Foreign Body Aspiration: Demographic Trends and Foreign Bodies Posing a Risk

Abstract

This study was done to find out modern demographic trends of aspiration and different foreign bodies posing a risk. For this study, 94 patients with suspected foreign body aspiration (FBA) were selected. Detailed history, especially age, suspected Foreign body (FB) and mode of onset were noted and a thorough clinical examination was done. X-ray chest and neck, antero-posterior and lateral view was the only investigation done in all. Rigid bronchoscopy under general anaesthesia was done in all the cases of suspected FBA for diagnostic cum therapeutic purpose. Among 94 patients 70.2% i.e. 66 were within 5 years of age and most were within 2-3 years of age. Rigid bronchoscopy was done in all the cases and foreign body was successfully retrieved in 78.7% of cases. Bronchoscopy was negative in the rest of the cases. The Most common site of lodgment was the right bronchus followed by the left bronchus, the trachea and other sites. Vegetables were the most common FBs as they were found in 26 cases. Whistles from small plastic toys were the single most common FB(15). Other foreign bodies were small plastic and metallic parts, safety pins, jewellery etc. Children under 5 years of age are at greatest risk of FBA. Different vegetables and whistles of low grade toys are the most commonly aspirated FB. Detailed history is most important for diagnosis. X-ray is not a reliable tool for diagnosis. Bronchoscopy should be done whenever a foreign body is suspected in the airway.

Anaesthetic Management of Subglottic Foreign Body

“…The whistle was found to be the most common non organic and second most common tracheobronchial FB [1]. Symptoms of a subglottic FB include cough which might subside after sometime due to fatigue and adaptation [2].…”

“…They constitute about 8% of all tracheobronchial foreign bodies [1]. Subglottic foreign bodies need urgent management as their mere presence in that area indicates their large size or adherence to the laryngotracheal wall.…”

Çocuklarda Trakeobronşial Sistemdeki Yabancı Cisimleri Çıkarmada Anestezi Uygulaması

“…Benzer şekilde YCA olan çocuklarda Mukherjee ve arkadaşları. %70.2 hastanın beş yaşın altında, Aydoğan ve arkadaşları ise 1887 çocuk hastayı kapsayan retrospektif çalışmalarında %74 hastanın üç yaşın altında olduğunu belirtmişlerdir 3,4 . Mental retardasyonu olan ve Prader-Willi Sendromu gibi aspirasyona eğilimi olan çocuklarda da YCA'nın görülme sıklığı daha yüksektir 5 .…”

“…Tam obstrüksiyonun izlenmediği, YCA hikayesi olan çocuklarda poliklinik şartlarında total intravenöz sedasyon veya topikal anestezi altında fleksibl bronkoskopi uygulanabilmektedir 3,4,20,23 .…”

Decoding a whistled cry: a challenging subglottic foreign body in a child

“…They constitute about 8% of all tracheobronchial FBs. 2 They need immediate removal either by rigid bronchoscopy which is the preferred method or as some studies have found, flexible bronchoscopy can also achieve a high success rate. 3 The present case is interesting to report due to the asymptomatic nature of a large whistle (subglottic) FB with a probable history of swallowing it accidently.…”