Rare foreign bodies of upper aerodigestive tract: a study of 30 cases

Authors

  • Vivek Samor Department of ENT, Sardar Patel Medical College, Bikaner, Rajasthan, India
  • Deepchand Sarowa Department of ENT, Sardar Patel Medical College, Bikaner, Rajasthan, India
  • Pooja D. Nayak Department of ENT, Sardar Patel Medical College, Bikaner, Rajasthan, India
  • Vaibhav Saini Department of ENT, All India Institute of Medical Sciences, AIIMS, Bathinda, Punjab, India
  • Gagandeep Kaur Department of ENT, All India Institute of Medical Sciences, AIIMS, Bathinda, Punjab, India
  • Uma Rathi Department of Anaesthesia, Government of Medical College, Chandigarh, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20202602

Keywords:

Rare foreign body, Aerodigestive tract, Management

Abstract

Background: 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.

Methods: This was a retrospective observational study on thirty patients with aerodigestive foreign bodies who visited our hospital from July 2015 to October 2017.  

Results: 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%).

Conclusions: 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.

Author Biographies

Vivek Samor, Department of ENT, Sardar Patel Medical College, Bikaner, Rajasthan, India

Associate Professor 

Department of ENT

Deepchand Sarowa, Department of ENT, Sardar Patel Medical College, Bikaner, Rajasthan, India

Professor and Head

Sardar Patel Medical College
Bikaner

Pooja D. Nayak, Department of ENT, Sardar Patel Medical College, Bikaner, Rajasthan, India

Senior Resident

Sardar Patel Medical College
Bikaner

 

Vaibhav Saini, Department of ENT, All India Institute of Medical Sciences, AIIMS, Bathinda, Punjab, India

Dr. Vaibhav saini 

Associate Professor

Department Of Otolaryngology and Head Neck Surgery

AIIMS, Bathinda

Gagandeep Kaur, Department of ENT, All India Institute of Medical Sciences, AIIMS, Bathinda, Punjab, India

Senior Resident

All India Institute of Medical Sciences , Bathinda

Uma Rathi, Department of Anaesthesia, Government of Medical College, Chandigarh, India

Assistant Professor

Department of Anaesthesia

References

Webb WA. Management of foreign bodies of the upper gastrointestinal tract: update. Gastrointestinal Endoscopy. 1995;41(1):39-51.

Eisen GM, Baron TH, Dominitz JA, Faigel DO, Goldstein JL, Johanson JF, Mallery JS, Raddawi HM, Vargo JJ, Waring JP, Fanelli RD. Guideline for the management of ingested foreign bodies. Gastrointestinal Endoscopy. 2002;55(7):802-6.

Stack LB, Munter DW. Foreign bodies in the gastrointestinal tract. Emergency Med Clin N Am. 1996;14(3):493-522.

Sardana P, Baisas, Singh VP, Arora M. Unusual foreign bodies of aerodigestive tract. Indian J Otolaryngol Head Neck Surg. 2002;54:123-6.

Esclamado RM, Richardson MA. Laryngotracheal foreign bodies in children. A comparison with bronchial foreign bodies. Am J Dis Child. 1987;141:259-62.

Ballantyne J, Groves J. Scott Brown’s “Diseases of the Ear, Nose and Throat”. 4th Edition. London: Butterworths; 1979: 237-243.

Merchant SN, Kirtane MV, Shah KL, Karnik PP. Foreign bodies in the bronchi (a 10 year review of 132 cases). J Postgrad Med. 1984;30(4):219-23.

Becker BC, Nielsen TG. Foreign bodies in the airways and esophagus in children. Ugeskrift Laeger. 1994;30:4336-9.

Zerella JT, Dimler M, McGill LC, Pippus KJ. Foreign body aspiration in children: value of radiography and complications of bronchoscopy. J Pediatr Surg. 1998;33(11):1651-4.

Silva AB, Muntz HR, Clary R. Utility of conventional radiography in the diagnosis and management of pediatric airway foreign bodies. Ann Otol Rhinol Laryngol. 1998;107:834.

Fontoba JEB, Gutierrez C, Lluna J, Vila JJ, Poquet J, Ruiz-Company S. Bronchial foreign body: should bronchoscopy be performed in all patients with a chocking crisis? Pediatr Surg Int. 1997;12:118-20.

Martinot A, Closset M, Marquette CH, Hue V, Deschildre A, Ramon P, et al. Indications for flexible versus rigid bronchoscopy in children with suspected foreign-body aspiration. Am J Respir Crit Care Med. 1997;155:1676-9.

Chew HS, Kiaang Tan HK. Airway foreign body in children. Int J Clin Med. 2012;3:655-60.

Asif M, Shah SA, Khan F, Ghani R. Foreign body inhalation-site of impaction and efficacy of rigid bronchoscopy. J Ayub Med Col. 2007;19(2):46-8.

Nakhosteen JA. Tracheobronchial foreign bodies. Eur Respir J. 1994(7):429-30.

Mayhar A, Tarlan S. Foreign bodies aspiration in children. Acta MedicaIranica. 2008;46:115-9.

Rajasekaran S, BalaChandran K, Anbalagan S, Kumar PS, Vikram VJ. Management of tracheo bronchial foreign bodies in children – A retrospective study of series of 50 cases. Online J Otolaryngol. 2013;3:14-25.

Downloads

Published

2020-06-25

Issue

Section

Original Research Articles