Foreign Body in Tracheobronchial Tree & Endoscopic correlation: A single institution experience - Couverture souple

Jaiswal, Ashwin; Garg, Amrish; Mohanty, Manoj

 
9783659447792: Foreign Body in Tracheobronchial Tree & Endoscopic correlation: A single institution experience

Synopsis

Foreign body inhalation in the tracheobronchial tree is a common ENT emergency with serious and potentially lethal consequences thus presenting as a most challenging task to the otorhinolaryngologists. A prospective study on 60 patients were carried out at JLN Hospital & RC, Bhilai (C.G), from Jan’ 06 to Dec’08.The most common age group was 1-3 yrs accounting for 65% (39) of cases. Definite history of foreign body inhalation was present in 48.33% (29) of cases. Cough, the triad of sudden onset cough, choking and breathlessness, tachypnoea and diminished air entry were the most common presenting symptoms and signs. Air trapping / Emphysema was the most common radiological presentation whereas normal/ negative radiological findings was found in 20% (12) of cases.The rigid tracheobronchoscopy revealed a foreign body in 83.33% (50) of cases, while in 16.66% (10) of cases foreign was not found. Definite history of inhalation and/or clinical manifestations & radiological findings are important in diagnosis of foreign body inhalation .Endoscopic removal is the mainstay of management of foreign body in tracheobronchial tree. Education is the best preventive measure.

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Présentation de l'éditeur

Foreign body inhalation in the tracheobronchial tree is a common ENT emergency with serious and potentially lethal consequences thus presenting as a most challenging task to the otorhinolaryngologists. A prospective study on 60 patients were carried out at JLN Hospital & RC, Bhilai (C.G), from Jan’ 06 to Dec’08.The most common age group was 1-3 yrs accounting for 65% (39) of cases. Definite history of foreign body inhalation was present in 48.33% (29) of cases. Cough, the triad of sudden onset cough, choking and breathlessness, tachypnoea and diminished air entry were the most common presenting symptoms and signs. Air trapping / Emphysema was the most common radiological presentation whereas normal/ negative radiological findings was found in 20% (12) of cases.The rigid tracheobronchoscopy revealed a foreign body in 83.33% (50) of cases, while in 16.66% (10) of cases foreign was not found. Definite history of inhalation and/or clinical manifestations & radiological findings are important in diagnosis of foreign body inhalation .Endoscopic removal is the mainstay of management of foreign body in tracheobronchial tree. Education is the best preventive measure.

Biographie de l'auteur

Dr Ashwin Ashok Jaiswal has obtained Diplomate of National Board(DNB)PG degree in Otorhinolaryngology in 2009 and working in the Department of ENT&Head Neck Surgery,JLN Hospital&RC,Bhilai(C.G),India.He is an author of several International and National Research Publications.He has presented several research papers in State and National conferences.

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