Iftikhar Ahmad Khan, Mohammad Javed, Bakht Zada, Mohammad Said, Noor Islam.
Foreign body tracheobronchial tree in children managed by rigid bronchoscopy.
Ann Pak Inst Med Sci Jan ;2(3):176-9.

Objective: To document the incidence foreign body (FB) tracheobronchial tree among children and assess their management by rigid bronchoscopy. Study Design: Descriptive study. Place and Duration: Department of ENT, Head & Neck Surgery, Hayatabad Medical Complex. Peshawar from August 2001 to July 2005. Material and Methods: This prospective study included 288. All patients underwent rigid bronchoscopy for removal of inhaled foreign body from tracheobronchial Tree. Cases included were of pediatric age group i.e. 12 years and below. Results: Out of total 288 cases 201 were male and 87 were female with male to female ratio of 2.3:1. All patients were of pediatric age group. The eldest patient was of 12 years and the youngest one was 3 months old with mean age of 3.5 years. History of FB inhalation was positive in (76%) of the cases while there was no definite history in (14%) cases. In (10%) cases history of inhalation of FB was obtained retrospectively after successful procedure. Right main bronchus was the most common site where FB was lodged (60 % cases) followed by left main bronchus (26% cases), trachea (9.70% cases) and subglottic larynx (3.80% cases). The majority of patients treated had complete removal of FBs 98% with first intervention with bronchoscope and the rest (2%) FBs required a second intervention. One patient (0.3%) died during the course of the study. Over all complication rate recorded was 6 %. Conclusion: Rigid bronchoscopy is a potentially safe and effective procedure for removal of foreign body from the Tracheobronchial tree.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com