Clinical profile and immediate outcome of children admitted with foreign body aspiration: experience at Dr. Vaishampayan Memorial Government Medical College, Solapur, Maharashtra
Keywords:Foreign body aspiration, Clinical profile, Outcome, Symptoms
Background: Foreign body (FB) aspiration is an uncommon but potentially life-threatening situation that requires urgent intervention. It occurs more commonly among children than in adults. The clinical presentation varies depending on the location of FB in the airway. Patients may be asymptomatic, but when present, symptoms range from acute onset of cough, shortness of breath and at times, asphyxiation. Objective of the research was to study the clinical pattern and immediate outcome of children admitted with foreign body aspiration (FBA).
Methods: Descriptive observational study was carried out at department of paediatrics at Dr. VMGMC Solapur during the study period of September 2019 to October 2021. Statistical analysis was done using statistical package for the social sciences (SPSS) 24.0 version.
Results: Mean age of the study population was 4.16±2.74 years. Males were 26 (52%) and females were 24 (48%) in our study. Males were predominant in our study with male to female ratio as 1.08:1. Groundnut was commonest FB seen in 34%. Commonest location of FB was right nose in 18 (36%), left nose in 12 (24%). Commonly seen symptoms were irritability in 58%, fever in 40%, vomiting in 40% and cough in 38%. Mortality rate was 2% in our study.
Conclusions: Commonly observed aspiration of suspected FB was groundnut in 34% and chana in 20% cases. Most common symptom after aspiration revealed that the irritability in 29 (58%), fever 20 (40%) and vomiting in 20 (40%) cases. Mortality rate was 2% in our study.
Jackson C, Jackson CL. Diseases of the air and food passages of foreign body origin. Philadelphia, WB Saunders. 1936.
Altkorn R, Chen X, Milkovich S, Stool D, Rider G, Bailey CM, et al. Fatal and non-fatal food injuries among children (aged 0-14 years). Int J Pediatr Otorhinolaryngol. 2008;72(7):1041-1046.
Ramı´rez-Figueroa JL, Gochicoa-Rangel LG, Ramı´rez-San Juan DH, Vargas MH. Foreign body removal by flexible fiberoptic bronchoscopy in infants and children. Pediatr Pulmonol. 2005;40(5):392-7.
Pan H, Lu Y, Shi L, Pan X, Li L, Wu Z. Similarities and differences in aspirated tracheobronchial foreign bodies in patients under the age of 3 years. Int J Pediatr Otorhinolaryngol. 2012;76(6):911-4.
Shubha AM, Das K. Tracheobronchial foreign bodies in infants. Int J Pediatr Otorhinolaryngol. 2009;73(10):1385-9.
Cataneo AJM, Reibscheid SM, Ruiz Ju´nior RL, Ferrari GF. Foreign body in the tracheobronchial tree. Clin Pediatr (Phila). 1997;36(12):701-5.
Tan HK, Brown K, McGill T, Kenna MA, Lund DP, Healy GB. Airway foreign bodies (FB): a 10-year review. Int J Pediatr Otorhinolaryngol. 2000;56(2):91-9.
Pediatric Emergency Care. Available at: http://journals.lww.com/pec-online/ Abstract/ 2005/ 03000/ Factors_ Predicting_ Early_ Diagnosis_ of_ Foreign_Body.3.aspx. Accessed on 10 October 2021.
Rodriguez H, Passali GC, Gregori D, Chinski A, Tiscornia C, Botto H, et al. Management of foreign bodies in the airway and oesophagus. Int J Pediatr Otorhinolaryngol. 2012;76(1):S84-91.
Gregori D, Salerni L, Scarinzi C. Foreign bodies in the upper airways causing complications and requiring hospitalization in children aged 0–14 years: results from the ESFBI study. Eur Arch Otorhinolaryngol. 2008;265(8):971-8.
Salih AM, Alfaki M, Alam-Elhuda DM. Airway foreign bodies: A critical review for a common paediatric emergency. World J Emerg Med. 2016;7:5-12.
Karakoç F, Karadağ B, Akbenlioğlu C, Ersu R, Yıldızeli B, Yüksel M, Dağlı E. Foreign body aspiration: what is the outcome? Pediatric Pulmonol. 2002;34(1):30-6.
Swanson KL, Prakash UB, Midthun DE, Edell ES, Utz JP, McDougall JC, Brutinel WM. Clinical characteristics in suspected tracheobronchial foreign body aspiration in children. J Bronchol Intervent Pulmonol. 2002;9(4):276-80.
Chiu CY, Wong KS, Lai SH, Hsia SH, Wu CT. Factors predicting early diagnosis of foreign body aspiration in children. Pediatr Emerg Care. 2005;21(3):161-4.
Saquib Mallick M, Rauf Khan A, Al-Bassam A. Late presentation of tracheobronchial foreign body aspiration in children. J Trop Pediatrics. 2005;51(3):145-8.
Mahajan M, Mathew PJ, Menon P, et al. Cinical presentation of foreign body aspiration in children -an observational study. MOJ Clin Med Case Rep. 2017;6(5):120-5.
Naara S, Vainer I, Amit M, Gordin A. Foreign body aspiration in infants and older children: a comparative study. Ear, Nose Throat J. 2020;99(1):47-51.
Naragund AI, Mudhol RS, Harugop AS, et al. Tracheo–bronchial foreign body aspiration in children: a one year descriptive study. India J Otolaryngol Head Neck Surg. 2014;66 (1):180-5.
Kaur K, Sonkhya N, Bapna AS. Foreign bodies in the tracheobronchial tree: a prospective study of 50 cases. Indian J Otolaryngol Head Neck Surg. 2002;54(2):30-4.
Boufersaoui A, Smati L, Benhalla KN, Boukari R, Smail S, Anik K, et al. Foreign body aspiration in children: experience from 2624 patients. Int J Pediatr Otorhinolaryngol. 2013;77(10):1683-8.
Ibrahim Sersar S, Hassan Rizk W, Bilal M, El Diasty MM, Abudlla Eltantawy T, Badry. Inhaled foreign bodies: presentation, management and value of history and plain chest radiography in delayed presentation. Otolaryngol—Head Neck Surg. 2006;134(1):92-9.
Sinha V, Memon R, Gupta D, Mehta K, Patel P, Patil S, et al. foreign body in tracheobronchial tree. Indian J Otolaryngol Head Neck Surg. 2007;59(3):211-4.
Liu J, Xiao K, Lv X. Anesthesia and ventilation for removal of airway foreign bodies in 35 infants. Int J Clin Exp Med. 2014;7(12):5852-6.
Sahin A, Meteroglu F, Eren S, Celik Y. Inhalation of foreign bodies in children: experience of 22 years. J Trauma Acute Care Surg. 2013;74(2):658-63.