Foreign Bodies In Aerodigestive Tract Research Articles

Perioperative Management of Button Battery Foreign Bodies in the Paediatric Aerodigestive Tract- A Case Series and Review of Literature

The use of Button Battery (BB) has increased rapidly now-a-days. Children are prone to inadvertent ingestion, aspiration or insertion of BBs while playing with toys. It poses a serious health hazard as it is corrosive. Hence, early diagnosis and quick treatment are essential to prevent its fatal complications. A thorough evaluation of each case is necessary based on a detailed history taking, physical examination, blood and radiological investigation, and diagnostic endoscopy. General anaesthesia is usually preferred during endoscopic examination and removal of BB foreign bodies. The complications depend on the duration and site of impaction. This is a case series of three children with different presentations of BB foreign bodies and author’s experience in the diagnosis and management.

Indian Sandbur (Bhurut) as a Foreign Body in Upper Aero-Digestive Tract- A Cross-sectional Study from Western Rajasthan

Introduction: Indian sandbur is an unusual foreign body which is accidentally ingested or inhaled in aero-digestive tract and can cause drastic complication. Indian sandbur (known as bhurut in the local language) is the seed of the grass Cenchrus biflorus. It is an important annual grass species in drought-prone areas of arid and semi-arid ecosystems. In India, it is predominantly found in western Rajasthan. Aim: To describe a case series of unusual foreign body Bhurut in the upper aero-digestive tract in western Rajasthan. Materials and Methods: The Cross-sectional (retrospective) study was conducted on 21 patients, that presented to the study institute with accidental ingestion of Indian sandbur. The data belonged to a period from January 2020 to December 2020. The medical records of the patients were analysed and data were collected using a structured questionnaire. The questionnaire included information such as age, sex, anatomical lodgement of foreign body, signs, and symptoms, duration of lodgement before confirmation and removal. Results: The mean (SD) age of patients was 33.47(17.41) years. Majority of the patients were males (66%). The most common site of impaction was vocal cords of the larynx, seen in seven (33.33%) patients. The most common presenting symptom was foreign body sensation. In all cases, the foreign body was successfully removed either under local (11 cases) or General Anaesthesia (GA) (10 cases). In the postoperative period, persistence of hoarseness of voice was observed in three patients. Conclusion: Bhurut should be suspected in patients presenting with foreign body ingestion, associated with a desert region. Removal of the bhurut under local or GA achieves good results.

Unusual Foreign Body in Aerodigestive Tract- a Difficult Diagnosis during a Pandemic

Foreign body in aerodigestive tract is not an uncommon condition especially in paediatric age group. However in adults it is usually seen most commonly in psychiatric patients or mentally disabled individual. We present a case of accidental foreign body ingestion in an adult male. The case report highlights the importance of using the right investigation to detect the foreign body thereby aiding in proper management to prevent morbidity and mortality.

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

<p class="abstract"><strong>Background:</strong> 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.</p><p class="abstract"><strong>Methods:</strong> This was a retrospective observational study on thirty patients with aerodigestive foreign bodies who visited our hospital from July 2015 to October 2017. </p><p class="abstract"><strong>Results:</strong> 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%).</p><p class="abstract"><strong>Conclusions:</strong> 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.</p>

Study on Foreign Bodies in Aerodigestive Tract in Tertiary Care Hospital

Study on Foreign Bodies in Aerodigestive Tract in Tertiary Care Hospital

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.

Incidence and management of foreign bodies in aerodigestive tract in a tertiary level

Introduction: Foreign body (FB) ingestion and aspiration is a life-threatening condition which is quite common in children. It is important to diagnose foreign body aspiration early as delay in its recognition and treatment results in high morbidity and mortality. The objective of the present prospective study was to study foreign bodies in aerodigestive tract on the basis of history, examination, and investigation, their incidence, type of foreign body, site of lodgment, common symptoms with which presented, and the nature of the problem in dealing with these patients during the management. Materials and Methods: A total of 86 cases of FB in aerodigestive tract admitted in ENT ward of Bundelkhand Medical and Hospital were included in the study. The symptoms, site and radiographic findings were recorded for each patient. Various procedures were used for removal of various FB at different locations. Majority of these procedures were performed under anesthesia. Results: Of all admitted foreign body cases (86 cases), incidence was more for males (63 cases) than for females (23 cases). Likewise, it was encountered more commonly in the age group of 1-10 years. FB were removed smoothly and successfully in all cases. Overall outcome was excellentwith minimum morbidity and no mortality. According to the site of involvement, hospital stay was varied. Conclusion: In this study, it is evident that FB in aerodigestive tract is a common clinical problem in otorhinolaryngological practice. Although, some presents with serious and life-threatening emergencieswhilemany does not have an immediate problem of airway. Higher incidence of foreign body in children can be prevented by educating the parents about keeping the articleaway from reach of children and observing the activity of the child.

