Objective: To determine the type, clinical feature and management of inhaled foreign body in children.
Methodology: This descriptive study was done at the department of Otolaryngology-Head & Neck Surgery, Fauji Foundation Hospital, Rawalpindi from Feb 2016 to Feb 2017. A total of 70 cases were successfully treated by endoscopy. Rigid endoscopy as done in 98.6% and direct laryngoscopy in 1.4% for foreign body removal. Frequency of presenting complaints that was dyspnea, cyanosis, choking, coughing, wheezing, tachypnea; different types of foreign bodies in tracheobronchial tree and X-Ray Chest findings like the object, hyperinflation, emphysema, bronchiectasis or atelectasis were analyzed. Data were analyzed using SPSS version 17.
Results: Out of 70 patients, 72.85% were male and 27.15% were female with age range from 8 months to 12 years. The most common symptom was cough in 68.65%, chocking in 62.9% and dyspnea in 41.4% patients. Peanuts were the most common object in 42.85% followed by whistle, as a whole or part in 30%, pins and needles in 12.85%, plastic pellets in 11.4% and miscellaneous objects in 2.85%.
Conclusion: Bronchoscopy is the most effective diagnostic and therapeutic modality due to short comings of history, physical examination and radiology. Early diagnosis and immediate removal are essential.
Foreign bodies, rigid bronchoscopy, tracheobronchial tree.