Foreign bodies in upper aero-digestive tract: Our experience
Background: Foreign bodies in upper aero- digestive tract are a common condition encountered by all ENT surgeons. Ours being a tertiary care hospital located in a densely populated area we come across a varied presentation of this condition on a day to day basis.
Aim: To describe the different presentations of aero digestive tract foreign bodies encountered by us and elaborate the different procedures used for removal of upper aero digestive tract foreign bodies.
Materials andMethods: A prospective study conducted in the department of ENT, Malabar Medical College, Calicut during the time period of one year.
Results: There were a total of 108 patients of which 103 were in upper digestive and 3 were in respiratory tract. The commonest site of impaction in digestive tract foreign bodies was the cricopharynx and right bronchus in case of respiratory tract foreign bodies. A delay in presentation of more than 48 hours was associated with an increased rate of complications. Rigid endoscopy under anaesthesia was the commonest method used for retrieval of upper aero digestive tract foreign bodies.
Conclusions: Foreign bodies in the aero digestive tract continue to be a problem affecting all age groups alike. Delay in presentation and management can lead to life threatening complications. Proper and timely interventions optimise the outcome.