Portable, non-powered, suction-generating device for management of life-threatening aerodigestive tract foreign bodies: Novel prototype and literature review

ObjectiveTo present a novel approach for the emergent, pre-hospital management of life-threatening aerodigestive tract foreign body aspiration using a portable, non-powered, suction-generating device (PNSD), in the context of a literature review of emergent pre-hospital management of patients with foreign body airway obstruction. MethodsThe PubMed and MEDLINE databases were comprehensively screened using broad search terms. A literature review of pre-hospital management and resuscitative techniques of foreign body airway obstruction was performed. Further, independent measurements of PNSD pressure generation were obtained. Application of a PNSD in cadaveric and simulation models were reviewed. A comparative analysis between a PNSD and other resuscitative techniques was performed. ResultsPhysiologic data from adult and pediatric human, non-human, and simulation studies show pressure generation ranging from 5.4 to 179 cm H2O using well-established resuscitative maneuvers. Laboratory testing demonstrated that a protypic PNSD demonstrated peak airway pressures of 434.23 ± 12.35 cm H2O. A simulation study of a PNSD demonstrated 94% reliability in retrieving airway foreign body, while a similar cadaveric study demonstrated 98% reliability, with both studies approaching 100% success rate after multiple attempts. Several case reports have also shown successful application of PNSD in the emergent management of airway foreign body in elderly and disabled patients. ConclusionPNSDs may play an important role in the emergent, non-operative, pre-hospital management of upper aerodigestive tract foreign body aspiration, particularly in settings and populations with high choking risk. Further characterization of effectiveness and safety in larger cadaveric or simulation studies mimicking physiologic conditions is indicated.

Epidemiological Profile of Foreign Body in Upper Aero-digestive Tract in a Peripheral Tertiary-Care Hospital

Introduction
 Foreign body in upper aero-digestive tract leads to many complications including life-threatening ones to the patients. Its management depends upon type of foreign body and site of lodgement.
 Materials and Methods
 A descriptive study was conducted from March 2013 to February 2017 to determine the different components of the epidemiological profile of the cases of Foreign body in upper Aero-digestive Tract (UADT) and its management principle. Total 192 patients were selected for this study. These patients underwent different procedures for foreign body removal and post-operative notes were taken for data analysis to note the epidemiological pattern.
 Results 
 A total of 192 patients were included in the study. Epidemiological data were derived and analyzed comprehensively to present the different profiles.
 Conclusion
 Fish bone was found to be the commonest foreign body in upper aero-digestive tract, followed by coin and meat bone. Foreign bodies are commonly removed by Tilley's forceps followed by Hypopharyngoscopy.

Pediatric Otolaryngological Emergency: An Experience from a Tertiary Care Teaching Institution at Kolkata, India.

Otolaryngological conditions constitute a major share of emergency medical problem among children. The present study was conducted to assess the patient profiles, incidences morbidities, mode of presentation and managements of different otolaryngological emergencies among pediatric patients presented in a tertiary care hospital. Descriptive cross-sectional study by analysing retrospectively collected information pertaining to the patients attended ENT emergency service department of a tertiary care hospital, Kolkata. Data were collected using predesigned proforma and were analysed with the help of SPSS version 20. About 39.0% of total ENT emergency attendance was contributed by pediatric age group. The male female ratio was 1:1.33 with average age of 58.95 ± 34.42 (mean ± SD) months. Half of the attendees had ear problem and almost one-third reported complaints related to nose. The major complaints at the time of presentation were earache (32.3%), nasal foreign body (24.0%) and aural foreign body (13.3%) closely followed by aero-digestive tract foreign body (12.0%). Inflammatory conditions affected the ears more, foreign bodies found most commonly in nose and miscellaneous condition such as impacted wax was found to be related to ear in significantly higher proportion. Conservative management was provided to 96.25% of patients. Foreign body insertion was found to be associated with lower age group. Most of the emergencies were managed conservatively which might be done at subdivision or district level to reduce the undesirable burden on the tertiary care medical colleges.

