CHANGING PATTERN OF FOREIGN BODY IN THE AERODIGESTIVE TRACT- A CLINICAL PROFILE OF 80 PATIENTS

Dr. Jagram Verma, Dr. Priyanshi Agarwal, Dr. Anshu Singh

Abstract


Background-  Foreign body in the aerodigestive tract are a major challenge faced by every ENT surgeon in day to day practice. Aspirated and  ingested foreign bodies are often emergencies.They may cause minimal disturbance of function, severe morbidity or even sudden death. The aim of this study is to observe the changing trend in the nature of distribution of  foreign bodies impacted in aerodigestive tract.

Method-  It was a Prospective and Retrospective Study  at MGM medical college Indore , total 80 patients were studied removal of the foreign body were carried out with the help of specific endoscopes .All patients were followed up and evaluated for the results.               

Results-The maximum foreign body in air passage was upto 5 years and in food passage it was between 2-10 years. the male/female ratio was 2:1 in case of oesophageal foreign body). The nature of the foreign body  constituted the in animal group (90%) then animate (01%) among the in animal group non-vegetable foreign body were more in general (73%) than vegetable foreign body (18%). foreign body in 51% of cases were metallic and it was predominantly in food passage (51%), groundnut and tamarind seeds constitute half of vegetable foreign body.

Conclusion-Aerodigestive tract foreign bodies are among the most common causes of surgical emergencies. Rigid endoscopies with forceps removal under general anesthesia are preferred management modality. Parents should be educated to keep close eye on their children and keep objects which can be foreign bodies away from children’s reach.

Keywords


foreign body, aerodigestive tract, changing patterns, bronchoscopy, esophagoscopy

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