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Methodology for Sputum Induction and Laboratory Processing
Published on: December 17, 2017
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.
Background:
Foreign body inhalation is one of the life threatening emergencies. It may happen at any age, however, most of these accidents occur in children especially below the age of five.
Methods:
This prospective study was done at Department of Otolaryngology, Head and Neck Surgery, Ayub Teaching Hospital, Abbottabad, from 1 January 2003 to 30 June 2005. A total of Eighty one patients, referred from the casualty and Paediatric unit with suspicion of tracheobronchial foreign body were included in the study.
Results:
Eighty one were studied. Fifty (61.7%) were male and thirty one (38.3%) were female. Sixty three (77.8%) were below five years, thirteen (16%) were between five and fifteen years and five (6.2%) were above fifteen years. Sixty seven patients (82.7%), presented mainly with chocking, while fifty nine patients (72.8%) had stridor and forty five patients (55.6%) had cough at initial presentation. Seventy two (88.9%) patients had decreased air entry and forty two (51.9%) had wheeze on auscultation, whereas cyanosis was noticed in five (6.2%) patients. Peanut was the commonest foreign body, retrieved in forty five patients (55.6%). Other foreign bodies were whistle (18.5%), maize seed (13.6%), bean seed (6.2 %), nuts (2.5%), sewing needle with thread, dice and denture (1.2%) each.
Conclusions:
Foreign body inhalation is more common in male patients, mostly below five years of age. Chocking is the commonest symptom and decreased air entry on auscultation is the typical examination finding. Peanut has been found to be the commonest type of foreign body.
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