Management of tracheo-bronchial foreign bodies in children

East Afr Med J. 2002 Nov;79(11):580-3. doi: 10.4314/eamj.v79i11.8802.

Abstract

Objectives: To review alternative surgical and anaesthetic options in the management of foreign bodies lodged in the tracheobronchial tree in children aged below 10 years.

Design: A five year retrospective secondary data analysis.

Setting: Three hospitals based in Eldoret Municipality, Kenya.

Main outcome measures: Outcome variables included morbidity and mortality.

Results: Of the thirty two children studied, 74.1% had bronchoscopy and 25.9% thoracotomy. The overall mortality rate was 3.3%.

Conclusion: Foreign bodies in the tracheo-bronchial tree are a major cause of morbidity and mortality in children aged below 10 years. In settings where appropriate equipment is inadequate, timely thoracotomy may be life saving.

MeSH terms

  • Age Distribution
  • Bronchi*
  • Bronchoscopy / methods
  • Bronchoscopy / statistics & numerical data
  • Child
  • Child, Preschool
  • Fabaceae
  • Foreign Bodies / complications
  • Foreign Bodies / diagnosis
  • Foreign Bodies / mortality
  • Foreign Bodies / therapy*
  • Humans
  • Infant
  • Infant Mortality
  • Intubation, Intratracheal / methods
  • Intubation, Intratracheal / statistics & numerical data
  • Kenya / epidemiology
  • Morbidity
  • Retrospective Studies
  • Seeds
  • Thoracotomy / methods
  • Thoracotomy / statistics & numerical data
  • Trachea*
  • Treatment Outcome