Unique Foreign Bodies in the Aerodigestive Tract

Aerodigestive tract is the combined organs and tissues of respiratory and upper part of the digestive tract. It includes the lips, mouth, tongue, nose, throat, larynx, pyriform sinus, pharynx and oesophagus. Foreign bodies in these anatomic sites are potential cause of morbidity and mortality. Most frequently occurs in children or adults with mental illness, less common in older children and adult. Clinico-radiological assessment of the patient is vital in making the diagnosis. We reported 3 patients with unique foreign bodies in aero-digestive tract. The first was a 3years 10month old child with non-radiopaque material in the oesophagus. The second was a 45year old farmer with spring of flash- light held in his mouth as source of light while ridding a motorcycle in the night. The last case was of a 5year old girl whose tongue was impacted in her school water bottle. These cases highlight diagnostic difficulties and safety concern and awareness in poor resource setting.

Foreign bodies in aero-digestive tract in children: spectrum of presentation and management

Background: Foreign body (FB) ingestion and aspiration is quite common in children. It can be a life-threatening condition. Early diagnosis of foreign body aspiration is essential as delay in its recognition and treatment results in high morbidity and mortality. Symptoms seem to mostly depend on the anatomical location. The absence of specific symptoms indicating the occurrence of FB injury can lead to delay in diagnosis, thereby increasing the risk of complications.Methods: This is a prospective study which comprised of 50 patients with between 8 months and 4.5 years. FB involving different parts of the aero-digestive tract were included in the study. The site, side, symptoms and radiographic findings were recorded for each patient. Different procedures were used for retrieval of various FB at different locations. Majority of these procedures were performed under anaesthesia.Results: Most of the FB were organic in nature. Right side bronchus was more commonly involved. A combination of different procedures was used according to the site involved. All the FB were removed successfully and smoothly. There was minimum morbidity with no mortality and the overall outcome was excellent. Hospital stay varied according to the site of involvement.Conclusions: The symptoms of FB change with the site involved and many patients are even asymptomatic. A differential diagnosis of foreign body should always be made in an acute or chronic presentation of respiratory cases. Aspiration of foreign body should be suspected in all cases of broncho-pulmonary infection with atypical course. High index of suspicion is the cornerstone of diagnosis. Bronchoscopy is the best diagnostic and therapeutic method in all suspicions of foreign body of tracheo-bronchial tree. Proper and timely intervention optimizes the outcome.

Incidence, patterns and different modalities in extraction of aero-digestive tract foreign bodies in patients attending Alexandria Main University Hospital

BackgroundAero-digestive tract foreign bodies (FB) are commonly seen either in children or in elderly age group. Various methods have been described in literature for their removal. In our study we aimed to analyze the incidence, risk factors, site, clinical presentations, different modalities used to extract tracheobronchial and esophageal foreign bodies in patients presented with FB aspiration or ingestion to the Emergency, Cardiothoracic Surgery, ENT and Chest disease departments in Alexandria Main University Hospital during the period between 1-11-2014 to 1-11-2015. MethodsA review of ninety patients with alleged FB aspiration and one hundred patients with alleged FB ingestion underwent complete history taking including personal data, date of presentation, date of aspiration or ingestion, circumstances of aspiration or ingestion, and past history of any previous medical or surgical conditions. Clinical assessment included vital signs and complete physical examination & investigations e.g.; complete blood count, random blood sugar, coagulation profile, renal function tests and liver function tests. Imaging including plain X-ray, CT scan, ultrasound, and virtual bronchoscopy were done. Some patients underwent rigid esophagoscopy/bronchoscopy under general anesthesia, based on clinical and radiological evidence. Some patients underwent surgical interventions. ResultsRegarding FB aspiration, we found that sex difference was statistically significant in teenagers and adult group; females were found to be more commonly affected than males. Also most of cases of pin aspiration were teenagers (>10–20 years) and adults (>20 years). We noticed that right main bronchus FB was found more frequently in children below 10 years. Rigid bronchoscopic extraction of the FBs was the most common modality of extraction seen in 70 patients (77.8%). Regarding FB ingestion we noticed that females were commonly affected than males, coins were the most commonly ingested FB; and upper oesophageal sphincter (UES) was the commonest site of FB entrapment. ConclusionsFBs in the aero-digestive tract constituted a constant hazard in all age groups especially in children and the elderly, which demanded immediate action and management.

