Demographic pattern of children with foreign body aspiration in a Paediatric institute in Chennai- retrospective analysis

Abstract


Aims: To examine the demographic pattern of children with foreign body aspiration To evaluate the clinical presentation, investigations, type of foreign body, complications and outcome with respect to the location of foreign body.
Settings and Design: Chil dren admi tted in institute of chil d heal th and hospi tal for chil dren during the period of 2007 april to 2008 april with history of foreign body aspiration taken for study.
Results: Most common age of presentation was between 1 and 3 years (56.4%). Most common symptom in our study was Cough, wheezing and respiratory distress (63.4%). Most common clinical signs at presentation were diminished breath sound in unilateral lung field seen in 36.6% cases. Most common radiological finding on chest radiograph was collapse seen in 41.65% cases. Most common type of foreign body below 3 years of age was food material (seeds, beans) removed in 48.78%. Complications were encountered i n 14. 6% c as es o f whi c h mos t c ommon c ompl i c ation was b r onc hos pas m a nd a c ut e r es pi r at or y d i s t r es s s een i n 41. 6% c as es .
Conclusions: Although there are no specific symptoms and signs to make a clear-cut diagnosis, history of witnessed FBA, admittance within 24 hours from the beginning of respiratory symptoms, and wheezing are proper indications for bronchoscopy. Bronchoscopy is a safe procedure with few and confined complications

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