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Introduction: Foreign body (FB) among children is vital forclinicians to have a timely diagnosis and effective management.The study aimed to describe the profile and management offoreign body ingestion among children presenting to a tertiarycare hospitalMaterial and methods: The study was a prospectiveobservational study, conducted in the department of ENT ofMGMGH, Trichy, a tertiary care teaching hospital in southIndia. All the FB ingestion cases among children aged 1 to15 years were included. The type of FB, clinical presentation,level of lodgment, management etc. were analyzed. Meanand standard deviation was used to summarize quantitativevariables and frequency and proportion to summarizecategorical variables.Results: Majority (86%) of cases were aged less than 10 years.Males were slightly higher than females (56% Vs 44%). Mostcommon foreign body ingested was Coin 38 (76%) of cases,followed by safety pin and plastic objects. Majority (70%) offoreign bodies lodged in cricopharynx and 30% in proximalesophagus. Among boys, 71.43% of the FBs were found incricopharynx and 68.18% of the girls had FB in cricopharynx.The only type of foreign body found in cricopharynx wascoin. All the FBs in cricopharynx were managed by directlaryngoscopy. Out of the 15 foreign bodies in proximalesophagus, 80% were managed by esophagoscopy and 20%by direct laryngoscopy.Conclusion: FB ingestion Strategies regarding safe behaviorshave a key role in prevention of injuries due to FB and mustbe strictly implemented.
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Background: Foreign-body ingestion and aspiration are common childhood adverse events, hence are commonest causes of morbidity and mortality in infants and children worldwide. Aim of current study was to identify the patients with foreign-body ingestion and aspiration, develop a suitable algorithm for their management and study various complications following their removal. Methods: The present study was carried out in G.R. medical college, Gwalior, M. P. during last one year on hundred patients diagnosed as case of foreign-body in upper aero-digestive tract on the basis of history, examination and investigations. Results: Foreign-bodies in upper aero-digestive tract were seen mostly in children less than 10 years of age (91%). The youngest was 8 months old and the oldest 48 years. Coins were the most common foreign-bodies in oesophagus (90%) while whistle in the upper airway (40%). Right bronchus is the commonest site of impaction in the airway (50%), while cricopharynx is most common in the oesophagus (95.55%). Patients with oesophageal foreign bodies presented mostly with the chief complaint of foreign body sensation (63.4%) in the throat whereas those with airway foreign body presented mostly with dyspnoea and choking sensation (60%). Pooling of saliva was most commonly seen in patients with oesophageal foreign bodies (43.3%). Tachypnoea was the most common sign in cases of tracheabronchial foreign bodies (80%). Positive radiological evidence was present in 88% of upper aero-digestive foreignbodies. Only 2.2% cases showed complications following oesophagoscopy. Tracheo-bronchial foreign-bodies were removed by emergency bronchoscopy. 20% cases had complications post-operatively. Conclusion: Early detection by meticulous history, imaging modality & prompt management remains basis for favourable outcome and prevents fatal complications.