Clinical profile of aerodigestive foreign bodies.

Mohaideen Noushadh Gani, S (2006) Clinical profile of aerodigestive foreign bodies. Masters thesis, Madurai Medical College, Madurai.


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Introduction: The problem of foreign bodies in the aerodigestive tract is commonly encountered in day to day ENT practice. The problem of aerodigestive foreign bodies are noted from time immemorial. It is mostly accidental with patient negligence being the major contributing factor. They have to be attended immediately because of grave complications. With the advent of rigid endoscopes and Hopkins telescopes visualization of the aerodigestive tract and removal of foreign bodies have been revolutionized. The gravity of situation calls for extensive study and hence this topic is selected for dissertation work. Aim: The aim of this study is to analyse the types of foreign bodies, the sites of lodgement and methods of removal with special reference to common site of lodgement. The cases which came to ENT OPD at Govt Rajaji hospital, Madurai, from July 2004 to July 2005 form the subject of study. History: A case of thorn plucked from the throat of a boy by saint Blaise, Bishop of sebaste (200AD) seems the earliest recorded case. Mention of foreign bodies appear in many ancient records. Account of Foreign bodies in tracheo bronchial tree is given by Letterson et al and Kernan et al. Management of laryngotracheo bronchial foreign bodies is more urgent and more demanding. It is more urgent since it causes hypoxia and its consequences. It is more demanding since the surgeon and anaesthetist share the common pathway. With the advent of Hopkins telescope, the management of foreign bodies has been revoultionzed. Conclusion: In foreign bodies of food passages, since most foreign bodies were at the level of Cricopharynx, they were removed with Laryngoscope under short general anesthetic. Only for foreign bodies in upper Oesophagus, general ananesthesia with Orotracheal intubation, oesophagoscopy was done and foreign bodies removed. Of the 49 cases, 47 were removed. 1 case, a five rupee coin could not be retrieved and hence pushed into stomach which was later expelled via naturalis. One foreign body, a open safety pin in upper esophagus, was removed by cervical esophagotomy. In foreign bodies of Laryngotracheo bronchial tree bronchoscopy was performed under general anaesthesia and all foreign bodies were removed.

Item Type: Thesis (Masters)
Uncontrolled Keywords: aerodigestive tract ; foreign bodies.
Subjects: MEDICAL > Otolaryngology
Depositing User: Devi S
Date Deposited: 06 Jul 2017 08:46
Last Modified: 31 Mar 2018 07:57

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