Aerodigestive Foreign Bodies: Our Experience
Rahulkumar Vijaykumar Shah1*, Atisha Modi1, Rahul Gupta2 and RG Aiyer3
1Department of E.N.T. and Head-Neck Surgery, Baroda Medical College, Vadodara, Gujarat, India
2Associate Professor, Department of E.N.T. and Head- Neck Surgery, Baroda Medical College, Vadodara, Gujarat, India
3Professor and Head, Department of E.N.T. and Head- Neck Surgery, Baroda Medical College, Vadodara, Gujarat, India
*Corresponding Author: Rahulkumar Vijaykumar Shah, Department of E.N.T. and Head-Neck Surgery, Baroda Medical College, Vadodara, Gujarat, India.
Received:
July 06, 2021; Published: July 19, 2021
Abstract
Foreign body ingestion and aspiration is a common cause of morbidity and mortality, usually occurs in children. A detailed history and physical examination with a high index of suspicion, despite negative imaging are required. Often, a diagnostic endoscopy may be required to definitively investigate the upper aerodigestive tract to rule out foreign body in equivocal findings. Non caustic oesophageal foreign bodies can be observed for a short period of time while Airway foreign bodies require immediate removal in the operating room. A team-based approach with coordination between the trained anaesthetist, surgeon, and operating room staff is required during this foreign body management.
Keywords: Aerodigestive Tract Foreign Bodies; Coins; Endoscopy
References
- Clerf LH. “Historical aspects of foreign bodies in the air and food passages”. Southern Medical Journal 11 (1975): 1449-1454.
- Brown JC., et al. “The utility of adding expiratory or decubitus chest radiographs to the radiographic evaluation of suspected pediatric airway foreign bodies”. Annals of Emergency Medicine 1 (2013): 19-26.
- Cohen S., et al. “Suspected foreign body inhalation in children: what are the indications for bronchoscopy?” The Journal of Pediatrics 2 (2009): 276-280.
- Gang W., et al. “Diagnosis and treatment of tracheobronchial foreign bodies in 1024 children”. Journal of Pediatric Surgery 11 (2012): 2004 2010.
- Rodriguez H., et al. “Management of foreign bodies in the airway and oesophagus”. International Journal of Pediatric Otorhinolaryngology 1 (2012): S84-S91.
- Foltran F., et al. “Foreign bodies in the airways: a meta-analysis of published papers”. International Journal of Pediatric Otorhinolaryngology1 (2012): S12-S19.
- Foltran F., et al. “Inhaled foreign bodies in children: a global perspective on their epidemiological, clinical, and preventive aspects”. Pediatric Pulmonology4 (2013): 344-351.
- Chen LH., et al. “The risk factors for hypoxemia in children younger than 5 years old undergoing rigid bronchoscopy for foreign body removal”. Anesthesia and Analgesia4 (2009): 1079-1084.
- Holinger PH. “Foreign bodies in the air and food passages”. Transactions - American Academy of Ophthalmology and Otolaryngology 66 (1962): 193-210.
- Zhang S., et al. “Endoscopic management of foreign bodies in the upper gastrointestinal tract in South China: a retrospective study of 561 cases”. Digestive Diseases and Sciences5 (2010): 1305-1312.
- Yalcin S., et al. “Foreign body ingestion in children: an analysis of pediatric surgical practice”. Pediatric Surgery International8 (2007): 755-761.
- Arana A., et al. “Management of ingested foreign bodies in childhood and review of the literature”. European Journal of Pediatrics8 (2001): 468-472.
- Digoy GP. “Diagnosis and management of upper aerodigestive tract foreign bodies”. Otolaryngologic Clinics of North America3 (2008): 485-496.
- Donnelly LF., et al. “The multiple presentations of foreign bodies in children”. American Journal of Roentgenology2 (1998): 471-477.
- Karnwal A., et al. “Lateral soft tissue neck X-rays: are they useful in management of upper aero-digestive tract foreign bodies?” The Journal of Laryngology and Otology8 (2008): 845-847.
- Svedstrom E., et al. “How accurate is chest radiography in the diagnosis of tracheobronchial foreign bodies in children?” Pediatric Radiology8 (1989): 520-522.
- Schlesinger AE and Crowe JE. “Sagittal orientation of ingested coins in the esophagus in children”. American Journal of Roentgenology3 (2011): 670-672.
- Fidkowski CW., et al. “The anesthetic considerations of tracheobronchial foreign bodies in children: a literature review of 12,979 cases”. Anesthesia and Analgesia4 (2010): 1016-1025.
- Ahmed OGGR and Giannoni CM. “Protocol incorporating airway CT decreases negative bronchoscopy rates for suspected foreign bodies in pediatric patients”. International Journal of Pediatric Otorhinolaryngology (2018): 133-137.
- Whelan-Johnson S and Hall CE. “Multiple oesophageal foreign bodies: the importance of two radiological views”. The Journal of Laryngology and Otology 1 (2009): 121-122.
- Crysdale WS., et al. “Esophageal foreign bodies in children. 15-year review of 484 cases”. Annals of Otology, Rhinology and Laryngology: SAGE Journals 4-1 (1991): 320-324.
- Waltzman ML., et al. “A randomized clinical trial of the management of esophageal coins in children”. Pediatrics3 (2005): 614-619.
- Zaytoun GM., et al. “Endoscopic management of foreign bodies in the tracheobronchial tree: predictive factors for complications”. Otolaryngology–Head and Neck Surgery 3 (2000): 311-316.
- Lando T., et al. “Distal airway foreign bodies: importance of a stepwise approach, knowledge of equipment and utilization of other services’ expertise”. International Journal of Pediatric Otorhinolaryngology 7 (2011): 968-972.
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