Abstract
Background: Foreign body inhalation is a common problem in children. In our setup beads are available in the
form of cheap jewelry and prayer beads. With improvement in endoscopic technology for extraction of foreign
body from the airways, mortality has reduced. This study was carried out to determine the efficacy of rigid bronchoscopy
for extraction of beads from airways in a tertiary care hospital.
Material & Methods: This cross-sectional descriptive study was conducted at Department of ENT, Head & Neck
Surgery, Lady Reading Hospital, Peshawar, from January 2012 to December 2013. Any patient of any age and
either sex with inhaled bead was evaluated in terms of detailed history, thorough examination and relevant investigation.
After taking consent bead was retrieved with rigid bronchoscopy and patient was put on injectable
antibiotics and steroid. All these patients were followed up to one month. The data was collected on a proforma
and statistical analysis was performed using SPSS version 17.
Results: This study included 23 cases constituting 16 male and 7 female, with male to female ratio of 2.2:1. Mean
age was 5.47+4.38 years (range 1-18 years). Majority of patients 15(56.21%) belonged to lower socioeconomic
group. Most of the patients (69.56%) presented within three days. The commonest site for lodgment of bead was
the right main bronchus 56.52%. Cough was the commonest presentation (52.17%) followed by wheezy chest
43.47% and in 15(65.21%) cases bead was visible on chest x-ray.
Conclusion: Rigid bronchoscopy is an effective procedure for extraction of beads from tracheobroncheal tree.
Fazal I Wahid, Muhammad Riaz Khan, Muhammad Javaid, Qaisar Khan, Naseemul Haq, Iftikhar Ahmad Khan. (2014) EFFICACY OF RIGID BRONCHOSCOPY FOR EXTRACTION OF BEADS FROM AIRWAYS, Gomal Journal of Medical Sciences , Volume 12, Issue 4.
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