PAEDIATRIC FOREIGN BODY ASPIRATION IN RURAL INDIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 41
Abstract
BACKGROUND Aims- To evaluate the patient’s characteristics, presentation, clinical features, role of radiology, treatment options, the site, type and frequency distribution of aspirated foreign bodies, and the occurrence of complications in children with diagnosis of foreign body aspiration from rural Kolar. MATERIALS AND METHODS All patients aged 14 years and below with a clinical diagnosis of foreign body aspiration that underwent bronchoscopy from the rural area of Kolar constituted the study. Detailed history, presenting symptoms and signs, clinical findings and investigations like blood examination and radiology were recorded. Bronchoscopic findings and post-operative complications were also recorded. Patient’s health status was followed up for two months following bronchoscopy. RESULTS The majority of the patients with foreign body aspiration were between 1 and 3 years of age. Cough was the commonest symptom (76.4%), while a decreased breath sound on the affected side was the commonest sign. Lung collapse was the most common radiological finding in children with foreign body aspiration. Of the 140 cases, 90 cases underwent emergency bronchoscopy. The foreign bodies were most frequently of vegetative origin such as peanuts. They were most commonly aspirated into right principal bronchus. Complications occurred in about 9% of the cases following bronchoscopy. CONCLUSION History suggestive of foreign body aspiration is a definite indication for bronchoscopy. Each case tends to present different challenges and success depends on timely diagnosis and the skill of the bronchoscopist in extracting the foreign body.
Authors and Affiliations
Anil Markose Puthumanakunnel
Keywords
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- EP ID EP214001
- DOI 10.14260/Jemds/2017/700
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