Foreign body ingestion and inhalation in pediatric age: Our experience at a tertiary care hospital
Keywords:Aero digestive tract, foreign body, Esophagoscopy, Ingestion, inhalation
BACKGROUND: Foreign bodies in aero digestive tract is a common emergency in pediatric age group.
METHODS: This cross-sectional study included 156 patients of foreign bodies in aero digestive tract over a period of 2 years from January 2016 to December 2017.
RESULTS: Out of 156 patients, foreign body in esophagus was found in 111 patients with age range from 6 months to 12 years. Fifty-six patients (50%) belonged to 3-5 years age group. Coin was found in most of the patients which constitutes 61(55%) patients. Majority of the foreign bodies got impacted in cricopharynx. Of all the patients, 45 had foreign body in airway with age ranging from 6 months to 12 years. Peanuts were found in majority of cases, constituting 20% and right bronchus was mostly affected. One patient of foreign body ingestion expired.
CONCLUSION: Early detection and referral to a well-equipped center can prevent mortality and morbidity.
Buttazzoni E, Gregori D, Paoli B, Soriani N, Baldas S, Rodriguez H, et al. Symptoms associated with button batteries injuries in children: An epidemiological review. Int J Pediatr Otorhinolaryngol. 2015;79(12):2200-7.
Elloy MD, Worley GA, Bailey CM. Foreign body inhalation: a case of mistaken identity? J Emerg Med. 2010;38(4):499-501.
Foltran F, Passali FM, Berchialla P, Gregori D, Pitkaranta A, Slapak I, et al. Toys in the upper aerodigestive tract: new evidence on their risk as emerging from the Susy Safe Study. Int J Pediatr Otorhinolaryngol. 2012;76 Suppl 1:S61-6.
Grassi R, Faggian A, Somma F, De Cecco CN, Laghi A, Caseiro-Alves F. Application of imaging guidelines in patients with foreign body ingestion or inhalation: literature review. Semin Ultrasound CT MR. 2015;36(1):48-56.
Zissin R, Shapiro-Feinberg M, Rozenman J, Apter S, Smorjik J, Hertz M. CT findings of the chest in adults with aspirated foreign bodies. Eur Radiol. 2001;11(4):606-11.
Behera G, Tripathy N, Maru YK, Mundra RK, Gupta Y, Lodha M. Role of virtual bronchoscopy in children with a vegetable foreign body in the tracheobronchial tree. J Laryngol Otol. 2014;128(12):1078-83.
Girardi G, Contador AM, Castro‐Rodríguez JA. Two new radiological findings to improve the diagnosis of bronchial foreign‐body aspiration in children. Pediatr Pulmonol. 2004;38(3):261-4.
Kosucu P, Ahmetoglu A, Koramaz I, Orhan F, Özdemir Ou, Dinç H, et al. Low-dose MDCT and virtual bronchoscopy in pediatric patients with foreign body aspiration. Am J Roentgenol. 2004;183(6):1771-7.
Haliloglu M, Ciftci AO, Oto A, Gumus B, Tanyel FC, Senocak ME, et al. CT virtual bronchoscopy in the evaluation of children with suspected foreign body aspiration. Eur J Radiol. 2003;48(2):188-92.
Jung SY, Pae SY, Chung SM, Kim HS. Three-dimensional CT with virtual bronchoscopy: a useful modality for bronchial foreign bodies in pediatric patients. Eur Arch Otorhinolaryngol. 2012;269(1):223-8.
Pinto A, Scaglione M, Pinto F, Guidi G, Pepe M, Del Prato B, et al. Tracheobronchial aspiration of foreign bodies: current indications for emergency plain chest radiography. Radiol Med. 2006;111(4):497-506.
Ciftci AO, Bingöl-Koloğlu M, Şenocak ME, Tanyel FC, Büyükpamukçu N. Bronchoscopy for evaluation of foreign body aspiration in children. J Pediatr Surg. 2003;38(8):1170-6.
Sharpe SJ, Rochette LM, Smith GA. Pediatric battery-related emergency department visits in the United States, 1990-2009. Pediatr. 2012;129(6):1111-7.
Litovitz T, Whitaker N, Clark L, White NC, Marsolek M. Emerging battery-ingestion hazard: clinical implications. Pediatr. 2010:peds. 2009-3037.
Kim IG, Brummitt WM, Humphrey A, et al. Foreign bodies in the airway: a review of 202 cases. Laryngoscope. 1973;83:347–354.
Brooks JW. Foreign bodies in the air and food passages. Ann Surg. 1972;175(5):720–732.
Japhet M Gilyoma, Phillipo L Chalya. BMC Ear Nose Throat Disord. 2011; 11:2.
Rothman BF, Boeckman CR. Foreign bodies in the larynx and tracheobronchial tree in children. A review of 225 cases. Annal Otol, Rhinol laryngol. 1980;89:434–36.
Escramado RM, Richardson MA. Laryngotracheal foreign bodies. Am J. Dis Child. 1980;134(1):68–71.
Blazer S, Naveh Y, Friedman A. Foreign bodies in the airway. Am J Dis Child. 1980;34:68–71.
Schmidt H, Manegold BC. Foreign body aspiration in children. Surg Endosc. 2000;14(7):644–8.
Khan NU, Nabi IU, Yousaf S. Foreign bodies in larynx and tracheobronchial tree. Pak Armed Forces Med J. 2000;50(2):68–70.
Mu L, He P, Sun D. Inhalation of foreign bodies in Chinese children: a review of 400 cases. Laryngoscope. 1991;101(6 Pt I):657–60.
Tariq P. Foreign body aspiration in children. a persistent problem. J. Pak Med Ass. 1999;49(2):33–6.
Fernandez JI, Gutierrez SC, Alvarej MV. et al.Foreign body aspiration in childhood - A report of 210 cases. Ann Esp Paediatr. 2000;53(4):335–38.
Murty PSN, Vijendra S, Ramakrishna S. Foreign bodies in the upper aerodigestive tract. SQU Journal for Scientific Research Medical Sciences. 2001;3(2):117–20.
Uba AF, Adeyemo AO, Adejuyigbe O. Management of esophageal foreign in children. East Afr Med J. 2002;79(6):334–8.
Diaz GA, Valledo L, Seda F. Foreign bodies from the upper aerodigestive tract of children in Puerto Rico. Bol Asoc Med PR. 2000;92(9-12):124–9.
Schmidt H, Manegold BC. Foreign body aspiration in children. Surg Endosc. 2000;14(7):644–8. doi: 10.1007/s004640000142.
Ullah A, Ullah I, Rasool G, Billah M. Endoscopic Removal of the tracheobronchial Foreign Bodies At a peripheral Hospital. J Postgrad Med Inst [Internet]. 2011 Oct. 5 [cited 2022 Mar. 23];18(3). Available from: https://jpmi.org.pk/index.php/jpmi/article/view/913.
Huang T, Li WQ, Xia ZF, Li J, Rao KC, Xu EM. Characteristics and outcome of impacted button batteries among young children less than 7 years of age in China: a retrospective analysis of 116 cases. World J Pediatr. 2018;14(6):570-5.
Pecorari G, Tavormina P, Riva G, Landolfo V, Raimondo L, Garzaro M. Ear, nose and throat foreign bodies: the experience of the Pediatric Hospital of Turin. J Paediatr Child Health. 2014;50(12):978-84.
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