Hostname: page-component-6bf8c574d5-r4mrb Total loading time: 0 Render date: 2025-03-07T12:05:07.780Z Has data issue: false hasContentIssue false
  • English
  • Français

Laryngo-tracheo-bronchial foreign bodies in children

Published online by Cambridge University Press:  29 June 2007

Amit Banerjee ,
K. S. V. K. Subba Rao ,
S. K. Khanna ,
P. S. Narayanant ,
B. K. Gupta ,
J. C. Sekar ,
C. Rajendra Retnam  and
M. Nachiappan
Amit Banerjee*
Affiliation:
Department of Cardiothoracic Surgery, JIPMER, Pondicherry.
K. S. V. K. Subba Rao
Affiliation:
Department of Cardiothoracic Surgery, JIPMER, Pondicherry.
S. K. Khanna
Affiliation:
Department of Cardiothoracic Surgery, G. B. Pant Hospital, New Delhi.
P. S. Narayanant
Affiliation:
Department of Cardiothoracic Surgery, G. B. Pant Hospital, New Delhi.
B. K. Gupta
Affiliation:
Department of Cardiothoracic Surgery, G. B. Pant Hospital, New Delhi.
J. C. Sekar
Affiliation:
Department of Cardiothoracic Surgery, JIPMER, Pondicherry.
C. Rajendra Retnam
Affiliation:
Department of Cardiothoracic Surgery, JIPMER, Pondicherry.
M. Nachiappan
Affiliation:
Department of Cardiothoracic Surgery, JIPMER, Pondicherry.
*
Dr. Amit Banerjee, Associate Professor of Cardiothoracic Surgery, JIPMER Hospital, Pondicherry 605 006, India.
Get access Rights & Permissions [Opens in a new window]

Abstract

Inhalation of a foreign body into the respiratory passage can be a serious and sometimes fatal childhood accident. In this paper we analyze the management of 223 children with laryngo-tracheo-bronchial foreign bodies. Children below three years of age were found to be the most vulnerable. The majority of the patients were boys. Over a quarter of the patients did not present with a history of inhalation. Only 52 per cent reported within 24 hours of inhalation. Endoscopic removal was possible in all but nine cases. One hundred and fort eight (66.4 per cent) of the recovered foreign bodies were organic in origin, the majority of them being peanuts. In one hundred and five (47.1 per cent) the objects found their way into the right bronchial tree. There were two deaths. The modalities of diagnosis and management are discussed.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 102 , Issue 11 , November 1988 , pp. 1029 - 1032
Copyright
Copyright © JLO (1984) Limited 1988

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abdulmajid, O. A., Ebeid, A. M., Motaweh, M. M. and Kleibo, I. S. (1976) Aspirated foreign bodies in the tracheobronchial tree: report of 250 cases. Thorax, 31: 635–640.CrossRefGoogle ScholarPubMed
Aylac, A., Yurdakul, Y., Ikizler, C, Olga, Ra, and Saylam, A. (1977) Inhalation of foreign bodies in children–report of 500 cases. Journal of Thoracic and Cardiovascular Surgery, 74: 145–151.Google Scholar
Banerjee, A. (1982) Whistles in the airways (letter). Indian Pediatrics, 19: 643–644.Google Scholar
Banerjee, A., Khanna, S. K. and Narayanan, P. S. (1984) Use of Fogarty catheters for removal of tracheobronchial foreign bodies (letter). Chest, 85: 452.CrossRefGoogle Scholar
Banerjee, A. and Singh, B. (1983) A live fish in the laryngotracheal passage of an infant (letter). Indian Pediatrics, 20: 222–223.Google Scholar
Banerjee, A. and Subba Rao, K. S. V. K. (1986) Pneumomediastinum: as a complication of foreign body in the bronchus. Indian Pediatrics, 23: 57–58.Google ScholarPubMed
Blazer, S., Naveh, Y. and Friedman, A. (1980) Foreign body in the airway. American Journal of Diseases of Children, 134: 68–81.CrossRefGoogle ScholarPubMed
Brooks, J. W. (1972) Foreign bodies in the air and food passages. Annals of Surgery, 175: 720–731.CrossRefGoogle ScholarPubMed
Brown, B. S. (1963) Foreign bodies in the tracheobronchial tree of children. Journal of Canadian Association of Radiologists, 14: 158–161.Google Scholar
Cohen, S.R., Herbert, W. I., Lewis, G.H. and Geller, K. A. (1980) Foreign bodies in the airway–five year retrospective study with special reference to management. Annals of Otology, Rhinology and Laryngology, 89: 437–442.CrossRefGoogle ScholarPubMed
Daniilidis, J., Symeonidis, B., Triaridis, K. and Koulolas, A. (1977) Foreign body in the airways. Archives of Otolaryngology, 103: 570–573.CrossRefGoogle ScholarPubMed
Gaind, S., Khanna, S. K., Purohit, A. and Narayanan, P. S. (1978) Anesthetic management of tracheobronchial foreign bodies in children. Indian Journal of Anesthesiology, 26: 281–284.Google Scholar
Gray, J. M. and Hanson, G. C. (1966) Mediastinal emphysema: etiology, diagnosis and treatment. Thorax, 21: 325–331.CrossRefGoogle ScholarPubMed
Heimlich, H. J. and Schamadan, J. L. (1975) The Heimlich Manoeuvre. Arizona Medicine, 32: 196–197.Google Scholar
Keith, P. M., Charrette, E. J., Lynn, R. B. and Salerno, T. A. (1980) Inhalation of foreign bodies by children: a continuing challenge in management. Canadian Medical Association Journal, 122–52, 55–57.Google Scholar
Kero, P., Puhakka, H., Erkinjuntti, M., Iisalo, E. and Vilkki, P. (1983) Foreign bodies in the airways of children. International Journal of Pediatric Otorhinolaryngology, 6: 51–59.CrossRefGoogle ScholarPubMed
Mearns, A. J. and England, R. M. (1975) Dissolving foreign bodies in the trachea and bronchus. Thorax, 30: 461–463.CrossRefGoogle ScholarPubMed
Pyman, C. (1975) Inhaled foeign bodies in childhood: a review of 230 cases. Medical Journal of Australia, 1: 62–69.CrossRefGoogle Scholar
Ross, A. H. M. and McCormack, R. J. M. (1980) Foreign body inhalation. Journal of Royal College Surgeons of Edinburgh, 25; 104–109.Google ScholarPubMed
Sanders, R. E. (1967) Two ventilating attachments for bronchoscope. Delaware Medical Journal, 39: 170–175.Google Scholar
Simpson, G. T. (1984) Rigid versus flexible bronchoscopy for foreign body aspiration (letter). New England Journal of Medicine, 310: 1190–1191.Google Scholar
Strome, G. (1985) Foreign bodies in the tracheobronchial tree with special reference to expereince in 97 children. International Journal of Pediatric Otorhinolaryngology, 8: 243–251.Google Scholar
Tandon, R. K., Patney, N. L., Srivastava, V. K. and Wadhwan, V. P. (1976) Foreign body in tracheobronchial tree in infancy and childhood. Indian Journal ofChst Diseases, 15: 214–218.Google Scholar
Tandon, R. K., Patney, N. L., Srivastava, V. K. and Wadhwan, V. P. (1976) Foreign body in tracheobronchial tree in infancy and childhood. Indian Journal of Chest Diseases, 15: 214–218.Google Scholar
Ullyot, D. G. and Norman, J. C. (1968) The Fogarty catheter: an aid to bronchoscopic removal of foreign bodies. Annals of Thoracic Surgery, 6: 185–187.CrossRefGoogle ScholarPubMed