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Article | IMSEAR | ID: sea-202447

Résumé

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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