RESUMEN
BACKGROUND: Foreign body aspiration is an important cause of morbidity and potential mortality in children. The diagnosis of foreign body aspiration may be difficult in children as they are unable to give a history and the condition mimics a host of other childhood illnesses. In this study, we present our experience with foreign body aspiration in children. OBJECTIVES: To study the presentation of children with airway foreign bodies in our environment and discuss the outcomes of management. METHODS: This is a single centre retrospective study of all children who were confirmed to have tracheobronchial foreign body aspiration from January 2015 to December 2019. Biodata, clinical features, radiological features and outcome of management are presented in the article. Statistical analysis used: Measures of central tendency, dispersion and other relevant statistical analysis done with IBM SPSS® version 22. RESULTS: Twenty-one records were complete and analysed. The mean age was 5.95years with a M: F ratio of about 3:1. About 70% of the children presented more than 24 hours after the incident and the vast majority of aspirated objects were inorganic. About half of the children had received a prior wrong diagnosis. Majority of the foreign bodies were left sided (47.6%). Twenty of the 21 foreign bodies were successfully extracted. There were two mortalities recorded in this study. CONCLUSION: Foreign body aspiration is a life threatening condition. Physicians ought to consider this diagnosis in children presenting with unexplained acute respiratory symptoms.
CONTEXTE: L'aspiration de corps étranger est une cause importante de morbidité et de mortalité potentielle chez les enfants. Le diagnostic de l'aspiration de corps étranger peut être difficile chez les enfants car ils sont incapables de donner une histoire et la condition imite une foule d'autres maladies infantiles. Dans cette étude, nous présentons notre expérience avec l'aspiration de corps étrangers chez les enfants. OBJECTIFS: Étudier la présentation des enfants porteurs de corps étrangers des voies aériennes dans notre environnement et discuter des résultats de la prise en charge. MÉTHODES: Il s'agit d'une étude rétrospective monocentrique portant sur tous les enfants dont la ponction trachéobronchique de corps étrangers a été confirmée de janvier 2015 à décembre 2019. Les données biologiques, les caractéristiques cliniques, les caractéristiques radiologiques et les résultats de la prise en charge sont présentés dans l'article. ANALYSE STATISTIQUE UTILISÉE: mesures de tendance centrale, de dispersion et d'autres analyses statistiques pertinentes effectuées avec IBM SPSS® version 22. RÉSULTATS: Vingt et un dossiers ont été complets et analysés. L'âge moyen était de 5,95 ans avec un rapport M:F d'environ 3:1. Environ 70 % des enfants se sont présentés plus de 24 heures après l'incident et la grande majorité des objets aspirés étaient inorganiques. Environ la moitié des enfants avaient déjà reçu un mauvais diagnostic. La majorité des corps étrangers étaient du côté gauche (47,6%). Vingt des 21 corps étrangers ont été extraits avec succès. Deux décès ont été enregistrés dans cette étude. CONCLUSION: L'aspiration de corps étranger est une condition potentiellement mortelle. Les médecins devraient envisager ce diagnostic chez les enfants présentant des symptômes respiratoires aigus inexpliqués. MOTS-CLÉS: corps étranger, trachéobronchique, voie aérienne, aspiration, enfant, fluoroscopie.
Asunto(s)
Bronquios , Cuerpos Extraños , Bronquios/cirugía , Broncoscopía , Niño , Preescolar , Cuerpos Extraños/diagnóstico , Cuerpos Extraños/cirugía , Humanos , Lactante , Estudios Retrospectivos , Tráquea/cirugía , Resultado del TratamientoRESUMEN
BACKGROUND: Transthoracic open surgical ligation (TTOSL) of patent ductus arteriosus (PDA) remains the most readily available and affordable treatment option in resource-poor countries such as Nigeria. OBJECTIVES: To determine the incidence and outcome of aortic valve regurgitation (AR) following TTOSL of PDA. METHODS: Retrospective audit of consecutive patients who underwent TTOSL of PDA over a 4½-year period (January 2015 to June 2019) at the OAUTHC, Ile-Ife, Nigeria. Hospital records including echocardiograms (pre-operative, immediate post-operative and follow-up performed a day after TTOSL, at 1, 3 and 12 months) were reviewed for presence and severity of AR. RESULTS: Twenty-six patients (11 males and 15 females) aged 3 months 24 years (Mean = 3.16 years) had TTOS PDA ligation. Only 3 (11.5%) patients had AR pre-operatively; 2 graded moderate AR and 1 graded mild. Twenty (76.9 %) patients had immediate post-operative AR; 4 (20.0%) of which were moderate and the others (80.0%) were mild. Eighteen (69.2%) patients still had AR post-operative day 1; 16 were mild and the rest 2 which were moderate were the same patients that had AR pre-operatively. At 3 months follow-up, 6 of 20 patients (30.0%) had AR; all were mild. Only 2 of 18 (11.1%) followed up for 12 months had AR. They both had had moderate AR pre-operatively which were now graded as mild. There was no mortality. CONCLUSION: Aortic regurgitation is common after TTOSL of PDA. However, in most instances, it is mild and transient.
