CORRELATION OF OPERATIVE FINDINGS WITH PRE-OPERATIVE CLINICAL SIGNS AND ANALYSIS OF X-RAYS IN PATIENTS WITH AIRWAY FOREIGN BODIES

Authors

  • Muhammad Asif
  • Tahir Haroon
  • Waqar -ur-Rehman Qureshi
  • Muhammad Jamil
  • Sohail Malik
  • Rehman Ghani

Abstract

Background: Foreign body aspiration is one of the commonly encountered emergencies in ENT andstill it remains a significant cause of mortality and morbidity. However with the development ofmodern endoscopic techniques and controlled anaesthesia, most foreign bodies can be removed safelywith a bronchoscope. Methods: This study was carried out at Department of ENT, Head and NeckSurgery, Ayub Medical College, Abbottabad from 1st Jan 2003 to 30th June 2005. Total 81 patientswere registered in the study. Two patients, in whom the foreign body could not be removed, wereexcluded from the study. Results: The most consistent finding was decreased air entry on chestauscultation on the side of impacted foreign body which was present in 72 (91.1%) patients. Thesecond most consistent finding was audible wheeze on the side of impacted foreign body found in 42(53.2%) patients. The most common finding on Chest X-ray was emphysema found in 19 (61.3%)patient, followed by atelactasis in 9 (28%) patients while 3 (9.7%) patients had normal Chest x-ray.Conclusion: The pre-operative clinical signs in patient with aspirated foreign body give an idea aboutthe site of foreign body in an airway. Although chest x-ray gives an idea about the pathological changesin respiratory tract it has little impact in the management of a patient with aspirated foreign body.Keywords: Airway, foreign body, chest x-ray

References

Mu L, He P, Sun D, inhalations of foreign bodies in children:

a review of 400 cases. Laryngoscope 1991;101:657–60.

Steen KH, Zimmermann T. Tracheobronchial aspiration of

foreign bodies in children: a study of 94 cases. Laryngoscope

;100:525–30.

Mourtaga SM, Kuhail SM, Tulaib MA. Foreign body

inhalations managed by Rigid Bronchoscope among children,

J Ayub Med Coll Abbottabad 2010;22(1)

http://www.ayubmed.edu.pk/JAMC/PAST/22-1/Asif.pdf

in Shifa hospital- Gaza, Palestine. Ann Alquds Med

;2:53–7

Wiseman NE. The diagnosis of foreign body aspiration in

childhood. J Paed Surg 1984;19:531–5.

Warshawsky ME, Shanios HM, Dharwat M, Grochowskis.

Endotracheal intubations induced upper airway obstruction.

Heart Lung 1996;25(1):69–91

Burton EM Brick WG, Hall JD, Riggs WJR, Hoston CS.

Tracheobronchial foreign body aspiration in children. South

Med J 1996;89:195–8.

Leh LC, Li HY, Huang TS. Foreign bodies in

Tracheobronchial tree in children: a review of cases over a

twenty year period. Changeg Yixue Za Zhi; 1998;21(1):44–9.

Wagner MH. Foreign body Aspiration. In: Loughlin GM,

Eigen H. (Eds) Respiratory Disease in children. Diagnosis

and Management, Baltimore After: Willams and Wilkins;

p.343.

Kosloske AM. Foreign Bodies in the pediatric airway. In:

Othersen HB Jr, (Editor). The paediatric Airway.

Philadelphia: WB Saunders Company;1991. p.168.

Schmidth H, Manegold BC. Foreign body aspiration in

Children. Surg Endosc 2000;14:644–8.

Baharloo F, Veyckemans F, Francis C, Biettlot MP,

Rodensteim DO. Tracheobronchial foreign bodies:

Presentation and management in children and adults. Chest

;115:1357– 62.

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Published

2010-03-01

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