Hariga Inès, Khamassi Khaled, Zribi Sarra, Amor Mohamed Ben, Gamra Olfa Ben, Mbarek Chiraz, Khedim Abdelkader El
Department of Otorhinolaryngology-Head and Neck Surgery, Habib Thameur Hospital, 8, Rue Ali Ben Ayed, Montfleury, 1008 Tunis, Tunisia.
Indian J Otolaryngol Head Neck Surg. 2014 Jan;66(Suppl 1):220-4. doi: 10.1007/s12070-011-0436-y. Epub 2012 Jan 25.
Foreign body (FB) aspiration and ingestion are frequently encountered by emergent otolaryngology services. The authors describe their experience in the management of FB cases in the aerodigestive tract. We carry a retrospective study about 626 patients who came or were referred to our department between 1996 and 2007 with a history or suspicion of a FB in the aerodigestive tract (except nasal and oropharyngeal FB). All of them have undergone rigid endoscopy under general anaesthesia. Children younger than 10 years were the most involved (36.9%) followed by patients between 71 and 80 years old (11.3%). The FB were visible on clinical examination in 39 cases. Chest and neck X-ray, showed radio-opaque FB in 302 cases (48.7%). A total of 626 rigid endoscopies were performed. FB were encountered in 549 patients (87.7%). The most involved sites were the oesophagus (51.9%) followed by the tracheobronchial tree (33.9%) and the hypopharynx (13.5%). Bones (22%) and coins (20.1%) were the most frequently encountered FB. Successful removal was achieved in 521 cases (94.9% of the FB found). The complication rate after rigid endoscopy was 1.3%. FB in the aerodigestive tract are frequent and may lead to severe complications. Removal through the rigid endoscope still has its place as the most reliable method. Prevention and public education for this serious problem should be considered.
异物吸入和吞食在急诊耳鼻喉科中经常遇到。作者描述了他们在处理气道消化道异物病例方面的经验。我们对1996年至2007年间前来或被转诊至我科、有气道消化道异物（鼻和口咽异物除外）病史或疑似病史的626例患者进行了回顾性研究。所有患者均在全身麻醉下接受了硬质内镜检查。10岁以下儿童受影响最大（36.9%），其次是71至80岁的患者（11.3%）。39例患者经临床检查可见异物。胸部和颈部X线检查显示302例（48.7%）有不透X线的异物。共进行了626次硬质内镜检查。549例患者（87.7%）发现有异物。最常累及的部位是食管（51.9%），其次是气管支气管树（33.9%）和下咽（13.5%）。骨头（22%）和硬币（20.1%）是最常见的异物。521例（发现异物的94.9%）成功取出。硬质内镜检查后的并发症发生率为1.3%。气道消化道异物很常见，可能导致严重并发症。通过硬质内镜取出仍是最可靠的方法。应考虑针对这一严重问题进行预防和公众教育。
