Analysis of tracheobronchial foreign bodies with respect to sex, age, type and presentation

Muhammad Asif1, Shahid Ali Shah, Farida Khan

  • 1Department of ENT, Gomal Medical College, DI Khan.

Insights

Foreign body inhalation is a critical emergency, predominantly affecting young children. Peanuts are the most common inhaled foreign body, with choking being the most frequent symptom.

Area of Science:

  • Pediatric Otolaryngology
  • Emergency Medicine
  • Respiratory Health

Background:

  • Foreign body inhalation poses a life-threatening risk, particularly to children under five.
  • Accidental inhalation of foreign objects is a common pediatric emergency.

Purpose of the Study:

  • To investigate the demographics, clinical presentation, and common foreign bodies in tracheobronchial inhalation injuries.
  • To identify typical symptoms and examination findings associated with foreign body aspiration in children.

Main Methods:

  • A prospective study conducted at Ayub Teaching Hospital from January 2003 to June 2005.
  • Inclusion of 81 patients with suspected tracheobronchial foreign bodies, referred from casualty and pediatric units.

Main Results:

  • The study included 81 patients, with 61.7% being male and 77.8% under five years old.
  • Choking (82.7%), stridor (72.8%), and decreased air entry (88.9%) were the most common presentations.
  • Peanuts (55.6%) were the most frequently retrieved foreign bodies, followed by whistles (18.5%) and maize seeds (13.6%).

Conclusions:

  • Foreign body inhalation is more prevalent in males and children under five.
  • Choking and decreased air entry are characteristic signs of tracheobronchial foreign body aspiration.
  • Peanuts are the leading cause of foreign body inhalation injuries in this cohort.
Abstract

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