Characteristics And Outcomes Of Aerodigestive Foreign Bodies In Children

Murad Habib1, Khurrum Arif1, Muhammad Amjad Chaudhary1

  • 1Department of Paediatric Surgery, The Children's Hospital Pakistan Institute of Medical Sciences Islamabad, Pakistan.

Insights

Pediatric aerodigestive foreign bodies are a significant health concern, with coins being the most common ingested object and whistles the most common aspirated. Early evaluation and endoscopic removal are crucial for preventing life-threatening complications.

Area of Science:

  • Pediatric Emergency Medicine
  • Otolaryngology
  • Gastroenterology

Background:

  • Aerodigestive foreign bodies pose a common and serious health risk in preschool-aged children.
  • These incidents contribute significantly to pediatric morbidity and mortality globally.

Purpose of the Study:

  • To analyze the characteristics of foreign body ingestion and aspiration in children.
  • To identify common foreign body types, patient demographics, and presentation times.

Main Methods:

  • A retrospective analysis of 108 pediatric patients presenting with suspected foreign body ingestion/aspiration over two years.
  • Data collected included socio-demographics, foreign body type, age, and presentation mode.
  • Pearson Chi-square test was used for correlation analysis.

Main Results:

  • The majority of patients (62.26%) were male, with a mean age of 40.97 months.
  • Pre-schoolers (under 4 years) constituted the largest group (44.44%).
  • Coins were the most frequent ingested foreign body (54%), followed by button batteries (19%). Whistles were the most common aspirated object (33%).

Conclusions:

  • Prompt evaluation is essential for all children with suspected foreign body ingestion or inhalation.
  • Early recognition and endoscopic removal are critical to prevent severe, life-threatening complications.
Abstract

Related Concept Videos

Pulmonary Cycle: Exhalation01:17

Pulmonary Cycle: Exhalation

In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
1.6K
Gastroesophageal Reflux Disease II: Clinical Features and Management01:29

Gastroesophageal Reflux Disease II: Clinical Features and Management

Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
83
Assessment of Airway, Skin Color, and Use of Accessory Muscles01:30

Assessment of Airway, Skin Color, and Use of Accessory Muscles

A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
999
Respiratory System Abnormal Finding I: Inspection and Percussion01:30

Respiratory System Abnormal Finding I: Inspection and Percussion

Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
271
Physical Assessment of the Respiratory Tract IV: Auscultation01:28

Physical Assessment of the Respiratory Tract IV: Auscultation

Auscultation is a crucial component of the physical assessment of the respiratory tract. It offers valuable insights into airflow through the bronchial tree and potential lung obstructions. This process involves careful listening to breath, voice, and adventitious sounds, which can reveal a wealth of information about a patient's respiratory health.
Breath Sounds
Breath sounds are categorized into vesicular, bronchovesicular, and bronchial.
401
Respiratory System Abnormal Finding II: Palpation and Auscultation01:31

Respiratory System Abnormal Finding II: Palpation and Auscultation

In assessing respiratory abnormalities, palpation and auscultation are critical tools for detecting and interpreting various pathophysiological changes. These techniques provide insight into underlying disorders by evaluating tactile sensations and sounds produced by the respiratory system.
Palpation Findings
During a respiratory assessment, palpation can reveal several vital abnormalities:
459