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KMID : 0361019760190040087
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Korean Journal of Otolaryngology - Head and Neck Surgery
1976 Volume.19 No. 4 p.87 ~ p.93
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A Statistical Survey of the Foreign Bodies in the Food and Air Passages
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柳恒熙/Ryou, Hang-Hi
姜炳吉/秋淵秀/朴載勳/金春吉/朱良子/Kang, Byung-Gil/Chu, Yun Soo/Park, Jae-Hoon/Kim, Chun-Gul/Joo, Yang-Ja
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Abstract
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The authors have been performed a statistical survey for 228 cases with foreign bodies in the food- and air .passage who had visited the department of Otolaryngology, National Medical Center and removed endoscopically during the period of last 10 years from 1966 to 1975.
The following results were obtained:
1. The total numbers of foreign bodies in the food and the air passages were 228. cases, and among of them 181 cases were foreign bodies in the food passages and 47 cases. were foreign bodies in the air passage. The ratio between, the food, and the. air passages was about 3.7:1.
2: The prevalent foreign bodies in thee esophagus´ were coin, meat and food particles and bone in order of frequency. In air passage, bean and peanut were most prevalent foreign bodies and the next were metallic substances, fish bone in order of frequency.
3. In the age incidence, 65.4% of the esophageal foreign bodies and 67.6of foreign bodies in the air passage were under 5 years of age especially coin was 92.9%.
4. In sex distribution, 99 cases were female, and the ratio between male and female was .1.3 : 1. There was no significant difference between male and female in the foreign bodies of the esophagus but the foreign bodies in the air passage were more prevalent in male as the ratio of 2.2 : 1.
5. The most prevalent site of lodgement in. esophagus was first physiologic narrowing of the esophagus as the count of 83.8%. In foreign bodies of the air passage, bronchial foreign bodies were most frequent, and bronchial foreign bodies were more frequent in the right . side as, the ratio of 3.7 : 1.
6. In duration of lodgement, 56.0% of foreign bodies of the food passage were removed within 24 hours and almost of them were removed within 5 days. In foreign bodies in the air passage, only 32.4% were removed within 24 hours but 29.7% were removed within more than 1 week in the air passage.
7. Under the esophagoscope, granulation tissue were noted in the 5 cases of the foreign bodies in the esophagus due to foreign bodies. In foreign bodies of the air passage, complication were encountered in the 4 cases and also removed surgically and among of them, 2 patients were expired due to complications during post-operative course.
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