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Esophageal and Tracheobronchial Foreign Bodies:A 10-Year Retrospective Study

ABSTRACT

OBJECTIVES:
To review the clinical profile of foreign body ingestion and aspiration.
To assess predisposing conditions.
To evaluate esophagoscopy and bronchoscopy as management
To determine outcome and complications.

STUDY DESIGN: Cross-sectional Study

SETTING: Government Tertiary Medical Center

METHODS AND PATIENTS:
Using the medical record registry, a retrospective analysis of all patients admitted at the Department of Otorhinolaryngology for foreign body ingestion and aspiration from April 1993 toApri12003 was done.

RESULTS:
Of 648 patients, 632 (98%) were cases of foreign body ingestion and 16(2%) cases were foreign body aspiration. 484 (75%) were pediatric patients (<20>CONCLUSION: The clinical profile of 648 cases of esophageal and tracheobronchial foreign bodies for the past 10 years was described. Majority of the patients belong to the pediatric age group, similar to those reported in literature. Diagnoses were established based on history and symptomatology and supported by radiographic examination. Predisposing conditions were mostly due to carelessness in pediatric care and carelessness in eating for the adult age group. Almost all of the cases were successfully treated with esophagoscopy and bronchoscopy. There were cases of intraoperative and postoperative complications that were treated medically. 97% of the patients were discharged improved after 3 postoperative days.

*FirstPlace,PSO-HNS Descriptive Researh Paper Contest Nov.30,2003,
47thPSO-HNS Annual Convention,Westin Phil. Plaza Hotel,Manila

*published in THE PHILIPPINE JOURNAL OF OTOLARYNGOLOGY HEAD AND NECK SURGERY, Vol 19 No 1-2 33-40
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