AN AUDIT OF FOREIGN BODIES TRACHEOBRONCHIAL TREE AT A TERTIARY CARE HOSPITAL
Keywords:
Foreign body, trachea, bronchus, Rigid, bronchoscopyAbstract
Objective: To evaluate the presentation and types of foreign bodies in tracheobronchial tree and difficulties encountered
in their removal at a Tertiary Care Hospital.
Material and methods: This retrospective, descriptive study was carried out at the department of ENT and Head &
Neck surgery Khyber Teaching Hospital Peshawar-Pakistan from July 2015 to June 2017. A total of 142 confirmed or
suspected cases of foreign body tracheobronchial tree were included in the study from OPD, accident & emergency
department (A&E) and referred from pediatric department. Detailed history and clinical examination was performed,
X-Ray chest and base line investigation were done in all cases. Rigid bronchoscopy was done under general anesthesia
in all cases, and different types of foreign bodies were removed. Difficulties encountered during bronchoscopy were
bleeding, slip of foreign body and difficult to remove foreign body.
Results: Out of 142 cases 94 (66.2%) were males and 48 (33.8%) were female in the age range of 01 year to 10 years.
The duration between inhalation and hospital arrival was 12 hours to 2 weeks. In 90 (63.3%) cases vegetative foreign
bodies were retrieved followed by plastic 30 (21.12%) and metallic 20 (14%). In 4 cases removal was difficult due to
bleeding and oedema and were refered to thoracic department after tracheotomy.
Conclusion: Early diagnosis and proper management along with awareness regarding pediatric home care is stressed
upon to reduce morbidity and mortality
Downloads
Published
How to Cite
Issue
Section
License
All articles published in the Journal of Medical Sciences (JMS) are licensed under the Creative Commons Attribution 4.0 International License (CC-BY 4.0). Under the CC BY 4.0 license, author(s) retain the ownership of the copyright publishing rights without restrictions for their content, and allow others to copy, use, print, share, modify, and distribute the content of the article even for commercial purposes as long as the original authors and the journal are properly cited. No permission is required from the author/s or the publishers for this purpose. Appropriate attribution can be provided by simply citing the original article. The corresponding author has the right to grant on behalf of all authors, a worldwide license to JMS and its licensees in all forms, formats, and media (whether known now or created in the future), The corresponding author must certify and warrant the authorship and proprietorship and should declare that he/she has not granted or assigned any of the article’s rights to any other person or body.
The corresponding author must compensate the journal for any costs, expenses, or damages that the JMS may incur as a result of any breach of these warranties including any intentional or unintentional errors, omissions, copyright issues, or plagiarism. The editorial office must be notified upon submission if an article contains materials like text, pictures, tables, or graphs from other copyrighted sources. The JMS reserves the right to remove any images, figures, tables, or other content, from any article, whether before or after publication, if concerns are raised about copyright, license, or permissions and the authors are unable to provide documentation confirming that appropriate permissions were obtained for publication of the content in question.
