TY - JOUR AU - Ahmad, Naseer AU - Ashfaq, Mohammad AU - Javed, Mohammad AU - Khan, Qaisar PY - 2011/12/29 Y2 - 2024/03/29 TI - NON OPAQUE FOREIGN BODY ASPIRATION IN CHILDREN: SHOULD WE BE MORE VIGILANT AND PROACTIVE? JF - Journal of Postgraduate Medical Institute JA - J Postgrad Med Inst VL - 26 IS - 1 SE - Original Article DO - UR - https://www.jpmi.org.pk/index.php/jpmi/article/view/1205 SP - AB - <strong><em><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><strong><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><strong><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><p>Objective:</p></span></strong></span></strong></span><p> </p></em></strong><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;"><em><p><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;">To study the frequency of symptoms, composition and complications of clinically suspected non</span><strong><em><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><strong><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><strong><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><p>Methodology:</p></span></strong></span></strong></span><p> </p></em></strong><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;"><em><p><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;">This descriptive analysis of 400 cases of foreign body aspiration was done in the department<p>of ENT &amp; Head and Neck surgery, Lady Reading Hospital Peshawar from 2003-2006. One hundred cases</p><p>were selected with presumptive diagnosis of foreign bodies in tracheobronchial tree. The inclusion criteria</p><p>were non witness and non radio-opaque foreign bodies. We reviewed their hospital record to ascertain</p><p>history diagnosis and treatment. Age, sex, location in tracheobronchial tree, witnessed or un-witnessed</p><p>events, symptoms, radio graphic findings, anatomical abnormalities noted at endoscopy and complications</p></span></p><p>were recorded. Radio opaque foreign bodies were excluded from the study.</p><strong><em><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><strong><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><strong><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><p>Results:</p></span></strong></span></strong></span><p> </p><strong><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><strong><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><strong><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><p>Conclusion:</p></span></strong></span></strong></span><p> </p></strong><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;"><em></em></span></em></strong><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;"><p><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;">A total of hundred cases were included. Age range was from 2-5 years. Males were 70 % and<p>females were 30%. Delay in presentation was from 10 days to 4 years. Common symptoms at presentation</p><p>were cough 55% and asthma 20%. Radiological findings were abnormal in 90% of cases. Upon</p><p>bronchoscopy 70% were positive for foreign body and 30% were negative. Peanuts (30%) and whistles</p></span></p><p>(28%) were the commonest foreign bodies No death occurred in this study and minor complications of the</p><p>procedure were only 15%.</p><strong><em><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><strong><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><strong><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><p>Conclusion:</p></span></strong></span></strong></span><p> </p></em></strong><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;"><em><p><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;">Aspiration of foreign bodies in children can lead to serious morbidity if not recognized and</span></p><p>treated in time; hence early referral is essential.</p></em></span></span></em></span></p><p>radio-opaque foreign body aspiration; which is a difficult diagnostic challenge resulting in delayed</p><p>referral for bronchoscopy.</p></em></span> ER -