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Volume 6 Issue 7 (July) 2017

Original Articles

Assessment of cases of tracheobronchial foreign bodies aspiration
Dr. Sandeep Kumar Kukar

Background:Tracheobronchial foreign bodies refer to objects or substances that accidentally enter the airway and become lodged in the trachea (windpipe) or bronchi (the two main branches of the trachea leading to the lungs). The present study was conducted to assess cases of tracheobronchial foreign bodies aspiration. Materials & Methods:54 patients with history of tracheobronchial foreign bodies aspiration of both genders were studied. The bronchoscope was reintroduced after the foreign body was removed in order to examine the affected area, residual foreign body, and inspissated mucus secretions were removed. Clinical signs and radiological findings was recorded. Results: Age group 1-5 years had 13 males and 16 females, 6-10 years had 5 males and 7 females, 11-17 years had 4 males and 4 females and >!8 years had 2 males and 3 females. The difference was non- significant (P> 0.05). The clinical signs were cyanosis in 3, tachypnoea in 42, irritability in 15, chest indrawing in 13, decreased chest wall movement in 38, decreased air entry on affected side in 40, ronchi in 12, crepts in 11 and tracheal thud in 6 cases. Radiological findings were collapse of affected lung in 9, consolidation of affected lung in 1, collapse + consolidation in 6, mediastinal shift in 18 and normal X-ray in 20 cases. The difference was significant (P< 0.05). Conclusion: An exploratory bronchoscopy should always be performed if a tracheobronchial foreign body is suspected, even if there is a questionable history of aspiration. This is because the morbidity of the procedure is unquestionably lower than the morbidity of an unidentified or missed tracheobronchial foreign body with delayed removal.

 
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