ABSTRACT
To highlight the special features of an unusual foreign body of the larynx, the seed of kochia indica wight, and discuss its management. This prospective study was conducted at the Department of ENT, Khalifa Gul Nawaz Teaching Hospital Bannu, District Headquarter Teaching Hospital, Bannu and this department related consultants' private clinics from January 1, 2009 to December 31, 2011. The study included 32 cases. All the patients underwent direct laryngoscopy for removal of foreign body. The main indication for direct laryngoscopy was a definite history of foreign body inhalation and acute onset of hoarseness in predisposed children. The results were analyzed using SPSS 16.0 for windows. A total of 32 cases were included in the study. The age range was 5-15 years. There were 14 males and 18 females. All the patients presented with hoarseness of voice and dry irritating cough. Odynophagia was seen in 56.2% cases whereas breathing difficulty was present only in 9.4% of cases. The foreign body was lodged lateral to anterior 1/3rd of the cord in 62.5% followed by lateral to mid cord in 31.2% cases. Kochia indica wight seed is an unusual but a common foreign body of the larynx in the southern districts of Karak and Bannu. The diagnosis is easy in the predisposed children. Though it does not change its position in the larynx, yet urgent removal should be undertaken as foreign body in the larynx is potentially a life threatening condition.
ABSTRACT
Background: Flexible fiber optic bronchoscopy is frequently performed procedure in pulmonary medicine
Objective: To determine the Clinico-radiological indications of flexible bronchoscopy in a tertiary care hospital
Materials and Methods: This descriptive study was conducted in the bronchoscopy suit of pulmonology department post graduate medical institute[PGMI], Lady Reading Hospital, Peshawar from Jan 2008 to Dec 2010. This was a retrospective analysis of the well maintained records of patients in whom bronchoscopy was done in the above mentioned duration. All the patients above 15 years were included. All the bronchoscopies were done by expert brochoscopists under local aneasthesia. Data was analyzed by SPSS 13 to find the frequencies and percentages
Results: Total number of patients were 423, with a male to female ratio of 1.6:1, in which 191 had haemoptysis , 115 presented with chronic cough, 42 had shortness of breath [SOB] , 11 presented as superior venacaval [SVC] obstruction, 25 had lobar or full lung collapse on chest x rays and 9 patients had solitary or multiple nodules, 8 were scoped for removal of foreign bodies, 4 for medical fitness and 2 for persisted fever. After analysis of x-rays of proven malignancies out of 60 patients, 20 [33.33%] had right side non-resolving consolidation, 18 [30%] Left side consolidation,08 [13.4%] presented with hilar mass, 03 [5%] with multiple nodules, 04 [6.66%] with mediastinal widening , 03 [5%], with left sided lobar collapse, 02 [3.33%] with right lobar Collapse and 02 [3.33%] had either side full lung collapse
Conclusion: Bronchoscopy is an important tool for the diagnosis of the cause of radiological/clinical findings like haemoptysis, chronic cough, SOB, SVC obstruction, hoarseness of voice and persistent x-ray opacity, or lobar or lung collapse. Heamoptysis and chronic cough are the main indications in our setting. Bronchoscopy is minimally invasive procedure with high diagnostic yield for bronchogenic tumours especially central