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KMID : 0390219900010020110
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Journal of Clinical Otolaryngology, Head and Neck Surgery
1990 Volume.1 No. 2 p.110 ~ p.116
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Clinical Study of Foreign Bodies in the Air
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Abstract
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Aspiration of a foreign body in the airway is a common pediatric accident and is usually accompanied by respiratory distress and life-threatening problem. Early diagnosis and removal of foreign body in the airway is imperative to prevent most serious complications but is difficult due to the difference in the nature, location, type and configuration of foreign bodies.
The authors have experienced 17 cases of foreign bodies in the airway at the Department of Otolaryngology, Chunan Hospital, College of Medicine, Soonchunhyang University from July 1982 to December 1989.
The results were as follows
1) The most common age was from 2 to 5 years old in 9 cases. The incidence of sex is higher in male than in female.
2) In duration of lodgement, there was most frequent within 1 day in 7 cases (41.2 %) and the longest duration was 16 days.
3) The most common main symptom, sign and auscultation finding were dyspnea 10 cases (58.8%), chest retraction 5 cases (29.4%) and decreased breath sound 10 cases (58.8%).
4) In chest X-ray finding, 7 cases were abnormal and most common finding was pneumonia.
5) Types of foreign bodies were vegetables 6 cases (37.6%), mucous plug and plastics in order.
6) In location, there were right main bronchus 6 cases (37.5%), trachea 5 cases(31.3% ) larynx 3 cases(18.8 %) and left main bronchus 2 cases(12.5 % )
7) Foreign body induced complications were developed in 6 cases(37.5%) ; pneumonia 5 cases and pneumomediastinum 1 case, and all of postoperative complication was penumonia 5 cases(31.3%).
8) Foreign bodies were removed with direct laryngoscopy 3 case, rigid bronchoscopy 6 cases and ventilating bronchoscopy 7 cases.
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