An Unusual Neck Mass: Ingested Chicken Bone.

Foreign bodies in the upper aerodigestive tract are frequently seen in otolaryngological practice, but migration of an ingested foreign body to the neck is a very rare condition. We present a 66-year-old woman admitted to our outpatient department with a painful neck mass. She had a history of emergency department admission 4 months prior with odynophagia after eating chicken meal. A physical examination revealed a painful and hyperemic mass on the left neck. Antibiotherapy did not relieve the patient's symptoms and signs. A 3-cm linear foreign body was observed in X-ray and computed tomography scans. The symptoms of the patient were relieved after excision of the foreign body. Although it is a rare situation, migration of a foreign body ingested through the aerodigestive tract to the neck should be kept in mind in the differential diagnosis of patients who present with neck masses.

Study using endoscopic procedures for removal of foreign bodies from aero-digestive tract conducted in Jahurul Islam Medical College Hospital, Bangladesh

Foreign bodies (FB) in the aero-digestive tract continue to be a common problem that contributes significantly to high morbidity and mortality worldwide. This study was conducted to describe our own experience with endoscopic procedures for removal of FB in the aero-digestive tract, in our local setting and compare with what is described in literature. This was a prospective descriptive study, which was conducted at Jahurul Islam Medical College Hospital between January, 2011 and January, 2014. Data were collected using a structured questionnaire and analyzed using SPSS computer software version 15. A total of 72 patients were studied. Males outnumbered females by a ratio of 1.4:1. Patients aged 2 years and below were the majority (75.9%). The commonest type of FB in airways was peanuts and coins. The trachea (52.2%) was the most common site of lodgment of FB in the airways, whereas cricopharyngeal sphincter (68.5%) was the commonest site in the esophagus. Rigid endoscopy with forceps removal under general anesthesia was the main treatment modality performed in 87.8% of patients. The FB were successfully removed without complications in 90.8% of cases. Complication rate was 7.1% and bronchopneumonia was the most common complication accounting for 42.8% of cases. The mean duration of hospital stay was 3 days and mortality rate was 4.1%. Aero-digestive tract FB continue to be a significant cause of childhood morbidity and mortality in our setting. Rigid endoscopic procedures under general anesthesia are the main treatment modalities performed. Prevention is highly recommended whereby parents should be educated to keep a close eye on their children and keep objects that can be FB away from children’s reach.Mediscope Vol. 3, No. 1: January 2016, Pages 22-27

An Unusual Foreign Body in a Three Months Old Infant – A Case Report

Foreign body in the aerodigestive tract is common, but ingested foreign body lodging in the nasopharynx is rare and likely to be missed. We present an unusual case of a 3 month old infant who presented with a history of gagging, excessive crying and irritability, drooling of saliva and refusal to suck. A foreign body (mirror) was found lodged in his nasopharynx. The FB was removed under general anaesthesia with no complication. I. Introduction Although unusual aerodigestive tract foreign bodies (FB) are common among children, its lodgment in the nasopharynx is not a usual finding , .The nose is the usual conduit for FB found in the nasopharynx, an unskilled attempt at removal of a nasal foreign body can push it backwards and occasionally may be lodged in the nasopharynx. Most of the foreign bodies entering the oral cavity pass into the esophagus and some are inhaled into the trachea. Report of FB introduced through the oral cavity getting lodged into the nasopharynx is unusual and very rareError! Bookmark not defined. , , this is due to the fact that the nasopharynx is capacious and the presence of nasopharyngeal sphincter prevents regurgitation of FB into the nasopharynx. Patient with FB in the ingestion that got impacted in the nasopharynx may present with initial choking, coughing, bluish colouration and breathlessness, and later with nasal obstruction, nasal discharge and snoring. Sharp foreign bodies can pierce soft tissue and get impacted and removal of such foreign bodies may result in damage to surrounding structure if not carefully done. Perforation of the pharyngeal wall may lead to retropharyngeal abscess formation with all its attendant complication if not adequately and promptly treated. We present a case of an unusual FB (mirror) in an unusual age group -three months old child.

