Foreign Body in Tracheobronchial Tree & Endoscopic correlation. A single institution experience

      Аннотация: Foreign body inhalation in the tracheobronchial tree is a common ENT emergency with serious and potentially lethal consequences thus presenting as a most challenging task to the otorhinolaryngologists. A prospective study on 60 patients were carried out at JLN Hospital & RC, Bhilai (C.G), from Jan’ 06 to Dec’08.The most common age group was 1-3 yrs accounting for 65% (39) of cases. Definite history of foreign body inhalation was present in 48.33% (29) of cases. Cough, the triad of sudden onset cough, choking and breathlessness, tachypnoea and diminished air entry were the most common presenting symptoms and signs. Air trapping / Emphysema was the most common radiological presentation whereas normal/ negative radiological findings was found in 20% (12) of cases.The rigid tracheobronchoscopy revealed a foreign body in 83.33% (50) of cases, while in 16.66% (10) of cases foreign was not found. Definite history of inhalation and/or clinical manifestations & radiological findings are important in diagnosis of foreign body inhalation .Endoscopic removal is the mainstay of management of foreign body in tracheobronchial tree. Education is the best preventive measure.

Ключевые слова: foreign body, foreign body, tracheobonchial tree, otorhinolaryngologist, tracheobronchoscopy