Study of foreign body aspirations.

Objective: Foreign body aspirations comprise the majority of accidental deaths in childhood. Diagnostic delay may cause an increase in mortality and morbidity in cases without acute respiratory failure Methods: In our Hospital, bronchoscopy was performed on 105 patients with the diagnosis of foreign body aspirations.Of these cases, 65.77% were male and 34.29% female. Their ages ranged from 2 months to 13 years. Diagnosis was made on history, physical examination, radiological methods and bronchoscopy. Results: Foreign bodies were localized in the right main bronchus in 59 (56.19%) patients followed by left main bronchus in 191 (18.8%), trachea in 173 (17.1%), vocal cord in 75(7.4%) and both bronchus in 28 (26.67%). Foreign body was not found during bronchoscopy in 4 cases (3.81 %). The majority of the foreign bodies were ground nut. Foreign bodies were removed with bronchoscopy in all cases Conclusion: Rigid bronchoscopy is very effective procedure for inhaled foreign body removal with fewer complications. Proper use of diagnostic techniques provides a high degree of success, and the treatment modality to be used depending on the type of the foreign body is mostly satisfactory.

A clinical profile of oral submucous fibrosis.

Background: Oral submucous fibrosis (OSF) is a precancerous condition associated with the use of areca nut in various forms. There are very few reports to correlate the clinical stage to histopathological grading in OSF. Materials and Methods: A hospital-based study was conducted on 80 oral Submucous Fibrosis cases who visited our hospital in Jamnagar.. A detailed history of each patient was recorded along with a clinical examination. Biopsy was performed for histopathological correlation. Clinical stage of the disease in terms of the ability to open one's mouth was correlated with histopathological grading. Results: The male to female ratio of OSF cases was 3:1. All forms of areca nut products were associated with OSF. Chewing of paanmasala was associated with early presentation of OSF as compared to chewing of the betel nut The the result of all conservative therapy fails to reverse the disease. Conclusion: result of study recommend primary prevention for prevention of OSF.