Mundra R K, Agrawal Richa, Sinha Richi
Department of Otorhinolaryngology and Head & Neck Surgery, MGM Medical College & MY Hospitals, Indore, Madhya Pradesh India ; 2 Kanchan Vihar, 2 Kanchan Bagh, Indore, 452001 Madhya Pradesh India.
Department of Otorhinolaryngology and Head & Neck Surgery, MGM Medical College & MY Hospitals, Indore, Madhya Pradesh India ; Itwara Bazar, Timarni, 461228 Harda, Madhya Pradesh India.
Indian J Otolaryngol Head Neck Surg. 2014 Jun;66(2):145-8. doi: 10.1007/s12070-013-0668-0. Epub 2013 Jun 27.
Foreign body aspiration is one of the leading causes of accidental death in children. In older infants, tendency to explore their environment by putting objects in mouth leads to aspiration, but in younger infants below 6 months of age, as they are non ambulatory, it is the elder sibling who puts the foreign body into younger child's mouth. Diagnosis is often difficult because of no definite history in most cases. The purpose of this study is to diagnose and manage airway foreign bodies in younger infants with unusual presentation and no definite history. All patients referred to our Otorhinolaryngology Department with respiratory symptoms unresponsive to medical treatment and no definite history of foreign body aspiration were prospectively evaluated using virtual bronchoscopy. All patients underwent rigid bronchoscopy and foreign body removal with use of a maneuver in some cases.
异物吸入是儿童意外死亡的主要原因之一。在年龄稍大的婴儿中，他们有通过将物体放入口中来探索环境的倾向，这会导致异物吸入，但在6个月以下的小婴儿中，由于他们不会行走，往往是年长的兄弟姐妹将异物放入年幼孩子的口中。由于大多数情况下没有明确的病史，诊断往往很困难。本研究的目的是诊断和处理表现不寻常且无明确病史的小婴儿气道异物。所有因呼吸道症状前来我院耳鼻喉科就诊、药物治疗无效且无明确异物吸入病史的患者均接受了虚拟支气管镜的前瞻性评估。所有患者均接受了硬质支气管镜检查，部分患者在操作中取出了异物。
