A Statistical Review of Clinical Cases with Laryngo-Tracheo-Bronchial Foreign Bodies

DOI 11 Citations 28 References
  • Ishikawa Masako
    Department of Otorhinolaryngology, Mie University School of Medicine
  • Kobayashi Masayoshi
    Department of Otorhinolaryngology, Mie University School of Medicine
  • Ogihara Hitomi
    Department of Otorhinolaryngology, Mie University School of Medicine
  • Yuta Atsushi
    Department of Otorhinolaryngology, Mie University School of Medicine
  • Takeuchi Kazuhiko
    Department of Otorhinolaryngology, Mie University School of Medicine
  • Majima Yuichi
    Department of Otorhinolaryngology, Mie University School of Medicine

Bibliographic Information

Other Title
  • 喉頭・気管・気管支異物症例の臨床的検討
Published
2004
DOI
  • 10.2468/jbes.55.454
Publisher
The Japan Broncho-esophagological Society

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Description

We retrospectively analyzed 42 inpatients with a foreign body lodged in the larynx, trachea or bronchus at Mie University Hospital from 1983 to 2003. Many patients were children, and 25 patients (57% of total) were less than 2 years old. We were able to diagnose and treat 17 patients (39%) within 24 hours after occurrence of the foreign bodies. However, in 12 patients (27%), more than a week passed between the occurrence and the diagnosis. Clinical symptoms included cough (52%), fever (23%) and stridor (20%). We detected abnormal findings such as emphysema, the foreign body itself, atelectasis and mediastinal deviation by chest X-ray or CT scan. Most of the foreign bodies were removed using a ventilation bronchoscope under general anesthesia. The bilateral main bronchi were the regions where foreign bodies were found at a high rate. A peanut was the foreign body found with the highest rate. All inpatients with peanut foreign bodies were children 5 years old or under. Therefore, to prevent the occurrence of a peanut foreign body, we consider it important to educate parents not to give peanuts to their babies and young children.

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