Aerodigestive Foreign Bodies Research Articles

Invasive Invaders: Indian Sandbur Seeds in Western Rajasthan.

Foreign bodies in the aerodigestive tract present a common emergency in ENT OPDs. Patients typically present with symptoms such as pain on swallowing, vomiting, choking, voice changes, cough, and respiratory distress. In the upper aerodigestive tract, nuts, seeds, and dried fruits are commonly inhaled foreign bodies. Indian Sandbur seeds, known as Bharunt locally, are frequently encountered in the larynx of individuals residing in the arid regions of Rajasthan and Punjab. A retrospective observational study was conducted on 50 patients with aerodigestive foreign bodies who presented to the ENT OPD at Sawai Man Singh Medical College, Jaipur, from May 2021 to July 2022. Demographic information, preoperative telelaryngoscopy pictures, and intraoperative findings were collected from medical records. 13 patients with Indian sandbur seeds as foreign bodies were included in the study. The mean age was 24.5years, with the majority in the age group of 20-25years. Most patients resided in dry areas and were engaged in farming or outdoor occupations. The most common complaints were change in voice and throat pain. The true vocal cords were the most common site of lodging of foreign bodies. The majority of patients presented within three to six hours of ingesting the foreign body. The presence of Indian sandbur seeds as foreign bodies in the larynx is an overlooked public health concern. Early detection and prompt treatment are essential to prevent complications. Public awareness and collaboration with government bodies are necessary to address this issue effectively.

The Prevalence and Management of Aerodigestive Foreign Bodies at Rwanda Military Hospital: A Six-years Retrospective Study.

Aerodigestive foreign bodies are common issue especially in children, who often place objects in their mouths, leading to inhalation or ingestion. Despite global data on this issue, no comprehensive study has been conducted in Rwanda. This study aimed to assess the prevalence, demographic factors, clinical presentations, diagnostic and management techniques of aerodigestive foreign bodies at Rwanda Military Hospital (RMH). This retrospective study reviewed patient records from ENT department of RMH over the period of six years, from January 2017 to December 2022. Data on aerodigestive foreign bodies were extracted from operating room archives and OpenClinic hospital online system, then compiled in Excel spreadsheet, and descriptively analyzed using and SPSS 23. Among 39,240 patients who consulted the ENT department over the six years, 290 (0.74%) cases of aerodigestive foreign bodies were identified, with male-to-female ratio of 1.34:1. The highest incidence was in children aged 1-3 years (49.66%). Inorganic foreign bodies, especially coins (35.17%), were more common than organic ones. Clinical presentations varied, with 46.21% of cases being asymptomatic, and others showing drooling (17.93%) and dysphagia (9.66%). Chest X-rays were the most frequently used diagnostic tool (49.66%). Esophagoscopy was the primary management method for esophageal cases (45.52%), with bronchoscopy (13.10%) and forceps (34.14%) used for bronchial and nasal cases, respectively. Aerodigestive foreign bodies, particularly coins, are prevalent in Rwanda, especially among young children and males. This highlights the need for targeted preventive strategies and educational programs to reduce incidence and improve management.

Flexible Endoscopic Management of Tracheo-oesophageal Magnet Foreign Bodies with Acquired Fistula in a Toddler.

Aerodigestive foreign bodies (FBs) aspiration is a common problem in children; however, simultaneous aerodigestive localisation is rare. Ingestion of multiple magnetic FBs can lead to serious complications, especially tracheo-oesophageal fistula and recurrent chest infections. These depend on the duration of foreign-body ingestion/aspiration, prompt intervention and adequate technique for foreign-body retrieval. A 1.8-year-old female child was found to have two magnetic FBs lodged simultaneously in the oesophagus and trachea. The magnetic FBs in the aerodigestive tract in children were removed in the same session using flexible endoscopes.

Coin-cidence? Have cashless payments reduced the incidence of upper aerodigestive foreign body insertion? A study of UK Hospital Episode Statistics.

