Experience with removal of foreign bodies tracheo-broncheal tree with rigid broncoscope

ABSTRACT

The aim of the study was to evaluate the presentation and management of different types of foreign bodies in tracheo-bronchial tree [TBT]. The study was conducted from July 2001 to December 2001 at the department of ENT, PGMI, HMC Peshawar. Patients with hlstory of foreign body inhalation were included in the study. Relevant history was recorded. The data collected was age and sex of patients, history of foreign body and type of foreign body inhalation, duration, symptoms and signs of foreign body inhalation. The findings of X-ray chest, treatment given and peri-operative complications and bronchoscopic findings were recorded. Bronchoscopy was done under general anaesthesia. Out of 50 patients, 32 [64%] were less than three years of age. Thirty two [64%] patients reached to the hospital with-in 24 hours. The commonest symptom was chocking sensation in 36 [72%] cases. Radiological changes, suggestive of foreign body tracheo- bronchial tree were observed in 16 [32%] of cases. The commonest foreign body removed was peanut in 27 [54%] cases. Right main bronchus was the common site for foreign body lodgment. Common complications encountered were laryngospasm in 3 cases [6%] and cardiac arrest in 2 cases [4%], with mortality rate of 2% [1 case]. Chocking, stridor, wheeze and coughing are the common presentations of foreign body tracheo-bronchial tree inhalation. Rigid bronchoscopy in experienced hands under general anaesthesia is safe and effective diagnostic and therapeutic procedure