AN AUDIT OF FOREIGN BODIES TRACHEOBRONCHIAL TREE AT A TERTIARY CARE HOSPITAL

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Muhammad Hafeez
Israr Ud-Din
Arif Raza Khan
Fazl Ur Rehman
Asad Ullah Arif

Abstract

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

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