Foreign Body in Aerodigestive Tract – Prospective Analysis of 200 Cases

Foreign Body in Aerodigestive Tract – Prospective Analysis of 200 Cases

Aerodigestive tract foreign bodies: an experience at a teritiary-care hospital

Background: Foreign bodies (FBs) in aerodigestive tract are a common concern for all ENT surgeons and chest physicians. While FBs in air passage are commonly seen in younger children, FB in food passage is encountered in children and adults alike. Foreign body is ingested accidentally but occasionally homicidal or suicidal. This study is about the experience of aerodigestive FBs at a tertiary-care hospital. Objective: To reveal our experience of aerodigestive FBs in terms of (i) age/sex distribution of aerodigestive FBs; (ii) site of impaction/nature of aerodigestive foreign bodies; and (iii) different procedures done for aerodigestive foreign bodies. Materials and Methods: This is a retrospective study done in the Department of ENT and Head and Neck surgery and Department of Chest Medicine In this study, ENT operation theatre registers and registers of bronchoscopy laboratory of chest medicine were analyzed for all the data about removal of aerodigestive FBs from April 2007 to March 2014. Result: This study includes a total of 1125 foreign bodies, of which 878 were in digestive tract and 247 in respiratory tract. Bone chip was the commonest foreign body ingested, whereas whistle and seed were the commonest FBs inhaled. Conclusion: FBs in an airway is an acute emergency. The general physician should know when to suspect an aerodigestive FB and should refer such cases as soon as possible to tertiary centers for removal. Rigid bronchoscopy, especially, and flexible bronchoscopy in few selected cases are the treatments of choice for tracheobronchial FBs. Cricopharynx is the most common site of FB lodgment in the digestive tract. Right main bronchus is the commonest site of lodgment of inhaled FB. Seed of dry fruits is the commonest FB inhaled.