Insertions of nasal and oral foreign bodies (FB) are common presentations in the emergency department, with coins frequently implicated among paediatric populations. Contactless payments were first introduced in the UK in 2007, and cash payments significantly declined from 2012. This study aims to explore the potential implications of increasing contactless payments on FB ingestion. UK Hospital Episode Statistics (HES) were reviewed between 2000 and 2022. All FB retrieval procedures involving the alimentary tract, respiratory tract and nasal cavity were included. Regression analysis was performed to assess trends in the incidence of FB ingestion before and following the transition to cashless payments in 2012. Following the decline in cash payments in 2012, the frequency of alimentary tract FB removal procedures decreased significantly by 27.78 procedures per year (p < 0.001). Similarly, respiratory FB removal procedure decreased by 4.83 per year (p = 0.009) and nasal cavity FB removal procedures decreased by 52.82 per year (p < 0.001). This study suggests a statistically significant decline in the number of procedures for removal of FB performed in the UK from 2012. Although this relationship is multifactorial, our data suggest an association between the introduction of contactless payments and a reduction in the number of FB retrieval procedures from the of upper aerodigestive tract.

Clinicodemographic Profile and Treatment Outcomes of Patients with Upper Aerodigestive Tract Foreign Bodies in the Southern Philippines Medical Center: A Five-Year Retrospective Review

Objective: This study aims to describe the clinicodemographic profile of patients with foreign bodies in the upper aerodigestive tract and their treatment outcomes. Methods: Design: Retrospective review of records Setting: Tertiary Government Training Hospital Participants: Records of 304 patients diagnosed with aerodigestive foreign bodies Results: Three hundred-four (304) patients were included. The median age was 5.26 years in the pediatric age group and 42.53 years in the adult age group, with a male-to female ratio = 1.97:1. Foreign bodies were ingested in 291 (96%) patients while aspiration occurred in 13 (4%). Overall, 211 (69%) of cases involved the pediatric population (&lt;19 years) and 93 (31%) the adult population. The most common foreign bodies reported were coins (63.5%), food (18.1%), and dentures (11.5%). Most esophageal foreign bodies (244/291; 83%) were seen at the cricopharyngeal level in all age groups. The foreign body was removed successfully in 288/291 (98%) of ingestion cases. All 13 cases of foreign body aspiration were successfully removed by bronchoscopy. All patients were discharged improved. Conclusion: Most upper aerodigestive tract foreign bodies involved the pediatric age group. Predisposing conditions were mainly due to accidental ingestion and aspiration while playing in the pediatric population and negligence in eating among adults. Almost all ingestion cases were successfully treated with esophagoscopy, while all aspirations were treated successfully with bronchoscopy. Most intraoperative and postoperative complications who were managed conservatively by observation, although some cases required referral to other surgical departments and were treated surgically. All patients were discharged improved

Resource Utilization and Risk Factors for Esophageal Injury in Pediatric Esophageal Foreign Bodies.

While management protocols of pediatric esophageal foreign bodies (EFBs) are well-delineated, resource utilization can be improved. This study's objectives were to explore hospital charges/costs for pediatric patients who present with EFBs and to identify patient risk factors associated with esophageal injury. A retrospective chart review of patients undergoing aerodigestive foreign body removal at a tertiary-care children's hospital from 2018 to 2021 was conducted. Data collected included demographics, medical history, presenting symptoms, EFB type, surgical findings, and hospital visit charges/costs. 203 patients were included. 178 of 203 (87.7%) patients were admitted prior to operation. Unwitnessed EFB ingestion (p < 0.001, OR = 15.1, 95% CI = 5.88-38.6), experiencing symptoms for longer than a week (p < 0.001, OR = 11.4, 95% CI = 3.66-38.6) and the following presenting symptoms increased the odds of esophageal injury: dysphagia (p = 0.04, OR = 2.45, 95% CI = 1.02-5.85), respiratory distress (p = 0.005, OR = 15.5, 95% CI = 2.09-181), coughing (p < 0.001, OR = 10.1, 95% CI = 3.73-28.2), decreased oral intake (p = 0.001, OR = 6.60, 95% CI = 2.49-17.7), fever (p = 0.001, OR = 5.52, 95% CI = 1.46-19.6), and congestion (p = 0.001, OR = 8.15, 95% CI = 2.42-27.3). None of the 51 asymptomatic patients had esophageal injury. The median total charges during the encounter was $20,808 (interquartile range: $18,636-$24,252), with operating room (OR) (median: $5,396; 28.2%) and inpatient admission (median: $5,520; 26.0%) contributing the greatest percentage. Asymptomatic patients with EFBs did not experience esophageal injury. The OR and inpatient observation accounted for the greatest percentage of the hospital charges. These results support developing a potential algorithm to triage asymptomatic patients to be managed on a same-day outpatient basis to improve the value of care. 3 Laryngoscope, 134:4774-4782, 2024.

Characteristics And Outcomes Of Aerodigestive Foreign Bodies In Children.

