A CLINICAL STUDY OF UPPER AERO DIGESTIVE TRACT FOREIGN BODIES AND ITS MANAGEMENT IN A DISTRICT LEVEL HOSPITAL

A. Rajesh kumar; K. Sampath Kumar Singh; Niharika .B

Volume : V, Issue : XI, November - 2016

A CLINICAL STUDY OF UPPER AERO DIGESTIVE TRACT FOREIGN BODIES AND ITS MANAGEMENT IN A DISTRICT LEVEL HOSPITAL

A. Rajesh Kumar, K. Sampath Kumar Singh, Niharika . B

Abstract :

Background: Aspiration and ingestion of foreign bodies in to the upper aero digestive tract is not uncommon. They enter the aero digestive tract either accidentally or deliberately and often leads to oto-laryngological emergencies. These cases present with a wide spectrum of clinical problems from the minimal disturbance of function to severe morbidity or even sudden death. The severity of clinical symptoms depends on size of foreign body, site of impaction, duration and nature of foreign body. Young children under 3 years of age are particularly prone to such accidents; close supervision is needed to avoid these accidents. The aim of present study was to identify the patients with foreign body ingestion and aspiration, and management of such cases at district level hospital and the complications following their removal. Methodology: The study was done in E.N.T. department government medical college hospital, Anantapuramu, A.P. from 2014 to 2016. Total 72 patients diagnosed as case of upper aero digestive tract foreign body on the basis of history, examination and investigations.Results: Foreign bodies in upper aero digestive tract were seen mostly in children less than 10 years of age(55%). The youngest was 8 months old and oldest 75 years, and there is no much difference between males and females (54%, 46%). In our study 93% cases had clear history of foreign body ingestion/inhalation. Most common site of foreign body lodgment is cricopharynx(66.7%), right main onchus was the most common site in air way. Only 3% cases showed complications following rigid oesophagoscopy. Trachea – onchial foreign bodies removed by rigid onchoscopy and complications were not encountered in our study. Conclusion: upper aero digestive tract foreign body is an emergency situation. Proper management and favorableoutcome depends on early diagnosis by meticulous history & imaging modality