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

Authors

  • Bathokédéou Amana Department of ENT, Head and Neck Surgery, Teaching Hospital of Lome Commune, Lomé, Togo
  • Essobozou Plaodezina Pegbessou Department of ENT, Head and Neck Surgery, Teaching Hospital of Campus, Lomé, Togo
  • Essobiziou Amana Department of ENT, Head and Neck Surgery, Teaching Hospital of Sylvanus Olympio, Lomé, Togo
  • Winga Foma Department of ENT, Head and Neck Surgery, Teaching Hospital of Sylvanus Olympio, Lomé, Togo
  • Warou Dolou Department of ENT, Head and Neck Surgery, Teaching Hospital of Kara, Kara, Togo
  • Stephen Laws Department of ENT, Head and Neck Surgery, Teaching Hospital of Kara, Kara, Togo
  • Essohanam Boko Department of ENT, Head and Neck Surgery, Teaching Hospital of Campus, Lomé, Togo
  • Eyawelohn Kpemissi Department of ENT, Head and Neck Surgery, Teaching Hospital of Sylvanus Olympio, Lomé, Togo

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20200132

Keywords:

Lower respiratory tract, Foreign bodies, Bronchoscopy

Abstract

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.

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Published

2020-01-24

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Original Research Articles