Aerodigestive foreign bodies are common in children of pre-school-going age. It is one of the leading cause of morbidity and mortality in the paediatric population and a global health burden. We present here data of 108 patients who presented to Children hospital's Emergency with a suspicion of foreign body ingestion/aspiration over 2 years from July 1st 2021 to 30th June 2023. Their descriptive analysis including, socio-demographics, type of foreign body, age of presentation, and mode of presentation were calculated and correlation was done using the Pearson Chi square test. We observed different types & characteristics of foreign bodies, patients were predominantly male with 62.26%. The mean age of presentation was 40.97 months. The majority of patients were of pre-school age, younger than 4 years (44.44%) followed by the infant population (19.44%) p=0.002. Foreign bodies were mainly located in the upper oesophagus for ingested FBs (60.8%). Most of the population presented within the first 5 hours (52.88%) followed by the first 12 hours (11.11%). Coin ingestion was by far the most common (54%) followed by button battery (19%) and the whistle was the most common aspirated object (33%). All patients with a suspicion of foreign body ingestion/inhalation should be evaluated. Early recognition and treatment are imperative because the complications are serious and can be life-threatening and once confirmed should undergo endoscopic removal.

Aerodigestive Foreign Bodies: Our Experience

Foreign body ingestion and aspiration is a common cause of morbidity and mortality, usually occurs in children. A detailed history and physical examination with a high index of suspicion, despite negative imaging are required. Often, a diagnostic endoscopy may be required to definitively investigate the upper aerodigestive tract to rule out foreign body in equivocal findings. Non caustic oesophageal foreign bodies can be observed for a short period of time while Airway foreign bodies require immediate removal in the operating room. A team-based approach with coordination between the trained anaesthetist, surgeon, and operating room staff is required during this foreign body management.

Case report of fatal deep neck abscess: a complication of aerodigestive foreign bodies

Background: Ingestion of a foreign body is a typical emergency in the field of health services otorhinolaryngology head and neck surgery. Pharyngooesophageal perforation, aorto-oesophageal fistula, and deep neck infection are all serious consequences, albeit uncommon. Several risk factors for complications that aggravate this condition include time of therapy (&gt; 24 hours after the onset of symptoms), sharp foreign objects such as fish bones, mental illness, and diabetes mellitus are risk factors for complications. Although deep neck abscesses have decreased due to the availability of antibiotics, these infections still occur with high morbidity and mortality rates if the patient is not managed properly. Aim: to report case of fatal deep neck abscess and aerodigestive complications of foreign agency in Dr. Soetomo Teaching Hospital, Surabaya Indonesia. Method: A retrospective report of 4 cases of ingestion of foreign bodies with complications of deep neck abscess resulted in death in Dr. Soetomo Academic Hospital, Surabaya between the year 2018 and 2020. This case report describes clinical symptoms, result of physical and diagnostic examinations, and therapy of each subject until death. Results: Between 2018 and 2020, there were four cases at Dr. Soetomo Teaching Hospital, Surabaya with a history of foreign body ingestion that escalated to severe neck abscesses. In all four cases, the subjects died as a result of deep neck abscess complications. Conclusion: Four cases were recorded, each of which had a history of ingestion of foreign bodies causing complications of deep neck abscess. In addition, the co-morbidities of diabetes mellitus increase the risk of death for the patient.

Pediatric Surgical Volume at the TASH: Experience after the Expansion of Pediatric Surgery Program.

Ethiopia has a high unmet need for pediatric surgical conditions. Over the past 5 years, new changes have been introduced to the pediatric surgery division at Addis Ababa University to overcome this issue. The changes include initiation of pediatric surgery residency, allocating operating room for pediatric surgery, weekend surgical campaign and starting ultrasound guided hydrostatic reduction. We conducted this study to evaluate the pattern and outcome of pediatric surgical cases after these changes. The study was a retrospective review conducted at Tikur Anbessa Hospital from Jan - Dec 2019. Data was collected from duty report forms that included emergency procedures, admissions and mortalities. Data on elective procedures was collected from operation theater log books. Overall, a total of 1590 pediatric surgical procedures were performed during 2019 of which 942 cases were elective and 648 were emergency. This was an increment in number of surgeries performed by 75%. The leading emergency procedure was aerodigestive foreign body removal which increased by 46%. Surgery for intussusception has decreased by 30% with increasing use of hydrostatic reduction. Overall, average morbidity and mortality was 3.5% and 6.9% respectively. Morbidity and mortality rates were similar throughout the year. The study shows increased productivity over the past year with the changes made in the department. There is also no increment in morbidity and mortality during the start of the academic year. This implies adequate consultant supervision of residents during transition.

