Foreign Body Aspiration in Northern Ghana: A Review of Pediatric Patients

Theophilus Adjeso, Michael Chanalu Damah, James Patrick Murphy, Theophilus Teddy Kojo Anyomih, Theophilus Adjeso, Michael Chanalu Damah, James Patrick Murphy, Theophilus Teddy Kojo Anyomih

Abstract

Background: Foreign body (FB) aspiration requires a high index of suspicion for diagnosis and prompt management to avoid morbidity and mortality. This retrospective study was conducted to review pediatric foreign body aspiration at the Ear, Nose and Throat (ENT) Unit of the Tamale Teaching Hospital (TTH).

Materials and methods: The theater records of children managed for foreign body aspiration from January 2010 to December 2016 at the ENT Unit of TTH were retrieved and data summarized with respect to age, gender, indications for bronchoscopy, nature of foreign body, location of foreign body, and outcome of the bronchoscopy procedure.

Results: A total of 33 children were managed within the five-year study period and comprised 16 (48.5%) males and 17 (51.5%) females. The commonly aspirated FBs were groundnuts (13, 39.4%) and metallic objects (7, 21.1%). The peak incidence occurred in children aged ≤ 3 years. The foreign bodies (FBs) were commonly localized to the right (24.2%) and left (24.2%) main bronchi, respectively. One patient had emergency tracheostomy for failed bronchoscopy.

Conclusion: Groundnuts were the most commonly aspirated foreign body with most of the FBs localized in the bronchi.

Figures

Figure 1
Figure 1
Locations of the aspirated foreign bodies.

References

    1. Rizk N., Gwely N. E., Biron V. L., Hamza U. Metallic hairpin inhalation: a healthcare problem facing young Muslim females. Journal of Otolaryngology - Head & Neck Surgery. 2014;43:21. doi: 10.1186/s40463-014-0021-y.
    1. Pellissier A., Kebdani S., Lacheheb M., Lainez S., Froudarakis M. E., Vergnon J. M. 41 Years into the bronchial tree: a very obstructive cap. The Clinical Respiratory Journal. 2016 doi: 10.1111/crj.12443.
    1. Bodart E., Gilbert A., Thimmesch M. Removal of an unusual bronchial foreign body: Rigid or flexible bronchoscopy? Acta Clinica Belgica. 2014;69(2):125–126. doi: 10.1179/2295333714Y.0000000006.
    1. Kitcher E. D. Foreign body inhalation: a review of patients at the Korle Bu teaching hospital, Accra, Ghana. West African Journal of Medicine. 2009;28(6):368–370.
    1. Singh J. K., Vasudevan V., Bharadwaj N., Narasimhan K. L. Role of tracheostomy in the management of foreign body airway obstruction in children. Singapore Medical Journal. 2009;50(9):871–874.
    1. Arsalane A., Zidane A., Atoini F., Traibi A., Kabiri E. H. The surgical extraction of foreign bodies after the inhalation of a scarf pin: two cases. Revue de Pneumologie Clinique. 2009;65(5):293–296. doi: 10.1016/j.pneumo.2009.02.004.
    1. Soysal O., Kuzucu A., Ulutas H. Tracheobronchial foreign body aspiration: a continuing challenge. Otolaryngology - Head and Neck Surgery. 2006;135(2):223–226. doi: 10.1016/j.otohns.2005.09.035.
    1. Fenane H., Bouchikh M., Bouti K., et al. Scarf pin inhalation: clinical characteristics and surgical treatment. Journal of Cardiothoracic Surgery. 2015;10:61. doi: 10.1186/s13019-015-0268-z.
    1. Li Y., Wu W., Yang X., Li J. Treatment of 38 cases of foreign body aspiration in children causing life-threatening complications. International Journal of Pediatric Otorhinolaryngology. 2009;73(12):1624–1629. doi: 10.1016/j.ijporl.2009.08.003.
    1. Kitcher E. D., Baidoo K. K. Audit of inhaled foreign bodies in children: our recent experience in Ghana. Niger. J. Otorhinolaryngol. 2010;7:12–15.
    1. Awuah P., Duah I. M. Pattern of foreign bodies in the throat. Journal of Natural Sciences Research. 2012;2(4):8–13.
    1. Hussain S., Pirzada R., Rizvi I. H., Ali S. I. Radiological findings in tracheo-bronchial foreign body aspiration. Journal of the Pakistan Medical Association. 1988;38(12):328–329.
    1. Mu L. C., Sun D. Q., He P. Radiological diagnosis of aspirated foreign bodies in children: review of 343 cases. The Journal of Laryngology & Otology. 1990;104(10):778–782. doi: 10.1017/S0022215100113891.
    1. Girardi G., Contador A. M., Castro-Rodriguez J. A. Two new radiological findings to improve the diagnosis of bronchial foreign-body aspiration in children. Pediatric Pulmonology. 2004;38(3):261–264.
    1. Naragund A. I., Mudhol R. S., Harugop A. S., Patil P. H., Hajare P. S., Metgudmath V. V. Tracheo-bronchial foreign body aspiration in children: a one year descriptive study. Indian Journal of Otolaryngology and Head & Neck Surgery. 2014;66(supplement 1):180–185. doi: 10.1007/s12070-011-0416-2.
    1. Safari M., Manesh M. R. Demographic and clinical findings in children undergoing bronchoscopy for foreign body aspiration. The Ochsner Journal. 2016;16(2):120–124.
    1. Shivakumar A. M., Naik A. S., Prashanth K. B., Shetty K. D., Praveen D. S. Tracheobronchial foreign bodies. The Indian Journal of Pediatrics. 2003;70(10):793–797.
    1. Sinha V., Chhaya V., Barot D. S., et al. Foreign body in tracheobronchial tree. Indian Journal of Otolaryngology and Head and Neck Surgery. 2010;62(2):168–170. doi: 10.1007/s12070-010-0044-2.
    1. de Sousa S. T., Ribeiro V. S., Filho J. M. D. M., dos Santos A. M., Barbieri M. A., de Figueiredo Neto J. A. Foreign body aspiration in children and adolescents: experience of a Brazilian referral center. Jornal Brasileiro de Pneumologia. 2009;35(7):653–659. doi: 10.1590/S1806-37132009000700006.
    1. Brkić F., Umihanić Š. Tracheobronchial foreign bodies in children. Experience at ORL clinic Tuzla, 1954–2004. International Journal of Pediatric Otorhinolaryngology. 2007;71(6):909–915. doi: 10.1016/j.ijporl.2007.02.019.
    1. Viot A., Babin E., Bequignon A., Moreau S., Vadillo M., Valdazo A. Bronchial foreign bodies in children. Ann Otolaryngol Chir Cervicofac. 2002;119(3):174–180.

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