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To study the frequency of symptoms, composition and complications of clinically suspected non
This descriptive analysis of 400 cases of foreign body aspiration was done in the department
of ENT & Head and Neck surgery, Lady Reading Hospital Peshawar from 2003-2006. One hundred cases
were selected with presumptive diagnosis of foreign bodies in tracheobronchial tree. The inclusion criteria
were non witness and non radio-opaque foreign bodies. We reviewed their hospital record to ascertain
history diagnosis and treatment. Age, sex, location in tracheobronchial tree, witnessed or un-witnessed
events, symptoms, radio graphic findings, anatomical abnormalities noted at endoscopy and complications
were recorded. Radio opaque foreign bodies were excluded from the study.
A total of hundred cases were included. Age range was from 2-5 years. Males were 70 % and
females were 30%. Delay in presentation was from 10 days to 4 years. Common symptoms at presentation
were cough 55% and asthma 20%. Radiological findings were abnormal in 90% of cases. Upon
bronchoscopy 70% were positive for foreign body and 30% were negative. Peanuts (30%) and whistles
(28%) were the commonest foreign bodies No death occurred in this study and minor complications of the
procedure were only 15%.
Aspiration of foreign bodies in children can lead to serious morbidity if not recognized and
treated in time; hence early referral is essential.
radio-opaque foreign body aspiration; which is a difficult diagnostic challenge resulting in delayed
referral for bronchoscopy.
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