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FOREIGN BODIES OF FOOD & AIR PASSAGES.pptx
- 1. FOREIGN BODIES OF AIR PASSAGES Dr Ranjana D Telkar Assistant professor Dept of ENT
- 2. • Major causes of accidental deaths • 1500 die each year due to FB aspiration • Majority age <3yrs
- 3. Aspiration in young children • Lack of molar teeth • Poorer mastication • Tendency to put things in mouth • Playing with things in mouth • Immature protective laryngeal reflexes
- 4. • Food items are aspirated most commonly • Peanuts are most frequently aspirated food • After FB aspiration occurs , the FB can settle into 3 anatomic sites larynx, trachea, bronchus
- 5. Types of FB • Non irritating : plastic , glass , mettalic • Irritating : vegetables, peanuts , beans, seeds Irritating FB diffuse reaction leading to congestion & edema of tracheobronchial mucosa , a condition called as “vegetable bronchitis”
- 6. Phases • Initial phase: choking , gasping, coughing, or airway obstruction at time of aspiration • Asymptomatic phase: lodging of FB with relaxation of reflexes that often results in reduction or cessation of symptoms , lasting hrs to weeks • Complication phase: FB producing erosion or obstruction leading to pneumonia , atelectasis or abscess
- 7. FB in larynx • FB can cause complete or partial airway obstruction
- 8. FB larynx symptoms • Croup (laryngotracheobronchitis) • Stridor • Cough • Hoarseness • Dysnpnea • Odynophagia • Aphonia
- 9. Diagnosis • Xray neck AP & lateral view
- 11. Management • Heimlich manoeuvre • Tracheostomy • Laryngoscopy
- 13. FB tracheobronchus Symptoms • Coughing • Dyspnea • Cyanosis • Pain • Hoarseness
- 14. Site • This depends on size & shape of FB • MC site is rt main bronchus ( bcoz more in line with trachea
- 15. Clinical feature • Accumulation of secretions • Tracheitis or bronchitis with edema • Swelling & granulation • Bleeding & blood stained secretion ( if sharp FB) • Emphysema • Atelectasis
- 16. Lung picture
- 17. Diagnosis • Xray neck with chest • Fluroscopy
- 20. Treatment • Bronchoscopy & FB removal
- 21. Complication of retained FB • Hemoptysis • Bronchiectasis • Bronchial stenosis • Pneumomediastinum/ pneumothorax • Persistent or recurrent pneumonia • Acute or recurrent respiratory distress or failure • Death
- 22. THANK YOU