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KMID : 0381219790110020029
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Journal of RIMSK
1979 Volume.11 No. 2 p.29 ~ p.34
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A Statistical Study of Foreign Bodies in the Food and air Passages
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Abstract
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The foreign bodies in the food and air passages frequently occur in the field of otolaryngology, and the foreign bodies in the air passages have much significance in clinical practice because they may cause sudden death.
A statistical study was done with 95 cases of foreign bodies in the food and air passages who had visited department of otolaryngology Chung-Ang university hospital from June, 1968 till April. 1978.
The results were as follows;
1. 89 cases(93.7%) were lodged in the food passage and the remaining 6 cases(6.3%) in the air passage. The ratio between the food and air passages was 14.8 to 1..
2. In distribution by sex 64 cases(67.4%) were in male patients and the remaining 31 cases (32. 6%) were in female. The ratio between male and female was 2. 1 to 1.
3. The kinds of foreign bodies in the food passage, in the order of frequency, were coin, go-game stone and pebble. Those in the air passage peant and bean.
4. In distribution by age 64 cases(67.4%) occurred in children under 5 year old. Except for meat almost all of the foreign bodies were occurred in cildren under 10 year old.
5. Chronologically there was no tendency in incidence; the incedence, however, had somewhat decreased these 2 years.
6. In the location of foreign bodies in the food passage 70 cases (78.7%) were found at the first esophageal narrowing. Meat were more frequentry at the second esophageal narrowing associated with cicatrical stenosis. Almost all of foreign bodies in the air passage were found in main bronchus; 3 cases were in the right side, 2 cases were in the left side and 1 case was in the glottic region.
7. In duration of lodgement 50 cases(52.6%) visited our departement within 24 hours, 3 cases(3.3%) after 30 days, and the remaining between 1 and 30 days.
8. Under topical anesthesia 83 cases(93.3%) in food passage were removed by esophagoscopy, but 6 cases(6. 7%) failed to be removed. All of the foreign bodies in the air passage were removed by bronchoscopy; 5 cases of them were removed by inferior bronchoscopy through tracheotomy site.
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