Current management of aerodigestive foreign bodies in children

Current management of aerodigestive foreign bodies in children

A Clinical Study Of Foreign Bodies In The Aerodigestive Tract In National Ear Care Centre, Kaduna, Nigeria: 10 Years Retrospective Review

Background: Aerodigestive foreign bodies (FBs) are a general problem for otolaryngologist. Although aerodigestive FBs are typically seen in younger children, they are present in both children and adults. FBs are normally ingested or aspirated mistakenly, but occasionally occur due to suicidal attempt. This is a report on the number, nature, sites of impaction, clinical presentation, methods of removal and treatment outcome of patients with upper aerodigestive FBs in an urban hospital in Nigeria. Materials and Methods: This was a retrospective analysis of data from patients case files and theatre records from January 2010 to December 2019. Data extracted included sociodemographics, clinical presentation, operative management and follow-up visits outcome. Results: A total of 129 patients (92 males and 37 females) were included in the study. Mean age was 28.0 ± 12.74 years. Sixty-nine (53.5%) patients were aged between 1 and 10. Eighty-five (65.9%) patients presented to the hospital within 24 hours. Dysphagia, odynophagia, drooling of saliva and pointing sign were the commonest presentation. Metallic objects (27.9) and nuts (6.2%) were the commonest FBs found. Most of the FBs were lodged at the level of the cricopharyngeus 44(34.1%) and in the right main bronchus 19(14.7%). Majority of the patients had rigid oesophagoscopy or bronchoscopy with a success rate of 91.5% and 76.6% respectively. Conclusion: Aerodigestive FBs are common in our practice. Metallic items are found commonest, affecting mainly children between the ages of 24 and 48 months. Majority of our patients arrived within 6-24 hours of the occurrence and managed successfully with endoscopic procedures.

Does plain radiography still have a role in cases of fish bone ingestion in emergency rooms? A retrospective analysis

BackgroundFish bones are the most common aerodigestive foreign bodies found in adults. Most cases of fish bone impaction improve after primary management by emergency physicians with a mirror laryngoscopy using a tongue depressor, before otolaryngologists perform a fiberoptic nasendoscopy. A computed tomography scan usually follows to determine the next step. Studies have recently been concerned about overdoses of radiation from computed tomography. However, clear algorithms remain unavailable for fish bone ingestion management to date.MethodsA retrospective review was conducted on 180 patients who visited the emergency department with complaints of fish bone impaction between January 2017 and January 2019.ResultsA total of 81.6% of patients with fish bone impaction got symptomatic relief after primary management by emergency physicians and otolaryngologists. Out of 180 patients, 33 (18.3%) needed an endoscopic procedure due to persistent symptoms. Only one (0.56%) required an operation due to perforation. In the group failing primary management, the plain radiography of eight patients showed a positive finding and an esophagogastroscopy was done to remove the fish bones.ConclusionLateral neck radiography is still beneficial to patients with fish bone ingestion failure from primary management. Positive lateral soft tissue radiography in cases with persistent symptoms post primary management may directly suggest esophagogastroscopy without confirmation from a computed tomography, unless complications are suspected. For patients aged below 40, following up on their conditions after post management radiography shows negative results may increase their safety.

Pediatric E.N.T. emergencies during COVID-19 pandemic: our experience.

Our aim is to analyze effect of covid-19 pandemic in management of pediatric emergencies in E.N.T. and to provide recommendations for management of pediatric emergencies in E.N.T. during pandemic. In this retrospective study we included emergency pediatric cases required early intervention during covid-19 pandemic. Pre operative radiological investigation x-ray was done in all aero digestive foreign body patients. Pre operative HRCT neck and chest with virtual bronchoscopy in foreign body inhalation & compromised airway patients was done only in cases where patient’s clinical condition was stable. Similarly RT PCR for covid-19 screening done only in cases where patient’s clinical condition was stable. Adequate personal protective equipment was used during all the procedures. Total 29 Pediatric patients age ranging from 1 day to 13 years underwent procedures due to history of foreign body inhalation; ingestion, insertion and compromised airway in form of immediate endotracheal intubation were included. Comprehensively we recommend intervention only in emergency procedures during pandemic, use of personal protective equipment during all procedures, preoperative investigations for diagnosis and modifications in operation theatre, anesthesia and surgical techniques to reduce aerosols generation will minimize risk of infection transmission to health care workers.

