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Laryngo-tracheo-bronchial foreign bodies in children

Published online by Cambridge University Press:  29 June 2007

Amit Banerjee ,
K. S. V. K. Subba Rao ,
S. K. Khanna ,
P. S. Narayanant ,
B. K. Gupta ,
J. C. Sekar ,
C. Rajendra Retnam  and
M. Nachiappan
Amit Banerjee*
Affiliation:
Department of Cardiothoracic Surgery, JIPMER, Pondicherry.
K. S. V. K. Subba Rao
Affiliation:
Department of Cardiothoracic Surgery, JIPMER, Pondicherry.
S. K. Khanna
Affiliation:
Department of Cardiothoracic Surgery, G. B. Pant Hospital, New Delhi.
P. S. Narayanant
Affiliation:
Department of Cardiothoracic Surgery, G. B. Pant Hospital, New Delhi.
B. K. Gupta
Affiliation:
Department of Cardiothoracic Surgery, G. B. Pant Hospital, New Delhi.
J. C. Sekar
Affiliation:
Department of Cardiothoracic Surgery, JIPMER, Pondicherry.
C. Rajendra Retnam
Affiliation:
Department of Cardiothoracic Surgery, JIPMER, Pondicherry.
M. Nachiappan
Affiliation:
Department of Cardiothoracic Surgery, JIPMER, Pondicherry.
*
Dr. Amit Banerjee, Associate Professor of Cardiothoracic Surgery, JIPMER Hospital, Pondicherry 605 006, India.
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Abstract

Inhalation of a foreign body into the respiratory passage can be a serious and sometimes fatal childhood accident. In this paper we analyze the management of 223 children with laryngo-tracheo-bronchial foreign bodies. Children below three years of age were found to be the most vulnerable. The majority of the patients were boys. Over a quarter of the patients did not present with a history of inhalation. Only 52 per cent reported within 24 hours of inhalation. Endoscopic removal was possible in all but nine cases. One hundred and fort eight (66.4 per cent) of the recovered foreign bodies were organic in origin, the majority of them being peanuts. In one hundred and five (47.1 per cent) the objects found their way into the right bronchial tree. There were two deaths. The modalities of diagnosis and management are discussed.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 102 , Issue 11 , November 1988 , pp. 1029 - 1032
Copyright
Copyright © JLO (1984) Limited 1988

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