Impactionof foreign bodies can be life threatening .Normally kids are aaffected but adults can also be affected.

1. Foreign Bodies in Aero Digestive Track
Dr Shrikant Phatak
Consultant & Head of ENT
Choithram Hospital Indore

2. Foreign Bodies in Aero Digestive Track
• Foreign bodies are accidentally be inhaled or
ingested & can be impacted in the air or food
passage.
• Air passage includes Nose Trachea Carina
Bronchus.
• Food passage includes hypo pharynx
esophagus.

3. Foreign Bodies in Aero Digestive Track
• When impacted in Trachea Carina Bronchus it poses
a life threatening emergency.
• Severity of the symptoms depends on site size
duration & type of (vegetable like seeds or metallic)
the object.
• Impaction of the big objects in upper digestive tract
can still cause respiratory distress by compressing
airway from behind.
• Skilled anesthesia &Surgical team is essential for the
successful management of the patient.

4. Foreign Bodies in Aero Digestive
Track Importance of A-P & lateral views
Lateral view clearly showing the position of the
object in the posterior part of nose. A-P view
showing it on the left side

5. Foreign Bodies in Aero Digestive Track:
Importance of A-P & Lateral X ray neck
Importance of A-P & Lateral views. Here you can confuse for
f.b. if only A-P view is seen. Lateral view confirms it’s not the
f.b but the runner of the zip

6. Foreign Bodies in Aero Digestive Track
Importance of A-P & Lateral X ray neck
A-P view shows some radio opaque object. Lateral
view confirms the position in the larynx .Shape &
available breathing space .Helps to plan the airway
control (tracheostomy if needed).

7. Foreign Bodies in Aero Digestive Track
Importance of A-P & Lateral X ray neck
A-P view shows the side of foreign impaction
Lateral shows the site of impaction whether airway
or esophagus.

8. Foreign Bodies in Aero Digestive Track
Importance of A-P & Lateral X ray neck
Lateral view shows the object in retropharyngeal
space but does not show the flanges'-P shows the
flanges of the toy key. Flanges can dislodge the
endo tracheal tube during removal .Surgeon & the
anesthetist should be cautious

9. Foreign Bodies in Aero Digestive Track
• Radio opaque foreign body
in upper esophagus causing
respiratory distress by
compressing airway from
behind in an 18 months old
male child.

10. Foreign Bodies in Aero Digestive Track
Foreign body Right Bronchus
reducing air entry Right lung
Optical Forceps Holding the F.B.
in Rt. Bronchus

11. Foreign Bodies in Aero Digestive Track
Radio opaque F B Lt Bronchus
reducing air entry left bronchus Optical Forceps Holding the F.B

12. Foreign Bodies in Aero
Digestive Track
Foreign body Carina at Bifurcation of
trachea reducing air entry in both the lungs

13. Foreign Bodies in Aero Digestive Track
Radiolucent foreign body
causing[Hyperinflation] obstructive
emphysema Right lung (causing reduced
air entry right lung)

14. Foreign Bodies in Aero Digestive
Track
Radiolucent foreign body causing obstructive
emphysema Right lung ( causing reduced air
entry right lung) on C T Scan

15. Foreign Bodies in Aero Digestive Track
X-Ray showing normal lung inflation on either
sides following foreign body removal

16. Disclaimer
• The information contained in the presentation is based on the personal
experience and cases collected at Choithram Hospital Indore over the last
20 years.
• It is intended for the use of Medical students Anesthesia ,ENT & pediatrics
post graduates.
• The views expressed are purely on personal opinion. viewers can make
their own opinion. For any confusion please contact sole author.
• Everybody is allowed to copy or download the material best suited to him.
I am not responsible for any controversies arising out of the presentation.
• For any suggestions or corrections you may please contact
phatak_shrikant@yahoo.in

17. Foreign Bodies in Aero Digestive Track
• Thank you