Pediatric aero-digestive foreign bodies in the emergency setup: an otorhinolaryngologist’s perspective

&lt;p&gt;&lt;strong&gt;Background:&lt;/strong&gt; The objective of the study was to investigate cases of foreign bodies in the aero-digestive tract among the paediatric population.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods:&lt;/strong&gt; This study was carried out under the aegis of the department of otorhinolaryngology over a one-year period, from April 2019 to March 2020. A total of 82 paediatric patients presented to the emergency department with aero-digestive foreign body, where opinion of the otorhinolaryngologist was sought. All the patients were initially stabilised and assessed clinically. Detailed history was obtained, thorough clinical evaluation done and necessary investigations including radiological tests were performed. After ascertaining the nature and location of the foreign body, prompt removal of the same was done in all the patients under general anaesthesia.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results:&lt;/strong&gt; A total of 82 children presented to the emergency with history of inhalation/ingestion of foreign body or suspicion of such, and requiring otorhinolaryngological intervention. There were 55 boys and 27 girls, with 74 cases of ingestion and 8 cases of aspiration of foreign body. The most common foreign body ingested was coin and the most common foreign body aspirated was small button battery.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions:&lt;/strong&gt; Foreign bodies in the aero-digestive tract are a common problem encountered by the otorhinolaryngologist in the emergency setup. It constitutes a health hazard in all age groups, but more so among the paediatric population, requiring effective management and immediate intervention. Careful clinical and radiological evaluation followed by prompt removal of the aero-digestive foreign body is essential to reduce the morbidity and mortality. Prevention and public education are the most vital and ideal management for this serious problem.&lt;/p&gt;

Rare foreign bodies of upper aerodigestive tract: a study of 30 cases

&lt;p class="abstract"&gt;&lt;strong&gt;Background:&lt;/strong&gt; Aero-digestive foreign bodies are prevalent in our part of the country. Apart from the usual foreign body we encountered some unique foreign bodies, the diagnosis and management of which, is difficult due to varied and overlapping clinical presentation. Rare foreign bodies in the aero-digestive tract pose challenges in diagnosis and treatment.&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Methods:&lt;/strong&gt; This was a retrospective observational study on thirty patients with aerodigestive foreign bodies who visited our hospital from July 2015 to October 2017. &lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Results:&lt;/strong&gt; Maximum number of cases was seen in age group of 0-5 years. The male to female ratio was 2:1. Among various types of foreign bodies, majority were metallic (43.3%). The most common site was cricopharynx (53.3%) followed by bronchus (26.6%) and esophageal (16.6%). The most common procedure done was hypopharyngoscopy (53.3%).&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Conclusions:&lt;/strong&gt; Aerodigestive tract foreign bodies are one of the emergencies that have considerable mortality and morbidity. High degree of skill and suspicion are required by surgeon for the management of foreign body.&lt;/p&gt;

Sensible awareness for otolaryngologist in managing aerodigestive foreign bodies in time of COVID-19

Background: In the time of COVID-19, the world came to a cease, however medical emergencies are ceaseless. Aerodigestive tract foreign bodies are one of the frequent emergencies in otolaryngology. Within the era of COVID-19, otolaryngologists have been documented to be at high risk of infection. Due to high viral load in the respiratory epithelium, the examination and extraction of foreign bodies in the aerodigestive tract places the otolaryngologist at high risk. Objective: The objective was to highlight the appropriate way of handling aerodigestive foreign bodies in the time of COVID-19 pandemic to insure safety of all involved medical staff. Methods: This was a systematic review of related international published guidelines. Results: A simplified flowchart is suggested to help guide the triaging of emergency patients with aerodigestive foreign body in the COVID-19-affected area. Conclusion: COVID-19 is a highly contagious infection that places health-care workers, especially the workers dealing with the aerodigestive tract at high risk. An appropriate management of these cases is essential to protect the health-care workers.

