Published: 2020-01-24

Laryngo-tracheo-bronchial foreign bodies: epidemiological, diagnostic and therapeutic aspects

Bathokédéou Amana, Essobozou Plaodezina Pegbessou, Essobiziou Amana, Winga Foma, Warou Dolou, Stephen Laws, Essohanam Boko, Eyawelohn Kpemissi


Background: The objective of the study was to describe the epidemiological, diagnostic and therapeutic aspects of laryngo-tracheo-bronchial (LTB) foreign bodies (FB).

Methods: A 20-year retrospective study, performed in the ENT, head and neck surgery department of Sylvanus Olympio Teaching Hospital in Lomé, dealing with patients treated for this LTB.  

Results: Sixty-one cases of LTB FB were collected. The LTB FB represented 3.05 cases per year, 11.71% of the FB airways and 4.08% of ENT FB. Thirty-two patients (52.46%) were male, a sex ratio of 1.10. The average age of patients was 5.08 years, with extremes of 4 months and 43 years. In 31 cases (50.82%), the accident occurred during the meal and in 30 cases (49.18%) during a game. The penetration syndrome was found in 54 cases (88.52%). FB was extracted by rigid tube bronchoscopy in 50 patients (81.97%). The most common site of endoscopy was right bronchus in 30 cases (49.18%) and in 11 cases (18.03%) FB was laryngeal. Organic FB accounted for 31 cases (50.82%) and was dominated by peanuts (29.5%), for non-organic FB they were dominated by pebbles (8.2%). The evolution was favorable in 58 cases (95.08%).

Conclusions: Severe accidental pathology, the prognosis depends on the nature of the body, its seat and the time of care.


Lower respiratory tract, Foreign bodies, Bronchoscopy

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Ngo Nyeki AR, Miloundja J, Dalil AB, Lawson JM, Nzenze S, Sougou E, et al. Laryngo-tracheobronchial foreign bodies: experience of the army training hospital Omar Bongo Ondimba (HIAOBO) of Libreville. Pan Afr Med J. 2015;20:1-7.

Mnejja M, Chakroun AM, Bougacha L, Smaoui L, Ben Salah M, Chakroun A, et al. Bronchoscopy for inhalation of foreign bodies in children: about 223 cases. Arch Pediatr. 2012;19(6):670-4.

Maiga S, Barry MW, Diop ES, Ndiaye C, DIOUF MS, Deguenonvo REA, et al. Laryngo-tracheobronchial foreign bodies about 130 cases. Med Afr Black. 2016;63(12):629-34.

Diop EM, Tall A, Diouf R, Ndiaye IC. Laryngeal foreign bodies:management in children in Senegal Arch. Pediatr 2000;7(1):10-5.

Chai J1, Wu XY, Han N, Wang LY, Chen WM. A retrospective study of anesthesia during rigid bronchoscopy for airway foreign body removal in children. Propofol and sevoflurane with spontaneous ventilation. Paediatr Anaesth. 2014;24(10):1031-6.

Donato L, Weiss L, Bing J, Schwarz E. Tracheobronchial foreign bodies Arch. Pediatr. 2000;7(1):56-61.

Brkic F, Umihanic S. Tracheobronchial foreign bodies in children. Experience at ENT Clinic Tuzla, 1954-2004 Int J Pediatr Otorhinolaryngol. 2007;71(6):909-15.

Shivkumar A, Naik A, Prashanth K, Shetty K, Praveen D. Tracheobronchial foreign bodies. IJP. 2003;10(61):793-800.

Saki N, Nikakhlagh S, Rahim F, Abshirin H. Foreign body aspirations in Infancy:a 20-year experience. Int J Med Sci. 2009;6(6):322-8.

Hebbazi A, El Khattabi W, Bopaka R, Jabri H. Inhalation of a scarf pin: Emergent pneumological emergency. PAMJ. 2015;22:277.

Diarra O, Diatta S, Ndiaye A, Ciss AG, Dieng PA, Ba PS et al. Surgery of foreign intrabronchial bodies in Dakar: About 13 cases. Ann Afr Chir Thor Cardiovasc. 2012;7(2):59-63.

Lescanne E, Care C, Ployet MJ, Lesage V, Mercier C. Laryngo-tracheobronchial foreign bodies. Encyclical. Med. Chir. Otorhinolaryngology Elsevier, Paris. 1997;20(10):1-10.

Kendja F, Ouede R, Ehounoud H, Demine B, Yapo P, Tanauh Y. Destroyed lungs of the child on foreign bodies:indications and results. J Thorac Cardiovasc Surg. 2013;17(2):108-11.

Özdemir C, Sökücü SN, Karasulu L, Büyükkale S, Dalar L. Foreign body aspiration in Adult:Analysis of 28 cases. Eurasian J Pulmonol. 2015;17:29-34.

Korlacki W, Korlacki K., Dzielicki J. Foreign body aspiration in children diagnosis and therapeutic role of bronchoscopy. Pediatr Surg Int. 2011;27(8):833-7.

Benjelloun H, Zaghba N, Bakhatar A, Najiba Yassin N, Abdelkrim B. Tracheobronchial foreign bodies in adults. PAMJ. 2014;19:220.

Caidi M, Kabiri H, Lazrek I, Maslout A El, Ben Osman A. Surgery of intrabronchial foreign bodies. Ann Chir. 2002;127:456-60.

Zineddine A, Gueddari W, Abid A. Tracheobronchial foreign bodies in children. Arch Pediatr. 2009;16:959-61.

Rizk H, Rassi S. Inhalation of foreign bodies in the pediatric population:experience with 106 cases. Ann Otolaryngol Pathol Cervicofac. 2011;128:207-12.

Foma W, Amana B, Pegbessou E, Adambounou AS, Amana E, Boko E, et al. Unusual bronchial foreign body in a child. J Rech Sci Univ Lomé (Togo). 2017;19(4):575-8.

Khiati M, Couvreur J, Grimfeld A, Le Moing G, Tournier G. Pneumological aspects of a foreign bronchial body at the child. Experience of 100 cases. Rev Pneumol Clin. 1984;40:221-6.

Diagne-Guèye NR, Ndiaye-Diawara N, Ngongo AA, Faye PM, Bass I, Guèye M, et al. Diagnostic difficulties and complications of foreign bodies of the lower respiratory tract in children:about a case. JPP. 2016;29(3):151-4.

Brama I, Fearon B. Laryngeal foreign bodies in children. Int J Pediatr Otorhinolarynglo. 1982;4:259-65.

Saleem MM. The clinical spectrum of foreign body aspiration in children Int Pediatrics. 2004;19(1):42-7.