Retrospective study of upper digestive tract foreign bodies in central India

Background: Variety of foreign bodies may enter the digestive tract accidentally. Many pass spontaneously, but some become impacted, causing symptoms of obstruction. The cricopharynx and esophagus are the most common site of impaction. Nearly, all impacted objects can be removed endoscopically but, occasionally open surgery may be required. Objectives: This study was conducted on 228 patients with the aim to describe age-sex incidence, socioeconomic and geographical distribution, types of foreign body ingested and management strategy. Methods: Retrospective study was conducted in tertiary care hospital of Central India on 228 patients who had undergone rigid endoscopic removal of digestive tract foreign body from January 2007 to January 2014. Results: Foreign body ingestion was found most commonly in the age group of 1-3 year. (133; 58.33%) with male predominance. 180 patients (78.94%) belonged to lower socioeconomic status. Out of them 160 patients came from rural areas. Definitive history was found in (212; 92.98%) patients with dysphagia to solid as the most common presenting symptom. Most of the foreign bodies were detected by plain X-rays (203; 89.03%). Coin was found to be the most commonly ingested foreign body (67.54%). Cricopharynx was the most common site of impaction (86.4%). Rigid endoscopic removal under general anesthesia was successful in all 228 patients. Conclusions: Higher incidence of ingestion of foreign body is in toddlers. The most common site of lodgement was at the cricopharynx and upper third of esophagus. Early detection and rigid endoscopic removal can prevent from morbidity associated with the complications of foreign body impaction. 1. Webb WA. Management of foreign bodies of the upper gastrointestinal tract: update. Gastrointest Endosc. 1995;41:39-51. 2. G. Paul Digoy. Diagnosis and management of upper aerodigestive tract foreign bodies. OCNA. 2008;41:485-96. 3. Prakash Adhikari, Bikesh Lal Shrestha, Dharma K. Baskota, Bimal K. Sinha. Accidental foreign body ingestion: analysis of 163 cases. Arch Otolaryngol. 2007;11(3):267-70. 4. Palta R, Sahota A, Bemarki A, Salama P, Simpson N, Laine L. Foreign-body ingestion: characteristics and outcomes in lower socioeconomic population with predominantly intentional ingestion. Gastrointest Endosc. 2009;69:426-33. 5. Litivitz EL, Schmitz BF. Ingestions of cylindrical and button batteries: an analysis of 2382 cases. Pediatrics. 1992;89:747-57. 6. Hachimi-Idrissi S, Come L, Vandenpias Y. Management of ingested foreign bodies in childhood: our experience and review of literature. Eur J Emerg Med. 1998;5:319-23. 7. Naid Dehghani. Ingested foreign bodies in children: BC children’s hospital emergency room protocol. BC Med J. 2008 June;5(5):257-62. 8. ASGE Standards of Practice Committee, Steven O. Ikenberry, Terry L. Jue, M. Anderson, V. Appalaneni, S. Banerjee, et al. Management of ingested foreign bodies and food impactions. Gastrointestin Endosc. 2011;73(6):1085-91. 9. Faigel DO, Stotland BR, Kochman ML, Hoops T, Judge T, Kroser J, et al. Device choice and experience level in endoscopic foreign object retrieval: an in vivo study. Gastrointestin Endosc. 1997;45:490-2. 10. Nixon GW. Foley catheter method of esophageal foreign body removal: extension of applications. Am J Radiol. 1979;132:441-2. 11. Bonadio WA, Jona JZ, Glicklich M, Cohen R. Esophageal Bougie technique for coin ingestion in children. J Pediatr Surg. 1988;23:917-8. 12. Chu KM, Choi HK, Tuen HH, Law SY, Branicki FJ, Wong J. A Prospective randomized trial comparing the use of the flexible gastroscope versus the broncoscope in the management of foreign body ingestion. Gastrointest Endosc. 1998;47:23-7. 13. Ferruci TJ, Long JA. Radiographic treatment of esophageal food impaction using intravenous glucagon. Radiology. 1977;125:25-8. 14. Trenkner SW, Maglinte D, Lehman GA, Chernish SM, Miller RE, Johnson CW. Esophageal food impaction treatment with glucagon. Radiology. 1983;149:40. 15. Schunk JE, Harrison AM, Corneli HM, Nixon GW. Fluoroscopic Foley catheter removal of esophageal foreign bodies in children: experience in 415 episodes. Pediatrics. 1994;94:709-14. 16. Gaigel DO, Fennerty MB. Miscellaneous disease of the esophagus. In: Gaigel DO, Fennerty MB, eds. Textbook of Gastroenterology. 1st ed. Philadelphia: Lippincott Williams and Wilkins; 1999: 1304-1325. 17. Cheng W, Tam PKH. Foreign body ingestion in children: Experience with 1265 cases. J Paediatr Surg. 1999;34:1472-6. 18. Schunk JE. Foreign body ingestion/aspiration. In: Schunk JE, eds. Textbook of Pediatric Medicine. 5th ed. Philadelphia: Lippincott Williams and Wilkins; 2006: 307-314.

Incidence of foreign bodies in aerodigestive tract in vindhya region: our experience.

Foreign bodies in aerodigestive tract are frequent occurrence and may lead to life threatening situation due to obstruction caused in respiratory passages. To present foreign body ingestion cases observed in a 5-year period at the S.S. Medical College and G.M. Hospital, Rewa (MP). The present study is a retrospective analysis including 108 patients of foreign bodies of aerodigestive tract of Vindhya region who presented to the S.S. Medical College and G.M. Hospital, Rewa from January 2008 to August 2012. About 92 patients of total 108 patients had evidence of foreign body in food passage with age ranging from 9month to 85years. Most patients 65 (70.65%) belong to <10year age group. Radiological evidence was found in 76 (82.6%) patients. Most common foreign body was found to be coin 75 (81.52%). The commonest site of lodgement was cricopharynx. About 16 patients of total 108 patients had evidence of foreign body in airway with age ranging from 9months to 72years. Most cases 8 (50%) belong to <10year age. Maximum cases showed vegetative foreign body with right bronchus (58.33%) as commonest site of lodgement. Early detection by meticulous history, imaging modality and prompt management remains basis for favourable outcome and prevents future complications.