Geriatric Otorhinolaryngology, Head and Neck Emergency in a Nigerian Teaching Hospital, Ado Ekiti

Background: Issues of geriatric otolaryngologic emergency have not been widely applied despite an increase in the geriatric population. This study aimed at determining the prevalence, sociodemographic features, etiology, clinical features, complications and sources of referral of geriatric otorhinolaryngological, head and neck emergency in our center. Materials and Methods: This was a prospective hospital-based study of geriatric otorhinolaryngology emergency in the Ear, Nose and Throat Department of Ekiti State University Teaching Hospital. The study was carried out between October 2016 and September 2018. Data were obtained by using a pretested interviewers questionnaire. All data were collated and analyzed using SPSS version 18.0. The data were expressed by frequency table, percentage, bar charts, and pie charts. Results: Geriatric otorhinolaryngology, head and neck emergency accounted for 5.3%. Major prevalence age group was 43.9% in the age group (60 - 64). There were 38.6% of males with a male to female ratio of 1:1.5. The main etiology of geriatric otorhinolaryngology emergency was 29.5% trauma/road traffic accident/foreign body impaction and 25.8% tumor. Main anatomical distribution of geriatric otorhinolaryngology emergency was 38.6% throat diseases and 31.1% ear diseases. The most frequent clinical features were the pain in 27.3%, hearing loss in 21.2%, tinnitus in 15.9%, bleeding in 14.4%, difficulty breathing in 12.9% and discharge in 11.4%. Common diagnosis in this study was 15.9% sinonasal tumor, 14.4% upper aerodigestive foreign body impaction, 10.6% earwax impaction and 19.8% otitis externa. Acute presentation (<13 weeks) occurred in 1 week in 74.2% and 2 - 13 weeks in 19.7%. Commonest time of presentation was daytime in 65.9%. Major sources of referral were 43.2% general practitioner and 31.1% casualty officers. Presentation of geriatric otorhinolaryngology emergency was mainly ear, nose and throat clinic in 59.8% with accident and emergency in 28.8%. Commonest associated comorbid illnesses among the geriatric patients were 18.2% hypertension, 14.4% arthritis, and 9.8% diabetes mellitus. Conclusion: Geriatric otorhinolaryngological emergency is a common pathology associated with comorbid illnesses. Detailed clinical assessment is mandatory for effective management outcome.

A clinical study on paediatric aero digestive foreign body in emergency department

&lt;p class="abstract"&gt;&lt;strong&gt;Background:&lt;/strong&gt; Foreign body ingestion and aspiration is a common clinical condition among the paediatric population. The management of the aero digestive foreign body requires clinical acumen, coupled with the radiological diagnosis and the necessary infrastructure for their management, it demands skill and expertise for removal of a foreign body.&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Methods:&lt;/strong&gt; A retrospective study was carried in the department of Otorhinolaryngology, between December 2016- May 2017, at Institute of Child Health and Hospital for Children, Madras Medical College. 68 cases were analysis of the nature of the foreign body was done. All the patients reported to the emergency department and the ENT surgeon opinion sought with aim of maintaining airway. Clinical assessment, with history, radiographs were obtained to ascertain level and nature of the foreign body and prompt removal by oesophagoscopy/bronchoscopy/direct laryngoscopy under general anaesthesia. &lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Results:&lt;/strong&gt; The study of 68 children who reported with history /suspicion of foreign body ingestion/aspiration. There were 32 boys and 36 females, 37 cases of foreign body ingestion and 31 cases of foreign body aspiration. The most common foreign body in digestive tract was coin in 26 cases and peanut in the airway.&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Conclusions:&lt;/strong&gt; Foreign bodies in aero digestive tract in paediatric age group, is a common problem encountered by the otorhinolaryngologist. Careful assessment, clinical evaluation, radiological investigations with effective management in emergency department prompt removal of the foreign body in the aero digestive tract will lead to reduced mortality and morbidity.&lt;/p&gt;

Aerodigestives foreign bodies: Clinical profile and management

Background: Upper aerodigestive foreign bodies are a common occurrence in otorhinolaryngologic practice. We present our experience with the management of upper aerodigestive foreign bodies over a 5-year period at the Ear, Nose and Throat Department of the University of Benin Teaching Hospital, Benin City, Nigeria. Methods: A retrospective review of medical records and theatre documents of patients presenting with aerodigestive foreign bodies between January 2010 and December 2014 were carried out. Results: A total of 82 cases of aerodigestive foreign bodies were seen comprising of 53 males and 29 females in a ratio of 1.8:1. Age ranged from 9 months to 85 years. The group most at risk of aerodigestive foreign bodies are those aged between 0 and 4 years. Common foreign bodies were parts of toys, fishbone and groundnut in children and dentures and fishbone in adults. Conclusion: Aerodigestive foreign bodies are a common occurrence especially in the paediatric age group. Early detection and removal can forestall complications.