign body in food passage with age ranging from 9 month to 85 years. Most patients 65 (70.65 %) belong to \10 year age group. Radiological evidence was found in 76 (82.6 %) patients. Most common foreign body was found to be coin 75 (81.52 %). The commonest site of lodgement was cricopharynx. About 16 patients of total 108 patients had evidence of foreign body in airway with age ranging from 9 months to 72 years. Most cases 8 (50 %) belong to \10 year age. Maximum cases showed vegetative foreign body with right bronchus (58.33 %) as commonest site of lodgement. Early detection by meticulous history, imaging modality and prompt management remains basis for favourable outcome and prevents future complications.

Diagnosis of Pediatric Foreign Body Ingestion

“…11,13,14,[16][17][18] The majority of objects retrieved were coins, in accordance with various other investigations. 5,[11][12][13][16][17][18]23 A handful of studies conducted outside the United States found other, culturally relevant objects to be most commonly ingested, such as pins, 3 blue beads attached to a safety pin (a Turkish cultural good luck charm), turban pins, 20 and fish bones. 14 A minority of patients (2%) in this investigation were asymptomatic at the time of presentation.…”

“…The gender ratio of children with foreign body ingestion in the current study is similar to previously reported data, namely, a slight male predominance. [3][4][5][11][12][13][16][17][18][19][20] The mean age of 4.7 years in this study is slightly older when compared to many other retrospective chart reviews (2.3-4.3 years). [3][4][5]11,20 Most children presented within 48 hours of ingestion, analogous to other studies in the literature.…”

“…Previous studies have examined the frequency of clinical symptoms, physical signs, and/or radiographic findings in children with suspected foreign body ingestion. 3,4,8,[11][12][13][14][15] However, remarkably little exists in the literature about the sensitivity and specificity of these entities. The primary aims of this study were to (1) describe the clinical, physical examination, and radiologic findings in children presenting with suspected esophageal foreign bodies and (2) examine the sensitivity and specificity of history, physical examination, and radiologic studies in children with suspected foreign body ingestion.…”

Foreign body a fish in orohypopharynx with complication vocal cord paralysis

“…It may impaction in tonsil, base of tongue, hypopharynx, piriform fossae and oesophagus or sometimes in the larynx or lower down in the respiratory tract that may be life threatening and need immediate removal because it can lead medical or surgical emergencies which are often challenging for an otorhinolaryngologist. [1][2][3][4][5] Accidental ingestion of foreign bodies and their impaction is more common in children than adult. In children exploring their environment with their mouth, uncoordinated swallowing, absence of molars for proper chewing are at risk for the ingestion and aspiration of small edible object.…”

“…Extraction with Magill forceps and direct laryngoscope have been reported as an immediately procedure that should be performed to a foreign body in the pharynx and proximal esophagus. 3,5,6,14 Various studies have been reported the extraction of foreign bodies in pharynx with tracheostomy procedure to reduce the risk of morbidity and mortality. Preparation for performed tracheostomy in cases with a foreign body or virtually lodged the airway should be done to save the airway.…”